Differential Diagnosis for Burning Urination in Men
Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is the most common cause of dysuria (burning urination) in men, often due to bacterial infection. The symptoms can include frequent urination, pain while urinating, and sometimes abdominal pain.
Other Likely Diagnoses
- Urethritis: Inflammation of the urethra, often caused by sexually transmitted infections (STIs) like gonorrhea or chlamydia, can lead to burning urination.
- Prostatitis: Inflammation of the prostate gland, which can be acute or chronic, may cause burning urination along with other symptoms like pelvic pain and difficulty urinating.
- Kidney Stones: While not always causing burning urination, the movement of a stone through the urinary tract can cause severe pain and possibly irritate the urethra, leading to dysuria.
Do Not Miss Diagnoses
- Gonorrhea and Chlamydia: These STIs can cause severe complications if not treated promptly, including infertility and epididymitis. Early diagnosis and treatment are crucial.
- Tuberculosis of the Urinary Tract: Although rare, it can present with chronic symptoms of burning urination and needs to be considered, especially in high-risk populations or those with exposure history.
Rare Diagnoses
- Interstitial Cystitis: A chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The symptoms can worsen as the bladder fills and may improve with urination.
- Bladder Cancer: While rare, it can cause a variety of urinary symptoms, including dysuria. Risk factors include smoking and exposure to certain chemicals.
- Schistosomiasis (Bilharzia): A parasitic infection that can affect the urinary system, more common in certain parts of the world. It can cause chronic urinary symptoms, including burning urination.