Urination - painful
Painful urination is any pain, discomfort, or burning sensation when passing urine.
Pain may be felt right where the urine passes out of the body. Or, it may be felt inside the body, behind the pubic bone, or in the bladder or prostate.
Pain on urination is a fairly common problem. People who have pain with urination also may have the urge to urinate more often.
Painful urination is most often caused by an infection or inflammation somewhere in the urinary tract, such as:
Painful urination in women and girls may be due to:
- Changes in the vaginal tissue during menopause (atrophic vaginitis)
- Herpes infection in the genital area
- Irritation of the vaginal tissue caused by bubble bath, perfumes, or lotions
- Vulvovaginitis, such as yeast or other infections of the vulva and vagina
Other causes of painful urination include:
When to Contact a Medical Professional
Call your health care provider if:
- There is drainage or a discharge from your penis or vagina.
- You are pregnant and are having any painful urination.
- You have painful urination that lasts for more than 1 day.
- You notice blood in your urine.
- You have a fever.
What to Expect at Your Office Visit
Your provider will perform a physical exam and ask questions such as:
- When did the painful urination begin?
- Does the pain occur only during urination? Does it stop after urination?
- Do you have other symptoms such as back pain?
- Have you had a fever higher than 100°F (37.7°C)?
- Is there drainage or discharge between urinations? Is there an abnormal urine odor? Is there blood in the urine?
- Are there any changes in the volume or frequency of urination?
- Do you feel the urge to urinate?
- Are there any rashes or itching in the genital area?
- What medicines are you taking?
- Are you pregnant or could you be pregnant?
- Have you had a bladder infection?
- Do you have any allergies to any medicines?
- Have you had sexual intercourse with someone who has, or may have, gonorrhea or chlamydia?
- Has there been a recent change in your brand of soap, detergent, or fabric softener?
- Have you had surgery or radiation to your urinary or sexual organs?
A urinalysis will be done. A urine culture may be ordered. If you have had a previous bladder or kidney infection, a more detailed history and physical exam are needed. Extra lab tests will also be needed. A pelvic exam and exam of vaginal fluids are needed for women and girls who have vaginal discharge. Men who have discharge from the penis may need to have a urethral swab done. However, testing a urine sample may be sufficient in some cases.
Other tests may include:
- Ultrasound of the kidneys and bladder
- An exam of the inside of bladder with a lighted telescope (cystoscope)
Treatment depends on what is causing the pain.
Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
This information should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. © 1997- 2007 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.