Sharp Pain and Blood in Urine at the End of Urination: What Could Be the Cause?

Experiencing a sharp pain or noticing blood in the urine at the end of urination is often linked to irritation or inflammation in specific areas of the lower urinary tract. This typically involves the bladder neck or trigone area, which can become irritated or inflamed during the final stages of urination, leading to discomfort or bleeding.

One of the most common causes is a urinary tract infection (UTI), which can affect the bladder (cystitis) or the prostate gland in men (prostatitis). When prostate-related issues are suspected, a healthcare provider may recommend a prostate fluid test and a color ultrasound of the urinary system for proper diagnosis. If cystitis is more likely, doctors often begin treatment with antibiotics that are effective against common bacterial strains responsible for bladder infections.

However, if symptoms persist despite antibiotic therapy, it may be necessary to undergo a cystoscopy to get a clearer view of the bladder's internal condition. In cases where chronic cystitis—such as follicular or glandular cystitis—is diagnosed, the bladder may contain abnormal tissue growth like follicles or villous structures. These conditions may require treatment through procedures like electrocautery of bladder lesions to reduce symptoms and prevent complications.

Ultimately, the best course of action depends on the results of diagnostic tests performed by a qualified medical professional. Seeking timely medical evaluation is crucial to identify the exact cause and begin appropriate treatment.