Dysuria: Difference between revisions
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==Background== | ==Background== | ||
*Painful urination | |||
**due to inflammation of urethra, bladder, or prostate | |||
*Dysuria is uncommonly used to describe difficult urination | |||
==Clinical Features== | ==Clinical Features== | ||
* | *Pain with urination | ||
* | *Additional features dependent on underlying cause | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Latest revision as of 21:05, 4 October 2016
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
- Pelvic organ prolapse
- Fistula
- Cystocele
- Other
- Diverticulitis
- Interstitial cystitis
- Behavioral symptom without detectable pathology
Evaluation
Men
- Men <50 yr: symptoms usually due to STI
- Men >50 yr: incidence of acute cystitis rises dramatically due to prostatic obstruction