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A man experienced pain when urinating. Causes of pain when urinating in men

One of the most important physiological processes that occur in the human body is urination. Thanks to it, toxins and harmful substances are eliminated.

Normally, the outflow of urine should occur continuously and stably. It accumulates in the bladder before leaving the body. If a man does not have any violations or deviations, all processes occur in a certain sequence and do not cause any inconvenience.

If pain, pain, or a burning sensation appears during urination, it is necessary to suspect the presence of inflammation of the urethra, or urethra. This disease is called urethritis and is quite widespread among both men and women.

When should you contact a urologist?

You should not delay contacting a specialist if the following symptoms appear:

  1. , perineum, lower back;
  2. Duration of symptoms more than 2 days;
  3. Weakness, fever, deterioration in performance.
  4. Unpleasant sensations of pain, stinging and burning that accompany the process of urination;
  5. The presence of atypical discharge from a woman’s vagina and from a man’s penis.

Causes of pain when urinating in men

Pain and burning in the urethra of men is usually a sign of the following diseases:

All of them are infectious diseases. But there are also non-infectious diseases that are accompanied by this symptom. These include:

  • tumors of the urinary system;
  • blockage of the ureter;
  • renal colic;
  • urethral injuries;
  • irritation of the external opening of the urethra;
  • surgical intervention;
  • neurogenic burning;
  • severe hypothermia of the body.

Burning and pain when urinating in men can be caused by various diseases. Painful sensations can be sharp, strong and almost unnoticeable, often accompanied by discharge from the urethra and swelling.

To determine what triggered the occurrence of this symptom and begin appropriate treatment, you need to consult a doctor for an examination. Under no circumstances should you prescribe medications to yourself or self-medicate at home.

Urolithiasis

Urolithiasis, or urolithiasis, is characterized by the presence of stones in any of the organs of the genitourinary system. This disease affects people of any gender and age, from children to old people. If stones have formed in the bladder, patients may complain of pain when urinating or moving, radiating to the genitals and perineal area.

Characteristic of urolithiasis is also an excessively frequent need to empty the bladder, which spontaneously arises during physical exertion, walking, and shaking. During deurination, the stream may suddenly dry up (without the feeling of complete emptying of the bladder), and resume only after the person’s body takes a different position - the so-called. "stuffing syndrome".

Urethritis

Inflammation of the urethra. The causes of the disease are infection with Trichomonas, chlamydia, E. coli, and fungi. The first symptoms appear after 1-4 weeks and include:

  • painful urination;
  • the appearance of pain and itching that accompany this process;
  • discharge mixed with pus is observed from the urethra; they are mucous, in some cases blood can be found in them;
  • the external opening of the urethra sticks together and is very irritated.

Body temperature and chills may rise. If urethritis is not treated, it can become chronic, provoke inflammatory processes in the prostate and bladder, and become the culprit for the development of epididymitis, orchitis, urethral stricture, and colliculitis.

Prostatitis

Sedentary work can lead to the development of inflammation. That is why this disease is getting younger every year; now prostatitis can appear in men from 25 to 80 years old.

With prostatitis, in addition to feeling discomfort in the urethra, a man may experience the following symptoms:

  • frequent urge to urinate;
  • urine mixed with blood;
  • pain in the penis, testicles, rectum;
  • problems with potency;
  • nagging pain in the lower abdomen;
  • urinary retention.

The chronic form of prostatitis manifests itself in the form of pain while walking or sitting. When standing up suddenly from a sitting position or simply making quick movements, discomfort appears in the lumbar region.

Cystitis

A burning sensation during urination is characteristic of cystitis, an inflammatory process on the mucous membrane of the bladder. Although this disease is more familiar to the female population, it also occurs among the stronger sex. Cystitis is suspected if a person complains of frequent painful urination, pain in the lower abdomen and dark urine.

STD

With the development of STDs (gonorrhea, herpes, trichomoniasis, chlamydia, ureaplasmosis and mycoplasmosis), painful urination is combined with signs of sexually transmitted diseases. Gonorrhea is characterized by mucous or mucopurulent copious discharge, in men - from the urethra, in women - from the urethra and vagina; with herpes and trichomoniasis, severe itching and swelling of the genital organs is felt, but the discharge is scanty, in men - in the form of a drop. The diagnosis is confirmed by PCR.

