What is gynecological urination pain?

Painful urination is a common physical condition for many women. There are many reasons why women experience painful urination. It is usually a symptom caused by diseases of the urinary system. People with urethritis or urinary tract infection are more likely to experience this symptom and need timely treatment. They should pay more attention to the hygiene of their private parts.

Gynecological urination pain

Considering it is a urinary tract infection, it is recommended to go to the hospital for treatment to rule out organic lesions. It is recommended that you drink more water and take anti-inflammatory treatment.

Women have shorter urethras and the distance between the anus and urethral opening is closer, so they are more susceptible to urinary tract infections. About half of women will have a urinary tract infection in their lifetime. Urinary tract infections also often recur. Other risk factors include sexual intercourse and family history. If pyelonephritis occurs, it may be caused by a bladder infection, but it may also be caused by bacteremia. If the patient is a young, healthy woman, a UTI can be diagnosed based on her symptoms alone. It is more difficult to diagnose some vague symptoms because bacteria may already be present in some parts of the body, but there are no symptoms of infection. If there are complications or if treatment is unsuccessful, urine culture may be done and, if infections are frequent, preventive treatment with low-dose antibiotics may be used.

If the UTI is uncomplicated, it can be treated with a short course of antibiotics. However, many antibiotics have been used to treat UTIs, and bacterial resistance to antibiotics has gradually increased. If complications occur, a long course of antibiotics or injectable antibiotics may be needed. If symptoms do not improve within two to three days, further diagnostic tests may be needed. Among women, urinary tract infections are the most common bacterial infection, increasing by 10% each year.

Clinical manifestations

1. Acute simple cystitis

The onset is sudden, and the onset in female patients is often related to sexual activity. The main manifestations are bladder irritation signs, namely frequent urination, urgency, pain when urinating, discomfort in the bladder area or perineum, and a burning sensation in the urethra; the degree of urinary frequency varies, and in severe cases, urge urinary incontinence may occur; the urine is turbid, there are white blood cells in the urine, terminal hematuria is common, and sometimes it is full-time hematuria, and even blood clots are discharged. Generally there are no obvious systemic infection symptoms, and the body temperature is normal or there is a low fever.

2. Acute simple pyelonephritis

(1) Urinary system symptoms include bladder irritation signs such as frequent urination, urgency, and pain during urination; hematuria; low back pain on the affected side or both sides; obvious tenderness or percussion pain at the costovertebral angle on the affected side;

(2) Symptoms of systemic infection such as chills, high fever, headache, nausea, vomiting, loss of appetite, etc. are often accompanied by increased white blood cell count and increased erythrocyte sedimentation rate.

3. Asymptomatic bacteriuria

Asymptomatic bacteriuria is a hidden urinary tract infection, which is more common in elderly women and pregnant women. Patients do not have any symptoms of urinary tract infection, and the incidence rate increases with age.

4. Complicated urinary tract infection

The clinical manifestations of complicated urinary tract infection vary greatly, and are often accompanied by other diseases that increase the risk of infection or treatment failure, with or without clinical symptoms (such as frequent urination, urgency, dysuria, dysuria, low back pain, costovertia angle tenderness, suprapubic pain and fever, etc.). Complicated urinary tract infections are often accompanied by other diseases, such as diabetes and renal failure; they also cause many sequelae, the most serious and fatal of which include urosepsis and renal failure. Renal failure can be divided into acute and chronic, reversible and irreversible.