Irritation of the urethra by manipulation may be complicated by a bacterial infection. Some infections also may be associated with penile discharge. Painful ulcers on the genitals can be present with herpes urethritis. Simple urethritis does not cause fever or severe illness. Drinking fluids dilutes the urine, which decreases pain with urination.
Sitz baths can alleviate the burning associated with chemical irritant urethritis.
The exception is temporary, mild urethritis that comes from using a new soap or lotion. Men experiencing pain with urination following a medical procedure should contact a doctor to discuss the need for evaluation or treatment. The pain may be an expected side effect of the procedure, or it may signify the beginning of an infection. All other cases of burning with urination require medical attention within 24 hours. Associated signs of illness, however, such as fever, nausea, vomiting, back and abdominal pain, indicate infection that has moved beyond the urethra.