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Differential Diagnosis for Pain with Urination in Males

Single Most Likely Diagnosis

  • Urinary Tract Infection (UTI): This is a common cause of painful urination in males, especially if they have a history of UTIs or have recently engaged in activities that increase the risk of infection, such as unprotected sex.

Other Likely Diagnoses

  • Prostatitis: Inflammation of the prostate gland can cause pain during urination, along with other symptoms like pelvic pain and difficulty starting urination.
  • Urethritis: Inflammation of the urethra, often due to infection, can cause painful urination and discharge.
  • Kidney Stones: Small stones in the urinary tract can cause severe pain, including pain during urination, as they move through the system.

Do Not Miss Diagnoses

  • Gonorrhea or Chlamydia: These sexually transmitted infections can cause painful urination and, if left untreated, can lead to serious complications like infertility and epididymitis.
  • Tuberculosis of the Urinary Tract: Although rare, TB can infect the urinary system, causing pain during urination among other symptoms, and requires prompt treatment to prevent long-term damage.
  • Cancer of the Urinary Tract: While less common, cancers of the bladder, prostate, or kidney can cause painful urination and must be ruled out, especially in older men or those with risk factors.

Rare Diagnoses

  • Interstitial Cystitis: A chronic condition causing bladder pressure, bladder pain, and sometimes painful urination, which is more common in women but can occur in men.
  • Sjögren's Syndrome: An autoimmune disorder that can cause dryness in the mucous membranes, including the urethra, leading to painful urination.
  • Reiter's Syndrome (Reactive Arthritis): A form of arthritis that occurs in reaction to a bacterial infection, which can cause symptoms including painful urination.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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