Dysuria

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Dysuria
ICD-10	R30..0
ICD-9	788.1
DiseasesDB	18003

Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Micturition painful, pain passing urine, painful urination

Overview

In medicine, specifically urology, dysuria refers to painful urination. This is typically described to be a burning or stinging sensation. It is most often a result of an infection of the urinary tract. It may also be due to an STD, bladder stones, bladder tumours, and virtually any condition of the prostate. It can also occur as a side effect of anticholinergic medication used for Parkinson's disease.

It is one of a constellation of irritative bladder symptoms, which includes frequency of urination and haematuria.

Common causes of Dysuria

• Bladder stones
• Chlamydia
• Cystitis
• Drugs
• Genital herpes
• Gonorrhea
• Ingredients in personal-care products, such as soaps or perfumes
• Kidney infection
• Kidney stones

• Prostatitis
• Sexually transmitted diseases
• Vaginitis
• Urethritis
• Urinary tract infection
• Yeast infection

Complete Differential Diagnosis of the Causes of Dysuria

(By organ system)

Cardiovascular	No underlying causes
Chemical / poisoning	Arsenic trioxide, Arsenicals
Dermatologic	Balanitis xerotica obliterans
Drug Side Effect	Drugs, Melarsoprol, Spermicidal gel, Tiaprofenic acid
Ear Nose Throat	Behcet's Syndrome
Endocrine	Diabetes mellitus
Environmental	No underlying causes
Gastroenterologic	Rectovesical fistula
Genetic	No underlying causes
Hematologic	Acute intermittent porphyria
Iatrogenic	Contraceptive foam, Contraceptive sponge, Urethral catheterization, Vaginal douche, Vaginal lubricant, , Radiation therapy
Infectious Disease	Pyelonephritis, Vaginitis, Prostatitis (male), Sexually transmitted disease, Urethritis, Urinary tract infection (UTI)
Musculoskeletal / Ortho	Reactive arthritis, Reiter's Syndrome
Neurologic	No underlying causes
Nutritional / Metabolic	No underlying causes
Obstetric/Gynecologic	Ectopic pregnancy, Menopause, Atrophic vaginitis, Endometriosis (female), Epididymitis, Prolapsed uterus, Prostatitis (male), Vulvitis, Cervical cancer, Cystocele, Vesicovaginal fistula, Candidal vaginitis
Oncologic	Bladder cancer, Cervical cancer
Opthalmologic	Behcet's Syndrome, Reactive arthritis, Reiter's Syndrome
Overdose / Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	No underlying causes
Renal / Electrolyte	No underlying causes
Rheum / Immune / Allergy	No underlying causes
Sexual	Sexually transmitted disease, Behcet's Syndrome
Trauma	Urethral trauma
Urologic	Benign prostatic hyperplasia (male), Bladder diverticulum, Bladder stone, Cystitis, Cystocele, Hunner ulcer, Malakoplakia, Nephrolithiasis or Kidney stones, Urethral caruncle, Urethral stricture, Urethritis, Urinary tract infection (UTI), Urinary tract malformation, Urolithiasis, Vesical Calculus, Vesicovaginal fistula, Rectovesical fistula, Pyelonephritis, Bladder cancer, Bilharziosis
Dental	No underlying causes
Miscellaneous	No underlying causes

Differential Diagnosis of Causes of Dysuria

Acute intermittent porphyria Adenoviruses Arsenic trioxide Arsenicals Atrophic vaginitis Balanitis xerotica obliterans Behcet's Syndrome Benign prostatic hyperplasia (male) Bilharziosis Bladder cancer Bladder diverticulum Bladder stone Candida Candidal vaginitis Cervical cancer Chlamydia Contraceptive foam Contraceptive sponge Cystitis Cystocele Diabetes mellitus Drugs E.coli Ectopic pregnancy Endometriosis (female) Enterobacter Enterococcus Epididymitis Gonorrhea Herpes viruses (HSV-II) Hunner ulcer Klebsiella Malakoplakia Melarsoprol

Menopause Mumps Mycobacteria Neisseria gonorrhea Nephrolithiasis or Kidney stones Prolapsed uterus Prostatitis (male) Proteus Pseudomonas Pyelonephritis Radiation therapy Reactive arthritis Rectovesical fistula Reiter's Syndrome Schistosomiasis Sexually transmitted disease Spermicidal gel Tiaprofenic acid Trichomoniasis Tuberculosis Urethral caruncle Urethral catheterization Urethral stricture Urethral trauma Urethritis Urinary tract infection (UTI) Urinary tract malformation Urolithiasis Vaginal douche Vaginal lubricant Vaginitis Vesical Calculus Vesicovaginal fistula Vulvitis

Treatment

Phenazopyridine (oral) is an effective treatment for pain relief.

External links

• Evaluation in Men - American Family Physicians
• Evaluation in Women - American Family Physicians
• Medic8
• IM.org

References

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