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Published on: 5/6/2025

What Might Cause Pain in the Urethra When Urinating?

Pain in the urethra during urination can happen because of infections, irritation, or narrowing of the urethra. See a doctor if you have this symptom over consecutive urinations.

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Explanation

There are several reasons why you might feel pain in your urethra when you pee. One common cause is a urinary tract infection, where irritating bacteria the lining of your urethra and bladder. Infections from sexually transmitted diseases, like gonorrhea or chlamydia, can also lead to urethral pain by causing inflammation (known as urethritis). Besides infections, trauma or injury to the urethra can cause pain as well. Sometimes, repeated infections or injury can lead to scarring and narrowing of the urethra, which is called a urethral stricture. Other things, like certain chemicals or medications, may irritate the urethral lining and cause discomfort when urine passes through. In some people, pain in the urethra is linked to a condition called urethral pain syndrome, where the pain is real even if clear causes are harder to find. It's important to talk with a healthcare provider to find out what is causing the pain so that you can receive the right treatment.

(References)

  • Michels TC, Sands JE. Dysuria: Evaluation and Differential Diagnosis in Adults. Am Fam Physician. 2015 Nov 1;92(9):778-86. PMID: 26554471.

  • Bertrand LA, Warren GJ, Voelzke BB, Elliott SP, Myers JB, McClung CD, Oleson JJ, Erickson BA; TURNS. Lower urinary tract pain and anterior urethral stricture disease: prevalence and effects of urethral reconstruction. J Urol. 2015 Jan;193(1):184-9. doi: 10.1016/j.juro.2014.07.007. Epub 2014 Jul 18. PMID: 25046621; PMCID: PMC4307605.

  • Dreger NM, Degener S, Roth S, Brandt AS, Lazica DA. Das Urethralsyndrom: Fakt oder Fiktion--ein Update [Urethral pain syndrome: fact or fiction--an update]. Urologe A. 2015 Sep;54(9):1248-55. German. doi: 10.1007/s00120-015-3926-9. PMID: 26337167.

  • Rosen JM, Klumpp DJ. Mechanisms of pain from urinary tract infection. Int J Urol. 2014 Apr;21 Suppl 1(0 1):26-32. doi: 10.1111/iju.12309. PMID: 24807489; PMCID: PMC4552327.

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