Dysuria
Background
- Painful urination
- due to inflammation of urethra, bladder, or prostate
- Dysuria is uncommonly used to describe difficult urination
Clinical Features
- Pain with urination
- Additional features dependent on underlying cause
Differential Diagnosis
Dysuria
- Genitourinary infection
- Acute cystitis ("UTI")
- Pyelonephritis
- Urethritis
- Chronic cystitis
- Infected nephrolithiasis
- Prostatitis
- Epididymitis
- Renal abscess/perinephric abscess
- Emphysematous pyelonephritis
- Nephrolithiasis
- Urethral issue
- Urethritis
- Urolithiasis
- Urethral foreign body
- Urethral diverticulum
- Allergic reaction (contact dermatitis)
- Chemical irritation
- Urethral stricture or obstruction
- Trauma to vagina, urethra, or bladder
- Gynecologic
- Vaginitis/cervicitis
- PID
- Genital herpes
- Uterine/bladder/vaginal prolapse
- Fistula
- Cystocele
- Other
- Diverticulitis
- Behavioral symptom without detectable pathology
Evaluation
- UA
Men
- Men <50 yr: symptoms usually due to STI
- Men >50 yr: incidence of acute cystitis rises dramatically due to prostatic obstruction
Management
Disposition
See Also
References
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