Pain after urination in men

It happens that, as if by itself, pain suddenly arises when urinating at the end in men. This indicates inflammatory processes in the urethra and bladder. The reasons why it hurts to pee at the end of urination for a man are often:

  • inflamed mucous membrane of the urethra or bladder, similarly reacting to
  • passage of urine during contraction of the bladder muscles;
  • the presence of sand or stones in the urine, which injure the bladder and urethra during passage;
  • narrowing of the urethra due to prostate adenoma, tumor or prostatitis.

    Diagnostics

    A very important diagnostic symptom is the time when pain appears when urinating:

    1. At the very beginning of urination, pain indicates an inflammatory process in the initial part of the urethra.
    2. After complete emptying, pain occurs (and lasts for some time) due to changes in the prostate or cervical region of the bladder.
    3. Before urination, pain occurs with cystitis, overdistension, tumors and a decrease in the volume of the vesica urinaria (wrinkling).
    4. During the entire process of urination, discomfort manifests itself when the bladder contracts, or it is characteristic of oncology or cystitis.

    How to treat pain and burning when urinating in men

    The treatment provided depends entirely on the diagnosis made during the diagnosis. The causes of infection are mainly eliminated - antibiotics, antiviral and antifungal drugs are selected. There are such difficult cases when a man is indicated for emergency surgical treatment, for example, a tumor in the bladder, stones in the bladder or urethral polyps.

    It is very important to drink plenty of fluids while taking them (unless there are contraindications from the kidneys and endocrine system) to allow toxins to freely leave the body. You should not drink drinks that stimulate the urge to urinate (coffee, hot chocolate, carbonated drinks, alcohol), but it is better to opt for fruit drinks made from sour berries (cranberries, lingonberries) and decoctions of various herbs (chamomile, rose hips).

If there are deviations in the functioning of the urinary organs, sharp, cutting or dull pain appears when urinating in men. Painful feelings are noted at the beginning, during and after urination, with sharp pain often radiating to the leg and other lower parts of the body. Frequent pain is associated with diseases of the urinary and reproductive systems.

You can eliminate the pain on your own for a while using an anesthetic drug, but in order to completely get rid of the pathology, you should consult a doctor and act on the source of the pain.

Causes and symptoms of pain when urinating in men

Unpleasant sensations in the urethra in men are associated with various pathological processes occurring in the genitourinary organs. Urethritis, cystitis and other more serious pathologies can provoke pain when urinating. With each disease, in addition to pain, other unpleasant signs appear that require immediate treatment.

Urethritis can occur if bacteria and infections enter the urinary canal, which provoke an inflammatory process. The disease in men is often caused by trichomonas and chlamydia, which are transmitted primarily through sexual contact. Urethritis also manifests itself in the presence of E. coli. The incubation period lasts 7-21 days, after which the following symptoms appear:

  • it hurts for a man to urinate;
  • pain after urination;
  • discharge from the urethra that has an unpleasant odor, often mixed with pus and blood;
  • adhesion of the external outlet of the urethra.

With prostatitis, a man experiences an inflammatory process in the prostate gland. A characteristic feature of the pathology is pain in the prostate. This deviation is typical for men who have sedentary jobs and lead a sedentary lifestyle. According to statistics, every year more and more young people over the age of 20 suffer from prostate inflammation. When the prostate gland becomes inflamed, the external genitals and genitourinary organs located inside are damaged. If a man is diagnosed with a pathology, then he may have pain in the head of the penis, scrotum, lumbar region, or lower abdomen. Pain in the leg often occurs, especially when walking, which indicates a severe degree of the disease. The following pathological signs also appear:

  • pain when urinating and after emptying the bladder;
  • frequent urine output;
  • discomfort in the lower abdominal cavity;
  • feeling unwell;
  • chilling sensation;
  • increase in body temperature.

