Urination Pain - Male

Symptoms

DEFINITION

  • Discomfort (pain, burning or stinging) when passing urine
  • May include urgency (can't wait) and frequency (passing small amounts) of urination

General Information

  • All males with painful urination need to be examined and get testing to see if an infection is present.

Common Causes of Painful Urination

  • Urinary Tract Infection: Urinary tract infections (e.g., bladder infection, prostatitis) are the most common cause of painful urination.
  • Sexually Transmitted Disease: Sexually transmitted diseases (e.g., gonorrhea, chlamydia) can also cause painful urination. Most men with this type of infection will describe a clear-white to light yellow discharge from the penis. The two main organisms that can cause this are Gonnorhea and Chlamydia.
  • In younger men, it is more likely that a sexually transmitted disease is causing the pain with urination. In older men, a bladder infection or prostatitis is more likely.

See More Appropriate Topic (instead of this one) If

Should I Call?

WHEN TO CALL YOUR DOCTOR

Call 911 Now (you may need an ambulance) If

  • Very weak (can't stand)

Call Your Doctor Now (night or day) If

  • You feel weak or very sick
  • Unable to urinate (or only a few drops) and your bladder feels very full
  • Severe pain
  • Fever of 100.5° F (38.1° C) or higher
  • Shaking chills
  • Side (flank) or back pain is present
  • Abdominal pain is present
  • Pain or swelling in scrotum
  • Have diabetes mellitus or a weakened immune system (e.g., HIV positive, cancer chemotherapy, chronic steroid treatment, splenectomy)
  • Are bedridden (e.g., nursing home patient, stroke, chronic illness, recovering from surgery)
  • Are a transplant patient (e.g., liver, heart, lung, kidney)

Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If

  • Blood in urine
  • Pus (white, yellow) from end of penis
  • All other men with painful urination

Care at Home

HOME CARE ADVICE FOR PAINFUL URINATION (pending talking with your doctor)

  1. Fluids: Drink extra fluids (Reason: to produce a dilute, non-irritating urine).
  2. Call Your Doctor If:
    • You become worse

And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.

Author and Senior Reviewer: David A. Thompson, M.D. Clinical content review provided by Senior Reviewer and Healthpoint Medical Network.

Last Review Date: 6/1/2011

Last Revised: 4/17/2010

Content Set: Adult HouseCalls Symptom Checker

Version Year: 2012

Portions Copyright 2000-2012 Self Care Decisions LLC; Copyright LMS, Inc.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Instructions: The first purpose of Adult HouseCalls Symptom Checker is to help you determine how sick you are and if you need to call your doctor. The second purpose is to help you treat yourself at home when it is safe to do so. Your doctor's advice and your good judgment should always take precedence over information in these topics.

When to Call Your Doctor

Copyright 

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Are You Sick?

David A Thompson, MD is the author of Adult HouseCalls Symptom Checker. He is a board-certified emergency medicine physician at Northwestern Memorial Hospital in Chicago. He has a national reputation in telephone triage, decision support tools, medical information technology and quality improvement. Adult HouseCalls Symptom Checker is a decision support tool for adults that has been reviewed and approved by adult physicians.

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Pediatric HouseCalls Symptom Checker is a parent guide for treating your child at home, calling your child's doctor or seeking immediate medical attention. Developed by Dr. Barton Schmitt, MD, FAAP, a board-certified pediatrician on staff at Children's Hospital Colorado. Dr. Schmitt has developed other health tools for parents, including the 3rd edition of Your Child’s Health (available in bookstores) and KidsDoc, a new iPhone and Android app for parents (available online).

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