What does it mean if i have painful urination?

Urination: The most common cause if a urinary tract infection. Often this requires antibiotics. There are other etiologies however. You should get a urine culture done to see if there is bacteria and if so, will need antibiotics. If no bacteria, further work up is needed.

Many possibilities: Often but not always associated with an infection; can be bladder, kidney, vagina, prostate, testicular or limited to the urethra. Some std's can cause this as well as trauma, sexual activity and even vigorous athletics. A few drugs and herbs can cause urinary discomfort, and rarely obstruction. If associated with blood, foul odor or air passage, or if persisturgent medical evaluation is advised.