Diagnostics

If painful urination is observed in men, then you should not self-medicate or hope that the pathological manifestations will disappear on their own. It is necessary to contact a urologist as soon as possible and take medicinal treatment measures. The doctor examines the affected area and collects a history of the disease. After clarification of all points, diagnostic procedures are prescribed to the patient, after which individual treatment will be prescribed. The following procedures are used in diagnosis: Diagnosis of pathology depends on several parameters.

Pain in the urethra is caused by various pathologies. To distinguish one disease of the genitourinary organs from others, differential diagnosis is necessary. For this purpose, the specialist collects a detailed medical history and clarifies the following parameters:

  • Suddenness. If a man experiences sudden and severe pain, this usually indicates the formation of stones in the urethra. In this case, you should consult a doctor as soon as possible, since there may be complications that will affect the kidneys.
  • The severity of the pain. In case of serious disturbances in the functioning of the genitourinary system, the pain is often mild. In the case of malignant tumors, a man experiences mild pain when passing urine, which indicates the initial degree of oncology.
  • Location. If a man has a headache, then most likely he suffers from urolithiasis. In case of groin pain, inflammation of the prostate gland is diagnosed. If a man complains of pain on the side or in the lumbar region, this indicates the spread of an infectious lesion to the upper urinary organs.
  • Period of manifestations. It is important to find out at what point pain occurs: before, during or after emptying the bladder. Pain at the end of urination indicates prostatitis, at the beginning - cystitis, during - oncology.
  • Frequency of urine excretion. With these indicators, a specialist can also differentiate one ailment from another. With some disorders, the frequency of urges is reduced, but the daily volume of urine remains the same. With other deviations, the number of trips to the toilet increases, and the volume of urine decreases.
  • Discharge. With various diseases of the genitourinary organs, inclusions of blood, mucus, and pus are observed in the urine.

Discomfort and pain when urinating in men is a fairly common symptom that can be caused by a variety of reasons: from infections in the genitourinary system to the presence of tumors. Pain may occur before emptying the bladder, during the process, or at the end. If you ignore this manifestation, then the existing disease that provokes it will develop unhindered and may ultimately develop into a chronic stage. If there is pain accompanying the process of urination, you should immediately consult a doctor and undergo the necessary examinations to determine the cause of this deviation. In this case, specialists such as a urologist, venereologist and andrologist will help cope with the problem.

Painful urination in men is a deviation indicating dysfunction of the organs of the genitourinary system. Depending on at what point in the urine excretion process unpleasant sensations appear, one can draw conclusions about what exactly caused such a violation.

  1. If pain appears immediately before the start of urination, a tumor or inflammation in the bladder area may be the likely cause. In addition, discomfort occurs when there are stones or sand in the organs of the urinary system;
  2. Pain in the urethra appears at the beginning of the process of urine excretion in cases where the urethra is exposed to inflammatory lesions, including those caused by infections that provoke sexually transmitted diseases. In such cases, the pain is accompanied by itching. If a man has a disease such as, discomfort occurs along the urethra and disappears after completing the urination process. Despite the relief, there is no sensation of complete emptying of the bladder;
  3. Pain at the end of urination in men occurs with, as well as in case of damage to the mucous membrane of the urethra.

Immunologist Georgy Aleksandrovich Ermakov tells about what diseases a symptom can signal:

Other probable causes that contribute to the appearance of sharp pain when emptying the bladder include:

  • Damage to the foreskin of the penis (,);
  • - venereal disease. Unpleasant sensations are accompanied by the appearance of discharge from the urethra in the form of pus or mucus, severe pain in the lower abdomen;
  • – a sexually transmitted disease in which purulent, foamy discharge with an unpleasant odor comes out of the urethra;
  • , or thrush. In this case, there is discomfort when urinating in men, itching and burning, white discharge, and the appearance of plaque on the head of the penis;

  • - an infectious disease that also causes pain in the urethra. Associated symptoms are the appearance of cloudy discharge from the urethra, a slight increase in body temperature. If left untreated, ureaplasmosis leads to the development of prostatitis;
  • Prostatitis. In this case, when urinating, the lower abdomen hurts, the man is bothered by frequent urges, and blood appears in the urine. In chronic prostatitis, unpleasant phenomena often occur after sex;
  • Injuries to the groin area, consequences of catheter insertion.

