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Date of last update: 8/13/2017.

Forum Name: Urology Topics

Question: pain during and after urination

 mohamed elkhalifa - Mon Jan 22, 2007 9:31 pm

am a male 52 years,2 months ago suddenly felt pain in the urethra while passing urine .pain last for 20 mintues .then it comes every time when i pass urine ,sometimes severe others fever,dischrge or blood from the penis.urine analysis and culutre negative ofr pus,red boold cell and bacterial growth.the pain may continue most of the day.i took anti biotic anti fungal and now on treatment for chlymdia .
there is frequency ,some times a feeling of some urine in the urethra ,what can be? thanks
 Dr. Safaa Mahmoud - Tue Jan 23, 2007 1:37 pm

User avatar Hello,

There are many causes that may give similar clinical picture that include:

- Interstitial cystitis (IC) -painful bladder syndrome (PBS)

The International Continence Society (ICS) defines PBS as "suprapubic pain related to bladder filling, accompanied by other symptoms such as increased daytime and nighttime frequency in the absence of proved urinary infection or other obvious pathology"

The hallmarks of interstitial cystitis painful bladder syndrome (PBS), are:
- urgency without incontinence
-daytime frequency more than 8 voids per day
-nighttime frequency more than 4 voids per night
-bladder pain is usuallyrelieved by voiding
- Sometimes the pain is felt like that of penile origin.

No proven cause for the disease yet, theories include: an autoimmune, hereditary, infectious or allergic condition.

To diagnose interstitial cystitis, you have to record the volume of fluid intake and fluid out put daily
(bladder diary) and report your doctor with this record.

- Other causes doctors to be excluded (they share PBS in symptoms) include:
urinary tract infections (with organisms other than bacteria), stones,
sexually transmitted diseases,
bacterial prostatitis,
prostatic enlargment or
bladder cancer .

Follow up with your doctor is essential
Best regards.

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