Girls always want to urinate and it hurts

Girls who always want to urinate and feel some pain in their urethra during urination indicate that they have a bacterial infection. If they do not seek timely treatment at this time, they may develop some gynecological diseases. When their urethra is stimulated, this situation will become more prominent, especially urinary stones. The symptoms of this disease will be very obvious after the onset.

There are many causes of pathological dysuria, but the main ones are bladder and urethra diseases.

1. Bladder and urethra irritation

The most common are inflammatory stimulations, such as pyelonephritis, kidney stones and infection, renal tuberculosis, cystitis, urethritis, prostatitis, vaginitis, etc., which are most obvious in acute inflammation and active tuberculosis of the urinary system. Non-inflammatory irritations such as stones, tumors, foreign bodies in the bladder or urethra, bladder fistulas and pregnancy compression.

2. Reduced bladder capacity

Such as bladder space-occupying lesions, or bladder wall inflammatory infiltration, sclerosis, and contracture leading to reduced bladder capacity.

3. Abnormal regulation of bladder nerve function

It occurs in cases of mental stress and hysteria, and may be accompanied by urinary urgency but no urinary pain.

4. Painful urination in women

The most common cause is urinary tract infection, including pyelonephritis, cystitis and urethritis. In addition, vaginitis, senile atrophic vaginitis, bladder contraction and sphincter relaxation, and bladder tumors can also cause urinary pain.

1. If there is obvious pain at the beginning of urination or dysuria, the lesion is mostly in the urethra, which is common in acute urethritis.

2. If there is pain at the end of urination and urgency, the lesion is mostly in the bladder, which is common in acute cystitis.

3. If there is obvious pain at the end of urination, pain still exists after urination, or pain occurs even when not urinating, the lesions are mostly in the urethra or adjacent organs, such as trigone inflammation, prostatitis, etc.

4. Sudden interruption of urination accompanied by pain or urinary retention, which is seen in bladder, urethral stones or urinary tract foreign bodies.

5. Difficult urination accompanied by distension and pain often indicates prostate hyperplasia in elderly men and can also be seen in urethral stones.

Stinging or burning pain during urination is often seen in acute inflammatory stimulation, such as acute urethritis, cystitis, prostatitis, and pyelonephritis.

Midstream urine bacterial culture should be performed first. If the urine colony count is ≥105/mL, the diagnosis of urinary tract infection can be established. At this time, the upper and lower urinary tract infections should be further confirmed. Urine antibody-encapsulated bacteria examination, or urine lysozyme and urine fibrin degradation product (FDP) measurement can be performed. If necessary, ureteral catheterization or sterilized bladder urine culture can be performed to distinguish between upper and lower urinary tract infections. Urinary tract angiography can identify urinary tract abnormalities and other risk factors for urinary tract infection and causes of recurrence.