Particularly dangerous are conditions in which pain after urination or during this process is accompanied by the following symptoms:

  1. Pain in the lower back, perineal area, lower abdomen;
  2. Atypical discharge from the penis;
  3. Increased body temperature;

  1. General weakness;
  2. Decreased performance;
  3. Persistence of alarming signs for 2 days or more.

Diagnostic measures

Pain and burning when urinating are dangerous symptoms that cannot be ignored. If they appear, you must immediately contact a specialist who will prescribe a series of examinations to determine the cause.

The man is prescribed the following diagnostic measures:

  • Analysis of the first urine that needs to be collected in the morning. The method allows you to detect urinary tract infections, as well as the presence of red blood cells. The latter may indicate: stones passing through the urinary tract injure their walls and contribute to the appearance of;
  • Clinical and biochemical blood test. Using this technique, inflammatory processes are determined, as well as the level of indicators indicating renal failure;
  • Ultrasound of the bladder, kidneys, prostate;

Ultrasound examination of the kidneys

  • Contrast radiography of the urinary system to determine the location of stones;
  • Taking a smear from the urethra. Using this method, the presence of pathogens of sexually transmitted diseases is detected;
  • Rectal digital examination. Palpation of the prostate allows you to determine how severe the inflammatory process is.

After determining the cause that caused pain and discomfort when urinating in men, the specialist prescribes an adequate treatment method.

Treatment methods

To suppress symptoms such as pain and blood when urinating, treat the underlying disease.

Table 1. Treatment of pain and discomfort in the urethra, depending on the cause

Cause of acute pain when emptying the bladderTreatment methods
Infectious diseases (including sexually transmitted diseases)Taking broad-spectrum antibiotics. Such drugs can not only be taken orally, but also administered as intravenous injections.
UrolithiasisTaking medications to dissolve stones. If it is not possible to remove stones using conservative methods, urethroscopy is used - a procedure for crushing stones using the force of shock waves
Inflammatory processes of the genitourinary systemThe use of anti-inflammatory drugs, taking painkillers to relieve pain.

Physiotherapeutic procedures can also be used - magnetic and laser therapy, taking warm therapeutic baths

Tumor neoplasmsSurgical intervention
Stagnation of urine in the uretersTaking diuretics

In the treatment of diseases that provoke pain in the head when urinating, immunomodulatory agents are also used, which increase the body's resistance to the fight against pathogenic microorganisms.

Immunomodulators

Trying to get rid of unpleasant symptoms at home is not recommended, since pain in the groin can be caused by such serious pathologies as the development of a tumor process and the formation of kidney stones, which is dangerous by disrupting the functioning of this paired organ. Nevertheless, there are folk remedies that allow you to get rid of painful manifestations. It is not recommended to resort to their use on an ongoing basis; rather, they should be used only in extreme cases.

One of these methods is to take a decoction made from rose hips: with its help you can get rid of the burning sensation for a while.

To relieve the pain caused by cystitis, it is recommended to make compresses based on grated raw potatoes and cabbage. The mass is placed on a gauze pad and placed on the lower abdomen.

You will learn folk remedies for the treatment of cystitis by watching the video:

If it hurts a man to go to the toilet in small ways due to an increase in the amount of salt crystals in uric acid, he should reconsider his diet. First of all, it is necessary to eliminate the consumption of salt, smoked meats, alcohol, saturated broths and, conversely, eat more berries, onions, and parsley.

To eliminate the possibility of cutting pain when emptying the bladder or after sexual intercourse, you should avoid hypothermia, follow the rules of hygiene, and monitor your diet and drinking regime. It is also worth giving up bad habits, leading a healthy lifestyle and visiting a urologist for preventive purposes at least once every six months.

Pain when emptying the bladder can be caused by various reasons, which only a specialist can determine. You should not start this process and endure unpleasant sensations: such a symptom may indicate the beginning of the development of a tumor process.

