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Health

Urethral pain

, medical expert
Last reviewed: 04.07.2025
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A person is a strong creature who can courageously endure various difficulties, inconveniences and even pain. But if it is pain in the urethra - then no one is laughing. Painful sensations in the urethra are very unpleasant, often burning, they cause great inconvenience to a person, entail difficulties with urination and in some cases can provoke a depressive state. The urethra can hurt both in children and adults, but the percentage of adults suffering from various diseases of the genitourinary system is much higher.

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Infections that cause pain in the urethra

It doesn't matter whether you are a man or a woman, but anyone can experience pain in the urethra. And, unfortunately, often the culprit for a woman is a man and vice versa. The fact is that pain in the urethra can be a symptom of various sexually transmitted diseases, such as:

  1. Trichomoniasis (sometimes called trichomoniasis) is a venereal disease caused by pathogenic bacteria called trichomonads. Their "comfortable place of residence" in a woman's body is the vagina, and in men - the seminal vesicles and prostate gland. Why do trichomonads cause painful sensations in the urethra? Because, when they enter the human body for the first time, they necessarily provoke the development of such an inflammatory process as urethritis, and it, in turn, is always accompanied by severe pain in the urethra. As in all cases of venereal diseases, you can become infected with trichomoniasis during unprotected sexual contact with a carrier of this infection or an already sick partner. It is quite easy to recognize the first signs of this disease in women - the vagina, cervix and glands that secrete lubrication necessary during sexual intercourse become inflamed first. Accordingly, the sexual act itself for a woman who has contracted trichomoniasis brings more negative sensations than positive ones. As for men, trichomonads provoke urethritis and prostatitis - inflammation in these organs brings great discomfort and sometimes real torment when urinating, and can also contribute to sexual dysfunction. It is important to remember that if your partner has contracted trichomoniasis, and your tests have not revealed anything, both partners should still undergo treatment. A course of antibiotics will last about ten days, after which the disease will be successfully overcome.
  2. Gonorrhea is another sexually transmitted disease caused by bacteria of the genus Neisseria gonorrhea. For successful treatment of gonococci, medical practice uses those antibacterial drugs to which gonococci are sensitive. The disease spreads in the urethra, cervix, urogenital organs lined with transitional and columnar epithelium, the lower third of the rectum and conjunctiva. In the very early stages of the disease, treatment is simple and very effective, although it should be carried out exclusively under the supervision of the attending physician. But in complicated, torpid and chronic forms, gonorrhea is quite difficult to treat and requires the participation of specialists in this field.
  3. Chlamydia. This disease has been widely diagnosed relatively recently and most people know it by this name. But in fact, in medical circles it is called urogenital chlamydia. Already from the first word it becomes clear that this disease can cause pain in the urethra. Chlamydia develops, damaging the genitourinary organs and tract of a person. Most often, in the early stages, it does not particularly reveal itself (there are no painful or unpleasant sensations, and those that appear, people mainly attribute to other, more familiar diseases). This leads to the fact that at a certain stage, a long-term chlamydia disease leads to unpleasant complications (mainly infertility), and it is then that a person seeks help from doctors. Treatment of chlamydia is quite long, difficult and must be carried out by all partners at the same time. In case of a positive outcome of treatment, tests must be taken again after a month or before the onset of menstruation in women. If the positive picture persists, the treatment is considered successful.

Other causes of pain in the urethra

In addition to sexually transmitted diseases, there are also a number of inflammatory diseases that occur directly in the urethra or nearby organs. They can also cause pain in the urethra. The most common of them are:

  • Cystitis is diagnosed in most cases exclusively in women (although there are also cases of this disease in men). Cystitis is an inflammatory process in the bladder. There are a huge number of causes of cystitis - bacteria, hypothermia, etc. Self-medication and untimely visits to the doctor are big mistakes in the presence of this disease. Once cystitis becomes chronic, it will constantly recur, causing a lot of unpleasant sensations, and will require constant treatment throughout life.
  • Prostatitis is a term used to describe inflammation of the prostate gland tissue, which leads to its swelling. Unfortunately, a very large percentage of adult men aged 20 to 50 years old face this disease. Prostatitis is often caused by untreated and advanced urinary tract infections (for example, trichomonas, gonococcus, ureaplasma, mycoplasma, chlamydia, Candida fungus or herpes virus). Treatment of prostatitis is highly individual. The doctor must select the necessary antibacterial drugs taking into account the characteristics of the body, the stage of the disease and the state of the patient's immune system. In addition, physiotherapeutic methods such as ultrasound, leech therapy, reflexology, prostate massage, etc. are also very effective in treating this disease.
  • Urethritis. Signs of urethritis are pain when urinating, discharge from the urethra. It is mistakenly believed that urethritis occurs exclusively in men - it can also be diagnosed in women. During urethritis, a sick person experiences unpleasant pain of various natures - it can be sharp and acute or cause a burning sensation, it can roll in from time to time, or only when urinating. If pain in the urethra is felt constantly, then this may indicate the presence of such a type of urethritis as colliculitis. It is very important to start treating urethritis in time, since frequent relapses lead to a chronic form and contribute to the movement of the inflammatory process up the urethra. In men, this state of affairs can end in prostatitis, and in women - diseases of the genitals.

It is worth paying special attention to urolithiasis, a symptom of which can also be severe pain in the urethra. This disease is characterized by the formation of stones in various parts of the genitourinary system. If the stones are localized in the bladder, then in this case, the pain is felt in the lower abdomen and radiates to the genitals and perineum. Pain in the urethra is felt during urination or movement. In addition, frequent urination may indicate urolithiasis. Treatment of this disease can be varied. Depending on various factors, conservative, surgical or instrumental treatment methods are used.

There are a number of less common causes of pain in the urethra. If such a symptom has made itself known, it is necessary to immediately contact a doctor. For men, this is a urologist, and for women, a urologist or gynecologist.

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