Urinary Pain (Dysuria)

Some describe it as peeing barbed wire. Others feel that passing ‘burning knives’ or ‘flaming arrows’ is more accurate. However you refer to the physical sensation of trying to wee while you have cystitis (trying being the operative word- sometimes only an excruciating drop comes out), it’s an ordeal that you probably wouldn’t wish on your worst enemy - Anna Hunter

Urinary Pain (Dysuria)
Urinary Pain (Dysuria)

image by: Utiva Health

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Why it can feel like you have a UTI when you don’t

An irritated bladder accompanied me and my endometriosis all throughout my 20s, right after I became sexually active. When I experienced symptoms of unrelenting burning and frequent urination for the first time, I headed to the doctor. My urine culture confirmed I had a urinary tract infection — a bacterial infection, usually caused by E.coli that enters the urethra. But as time passed and my sex life continued, my painful symptoms persisted — often without any bacteria in my pee.

My doctors were at a loss for why I would have UTI-like symptoms if it wasn’t an infection. But as it turns out, many women feel like they have persistent UTIs without a positive urine culture, says Dr.…

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 Why it can feel like you have a UTI when you don’t

Thankfully, there are treatments that can help resolve your constant (non-UTI related) bathroom runs. Here are five reasons why you might feel like you have a UTI when you don’t — and what to do to feel better.

Bladder Pain

Recently, researchers have identified a substance found almost only in the urine of people with IC/BPS. This substance appears to block the normal growth of the cells that line the wall of the bladder. Learning more about this substance might help researchers better understand the causes of IC/BPS and possible treatments.

Interstitial Cystitis/Painful Bladder Syndrome

Most patients with interstitial cystitis/painful bladder syndrome are women with symptoms of suprapubic pelvic and/or genital area pain, dyspareunia, urinary urgency and frequency, and nocturia. It is important to exclude other conditions such as infections.

Urologic Chronic Pelvic Pain Syndromes

Cutting edge information on Chronic Prostatitis (CP/CPPS), Bladder Pain Syndrome/Interstitial Cystitis (BPS/IC) and Pelvic Myoneuropathy.

American Urological Association

This guideline's purpose is to provide direction to clinicians and patients regarding how to: recognize interstitial cystitis (IC)/bladder pain syndrome (BPS); conduct a valid diagnostic process; and, approach treatment with the goals of maximizing symptom control and patient quality of life (QoL) while minimizing adverse events and patient burden.


Extensive list of the most common causes of burning urination.


Dysuria is a symptom of pain and/or burning, stinging, or itching of the urethra or urethral meatus with urination. It is a very common urinary symptom experienced by most people at least once over their lifetimes. Causes of dysuria can be divided broadly into two categories, infectious and non-infectious.

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