Infectious and sexual diseases do not go away without consequences. In most cases, men experience pain during urination. But they are in no hurry to turn to specialists. The painful condition indicates the development of serious pathological processes. It is necessary to establish an accurate diagnosis and undergo effective treatment.

Pain syndrome when urinating

Various pathological processes that develop in the genitourinary system cause discomfort in a man and disrupt his vital functions. They can be caused by various diseases that require the intervention of a specialized doctor.

Pain syndrome is the first sign of the development of a serious inflammatory process. A man should undergo an examination and not delay his visit to a urologist. We are talking about, or prostatitis. The diseases are accompanied by characteristic symptoms and require treatment. Without therapy, the risk of complications and consequences increases.

Causes and symptoms of discomfort

There are some diseases in men that are accompanied not only by painful sensations. Additional signs of pathological processes appear. It is important to consult a doctor in a timely manner, undergo a full examination and treatment.

Chlamydia

We are talking about a sexually transmitted infectious disease. Kidney function and urinary function are impaired. The causative agents of the pathology are Chlamydia Trachomatis. Pathogenic microorganisms affect the male reproductive system and urinary tract. The disease is characterized not only by pain during urination. Pain, discharge, burning and itching appear.

Painful sensations spread to the lower back, testicles, scrotum and urethra. The patient's body temperature rises. , purulent threads form. Without treatment, chlamydia leads to serious complications in the form of bleeding during ejaculation or urination. In some cases, the disease occurs without a pronounced clinical picture.

Gonorrhea

The causative agents of the pathology are bacteria – Neisseria gonococcus. Pathogenic microorganisms spread throughout the genitourinary system. The urethra is also affected. Symptoms:

  • painful sensations;
  • cramps appear when emptying the bladder;
  • high temperature at the acute stage;
  • swelling of the external urethral area.

Violations are accompanied by pale yellow or yellow-green discharge.

Urolithiasis

Pathological processes develop due to the formation of stones of various sizes in the genitourinary system of the male body. The presence of stones in the bladder causes the following symptoms:

  • pain;
  • pain syndrome appears;
  • there are problems emptying the bladder.

When moving the stone, the patient feels pain. Depending on its location, discomfort is felt in the perineum or genitals. Increased protein promotes the appearance. At the same time, the stream is weak and the man does not feel complete emptying. After changing body position, the urge appears again.

Urethritis

The disease develops due to the development of pathogenic microflora. A bacterial infection causes the following symptoms:

  1. Pain and cramps that appear when urinating or are constantly present.
  2. Characteristic discharge.
  3. During an exacerbation of urethritis, a man complains of severe pain.
  4. The chronic form of the disease is accompanied by tolerable pain, burning and morning discharge.

Clinical signs vary. After a while, the patient notices purulent mucous discharge, accompanied by an unpleasant odor and having a blue-green color.

Trichomoniasis

Symptoms of the disease:

  • inflammation of the urethra;
  • pain;
  • a burning sensation appears;
  • pain.

The functioning of the genitourinary system is disrupted. Patients complain of a frequent urge to urinate in the morning. White purulent discharge comes out along with the urine. Trichomoniasis is characterized by blood streaks in the semen.

Prostatitis

Inflammation of the prostate gland causes problems with urination. In urology, prostatitis is the most common disease encountered by representatives of the stronger sex. Pathological processes develop due to damage to the organ by the Candida fungus. The same thing happens when infected with an infectious disease. We are talking about the herpes virus, gonococci, trichomonas.

Inflammation of the prostate gland is accompanied by pronounced symptoms:

  • painful sensations;
  • pain;
  • the tissues of the affected organ swell and become inflamed.

With prostatitis, severe pain appears that moves to the scrotum, perineum or lower back.

Cystitis

The disease is characterized by inflammation of the bladder. Accompanied by characteristic symptoms:

  • urinary incontinence.

Laboratory tests will show the presence of pus. The pain gradually intensifies and becomes permanent.

Diagnostic measures

Examination methods and additional tests allow you to establish an accurate diagnosis and prescribe the most effective treatment. The doctor takes into account the patient’s complaints, conducts instrumental and laboratory examinations.

Diagnostic methods:

  1. Urethral swab. The analysis is prescribed to patients with urethritis. Based on the results, the most suitable antibacterial drug is selected.
  2. And. The examination will allow you to determine the location of the source of pathology when.
  3. Rectal diagnostics. During palpation, the specialist determines the condition of the prostate.
  4. And. During the procedure, the doctor determines the degree of disturbance in the process of urination.

Based on the results obtained, the doctor will select effective therapy.

Treatment methods

Proper therapy prescribed by a qualified doctor increases the patient’s chances of a speedy recovery.

Drug treatment

  1. . The doctor determines the causative agent of the pathology and prescribes antibacterial drugs to the patient. Chronic urethritis is more difficult to treat. Specialists use additional stimulating and restorative medications.
  2. . Large stones are removed using ultrasonic crushing. For patients with high mobility, surgical intervention is recommended.
  3. Inflammation of the prostate gland. To combat chronic prostatitis, complex therapy is required. The doctor prescribes antibacterial and restorative agents for the man. Additionally, she recommends attending physiotherapeutic procedures and prostate massage. Prostatitis at the acute stage is treated with non-steroidal anti-inflammatory drugs. Electrical stimulation and magnetic therapy are effective. The duration and result of treatment depends on the stage of development of the inflammatory process and the severity of organ damage.
  4. For pain in the urethra, a man is prescribed individual therapy with antibacterial and antifungal drugs. In case of stone formation, the doctor recommends surgical intervention.

During treatment, patients are advised to follow a special diet. It is necessary to avoid salty, spicy, smoked and sour foods. They affect the composition of urine and negatively affect the condition of a man. A healthy lifestyle will allow you to recover faster and prevent serious complications during treatment. It is important to give up smoking and alcohol, and engage in physical exercise without overexertion.

Traditional medicine

There are a large number of recipes from healers and healers that help reduce pain when urinating. It is important to discuss therapy with your doctor to prevent the development of complications.

Effective recipes:

  1. A decoction based on medicinal herbs. We are talking about St. John's wort, centaury, bear's ear.
  2. Parsley and carrots help to cope with painful sensations when urinating. A tincture should be prepared from these components.
  3. You can apply compresses with mashed onions to the affected area.
  4. Warm baths are allowed. Add chamomile decoction and tea tree essential oil to the water.
  5. Patients can apply compresses made from raw cabbage and potatoes.

Traditional medicine helps eliminate pain and get rid of the inflammatory process. Treatment must be comprehensive. The patient, using folk remedies, is under the supervision of a specialist and periodically undergoes tests. The doctor will see the effectiveness of the therapy and make adjustments.

It is important to consult a specialist in a timely manner, establish an accurate diagnosis and undergo treatment. Without qualified help, complications and serious consequences may occur.

The male genitourinary system is considered one of the most vulnerable places in the body, often suffering from the penetration of pathogenic microorganisms. The most common symptom of the disorder is pain when urinating. In men, such a sign may indicate the development of pathologies of an inflammatory or non-inflammatory nature. Most often, discomfort is accompanied by other clinical manifestations.

The process of urination is considered an important part of the functioning of the body; it helps to remove not only urine, but also toxins and harmful compounds. If this function is impaired, the patient’s general condition worsens significantly and complications appear. The main causes of discomfort will be the following:

  1. Cystitis is a fairly common cause; it is a disease of the bladder, characterized by inflammation of the mucous membrane of the organ. The pathology is more common among female patients, since the anatomical features of the urethra facilitate the penetration of infection, but men also suffer from cystitis.
  2. Urethritis provokes not only pain, but also burning, spasms and other unpleasant symptoms. The pathology is characterized by inflammation of the urethral mucosa, which often provokes complications.
  3. Gonorrhea and chlamydia are common diseases among young and middle-aged men who are sexually active and neglect barrier-type contraception. Diseases provoke not only pain during urination, but also lead to the appearance of severe symptoms that worsen the patient’s condition.
  4. Inflammatory kidney diseases: glomerulonephritis, pyelonephritis, nephritis. Pathologies are most often associated with the penetration of pathogenic microorganisms into the kidneys and bladder, which cause pain. In addition, discomfort may result from the formation of kidney stones.
  5. Neoplasms of the genitourinary system often cause pain because they compress the bladder, urethra and prostate gland. As the pathology progresses and the size of the tumor increases, the symptoms usually worsen.
  6. Colds and viral pathologies in the acute stage, diseases of fungal etiology.

One of the common causes of pain during bladder emptying is considered to be acute or chronic prostatitis.

The pathology is characterized by an inflammatory process in the prostate gland, accompanied by its enlargement, compression of the urethra, and the inability to completely empty the bladder. This disease most often develops in men over 40 years of age. At the age of 65−70 years, it occurs in approximately 70% of male patients.

Associated symptoms

In addition to pain, the patient may experience other symptoms during urination. Even minor discomfort should be a reason to contact a specialist. Typically, pain appears during bowel movements, but after a while the patient constantly feels discomfort.

It spreads to the genitals, bladder area, scrotum, and sometimes extends to the lower back. Almost always, the condition worsens gradually, disorders of the reproductive system, lack of erection, and decreased libido appear. Next, a burning sensation appears in the area of ​​the urethra and bladder, itching. Upon examination, you can see that the mucous membrane around the opening of the urethra is hyperemic and swollen.

If the cause of the pain is chlamydia or gonorrhea, white or greenish discharge and an unpleasant odor appear. As the number of pathogens increases, the symptoms worsen, and symptoms of cystitis and urethritis appear. Sexually transmitted diseases rarely occur in a latent form; only an incubation period is possible.

In the absence of therapy, the pain intensifies, spreads to the entire pelvic area, and general symptoms appear. The patient feels weak, dizzy, his performance decreases, and his appetite worsens. In acute cases of urethritis or cystitis, there may be an increase in body temperature, pain in muscles and joints, and sleep disturbances.

If the cause of the symptoms is pyelonephritis, stones or sand in the kidneys, pain appears in the lumbar region. When one kidney is affected, it is one-sided, sharp or aching, and intensifies with percussion. The patient's urine becomes cloudy, sometimes there is an admixture of pus, sand, and blood. The smell is pungent, the color is rich. In advanced cases of urethritis and cystitis in combination with urolithiasis, the urine turns pink or reddish.

Typically, severe symptoms are observed in the absence of therapy. If the patient consults a specialist when the first signs appear, the clinical picture does not worsen and complications can be avoided.

Diagnostic methods

Experts strongly recommend that men contact a medical facility in a timely manner. At the first appointment, the urologist examines the patient, listens to complaints about the nature and severity of symptoms. Further, additional consultation with a venereologist is most often required.

The doctor takes a sample of discharge from the urethra and sends it for laboratory testing to identify the pathogen. This is necessary if a specialist suspects a sexually transmitted disease. Mandatory diagnostic stage- general and biochemical blood test, general urine test.

The results usually show an increased level of white blood cells, erythrocyte sedimentation rate, and a large number of red blood cells and white blood cells in the urine.

Additionally, you may need a urine analysis according to Nechiporenko, when the middle portion of urine is collected. After this, the doctor sends the patient for an ultrasound examination of the bladder, prostate, and kidneys.

If there is inflammation of the mucous membrane, the presence of stones and sand, the specialist will record this during diagnosis. If a prostate tumor is detected, a biopsy is additionally prescribed, when a sample of the tumor is taken to identify the structure and the possibility of malignancy. Based on the data obtained during the examination, the doctor makes a final diagnosis and prescribes appropriate treatment.

Drug therapy

The treatment regimen depends on the diagnosis and usually includes several groups of drugs to provide a comprehensive effect on the body and quickly eliminate symptoms. The most commonly used drugs are:

  1. Nonsteroidal anti-inflammatory drugs: Ibuprofen, Ketorol, Nimesulide. They are used for severe pain accompanied by inflammation, help alleviate the patient’s condition, improve sleep, relieve inflammation, and prevent the progression of pathology. Prescribed in short courses of 5-7 days. Patients with diseases of the digestive tract should not take NSAIDs on their own.
  2. Antibacterial drugs: Azithromycin, Erythromycin, Augmentin. They are used for acute cystitis, urethritis, gonorrhea, chlamydia, acute prostatitis, pyelonephritis and other inflammatory pathologies of the urinary system. They help to quickly relieve severe symptoms and prevent the disease from becoming chronic. The course of therapy is usually 10−14 days, sometimes longer treatment is required.
  3. Antiviral drugs: Remantadine, Acyclovir. Used when a viral etiology of pain is identified. They allow you to suppress the activity of pathogens and speed up the healing process. The course of treatment lasts from 1 to 3 weeks depending on the extent of the lesion.
  4. Antifungal agents: Fluconazole, Nystatin. Indicated in case of detection of a fungal infection. They help to influence the pathogen from the inside, suppressing its activity. The duration of use depends on the degree of neglect of the condition, usually 3 weeks is enough.
  5. Diuretic drugs: Furosemide, Trifas. They are rarely used when it is necessary to stimulate the removal of pathogenic microorganisms from the bladder. Usually the doctor prescribes a single dose, sometimes requiring the use of diuretics for three days.

Folk remedies

Some alternative medicine recipes help alleviate the patient's condition with many diseases of the genitourinary system. Typically, medicinal herbs and other natural ingredients are used that have a pronounced therapeutic effect. The following medications are considered the most effective:

  1. A decoction based on bear ears relieves inflammation, has a diuretic and mild analgesic effect. Often used for cystitis and kidney pathologies. To prepare the medicine, you will need a tablespoon of raw materials and 500 ml of water, cook the composition for at least 3 minutes, leave to infuse for 1 hour. Take the filtered decoction three times a day, 50 ml. The duration of therapy is 10 days.
  2. Chamomile infusion is a universal folk remedy that helps alleviate the patient’s condition with inflammatory pathologies. It’s simple to prepare the medicine: pour a glass of boiling water over a teaspoon of crushed and dried raw materials, leave for 20 minutes, filter. Divide the resulting drink into 2 parts and drink throughout the day. Repeat the manipulations daily for 2 weeks. The medicine has an anti-inflammatory and antibacterial effect, prevents complications, and normalizes sleep.
  3. A decoction of parsley seeds is considered an effective remedy for diseases of the genitourinary system in men. It has anti-inflammatory, analgesic properties, improves potency. You can prepare the medicine from a teaspoon of dry seeds and half a liter of water. Boil the mixture for 5 minutes, leave for at least 2 hours, filter. Take the resulting decoction one tablespoon three times a day. Duration of use - 10 days.
  4. Carrot juice is a natural medicine that helps improve your general condition, normalize digestion and appetite. It is recommended to consume it on an empty stomach, 200 ml daily. The minimum duration of treatment is 2 weeks. It is important to prepare the juice immediately before use, otherwise the therapeutic effect will be weakened. Patients with acute diseases of the stomach and intestines should not drink juice on an empty stomach.

Before using any of the folk remedies, you should consult your doctor and make sure there are no contraindications. Many natural remedies can provoke allergies.

Nutritional Features

In the acute period of the disease, throughout the course of therapy and during the recovery period, doctors strongly recommend that patients adhere to a diet that reduces the load on the digestive organs and kidneys. It is necessary to completely avoid smoked meats, salty, spicy, sour, pickled foods, canned food, soda, coffee and strong tea.

It is strictly forbidden to drink alcohol; it is better to quit smoking to strengthen the immune system and increase the body’s ability to fight the disease. Experts note that patients recover faster if they adhere to the principles of a healthy lifestyle. You should eat more vegetables and fruits fresh, drink enough water. It is allowed to drink green tea in moderate doses.

The menu should definitely include first courses and porridges, as well as low-fat fermented milk products, fresh herbs, nuts, and dried fruits. You should not overload your digestive system with large portions; meals should be small and balanced.

If you contact a specialist in a timely manner and follow all recommendations, the pathology does not progress, and the likelihood of developing complications is eliminated. Pain during urination should not be ignored, as it may be the first sign of a serious illness.