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| {{Search infobox}} | | {{Dysuria}} |
| {{CMG}} | | {{CMG}} |
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| {{SK}} Micturition painful, pain passing urine, painful urination | | {{SK}} Micturition painful, pain passing urine, painful urination |
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| ==Overview==
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| 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]].
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| It is one of a constellation of ''irritative'' bladder symptoms, which includes frequency of urination and [[haematuria]].
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| ===Common causes of Dysuria===
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| *[[Bladder stones]]
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| *[[Chlamydia]]
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| *[[Cystitis]]
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| *[[Drugs]]
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| *[[Genital herpes]]
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| *[[Gonorrhea]]
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| *[[Ingredients in personal-care products, such as soaps or perfumes]]
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| *[[Kidney infection]]
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| *[[Kidney stones]]
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| *[[Prostatitis]]
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| *[[Sexually transmitted diseases]]
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| *[[Vaginitis]]
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| *[[Urethritis]]
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| *[[Urinary tract infection]]
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| *[[Yeast infection]]
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| ===Complete Differential Diagnosis of the Causes of Dysuria===
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| (By organ system)
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| {|style="width:80%; height:100px" border="1"
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| |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
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| |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Chemical / poisoning'''
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| |bgcolor="Beige"| [[Arsenic trioxide]], [[Arsenicals]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Dermatologic'''
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| |bgcolor="Beige"| [[Balanitis xerotica obliterans]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Drug Side Effect'''
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| |bgcolor="Beige"| [[Drugs]], [[Melarsoprol]], [[Spermicidal gel]], [[Tiaprofenic acid]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Ear Nose Throat'''
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| |bgcolor="Beige"| [[Behcet's Syndrome]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Endocrine'''
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| |bgcolor="Beige"| [[Diabetes mellitus]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Environmental'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Gastroenterologic'''
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| |bgcolor="Beige"| [[Rectovesical fistula]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Genetic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Hematologic'''
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| |bgcolor="Beige"| [[Acute intermittent porphyria]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Iatrogenic'''
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| |bgcolor="Beige"| [[Contraceptive foam]], [[Contraceptive sponge]], [[Urethral catheterization]], [[Vaginal douche]], [[Vaginal lubricant]], , [[Radiation therapy]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Infectious Disease'''
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| |bgcolor="Beige"| [[Pyelonephritis]], [[Vaginitis]], [[Prostatitis (male)]], [[Sexually transmitted disease]], [[Urethritis]], [[Urinary tract infection (UTI)]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Musculoskeletal / Ortho'''
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| |bgcolor="Beige"| [[Reactive arthritis]], [[Reiter's Syndrome]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Neurologic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Nutritional / Metabolic'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Obstetric/Gynecologic'''
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| |bgcolor="Beige"| [[Ectopic pregnancy]], [[Menopause]], [[Atrophic vaginitis]], [[Endometriosis (female)]], [[Epididymitis]], [[Prolapsed uterus]], [[Prostatitis (male)]], [[Vulvitis]], [[Cervical cancer]], [[Cystocele]], [[Vesicovaginal fistula]], [[Candidal vaginitis]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Oncologic'''
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| |bgcolor="Beige"| [[Bladder cancer]], [[Cervical cancer]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Opthalmologic'''
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| |bgcolor="Beige"| [[Behcet's Syndrome]], [[Reactive arthritis]], [[Reiter's Syndrome]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Overdose / Toxicity'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Psychiatric'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Pulmonary'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Renal / Electrolyte'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Rheum / Immune / Allergy'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Sexual'''
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| |bgcolor="Beige"| [[Sexually transmitted disease]], [[Behcet's Syndrome]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Trauma'''
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| |bgcolor="Beige"| [[Urethral trauma]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Urologic'''
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| |bgcolor="Beige"| [[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]]
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Dental'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |-bgcolor="LightSteelBlue"
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| | '''Miscellaneous'''
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| |bgcolor="Beige"| No underlying causes
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| |-
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| |}
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| == Differential Diagnosis of Causes of {{PAGENAME}}==
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| {{MultiCol}}
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| *[[Acute intermittent porphyria]]
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| *[[Adenoviruses]]
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| *[[Arsenic trioxide]]
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| *[[Arsenicals]]
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| *[[Atrophic vaginitis]]
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| *[[Balanitis xerotica obliterans]]
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| *[[Behcet's Syndrome]]
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| *[[Benign prostatic hyperplasia (male)]]
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| *[[Bilharziosis]]
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| *[[Bladder cancer]]
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| *[[Bladder diverticulum]]
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| *[[Bladder stone]]
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| *[[Candida]]
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| *[[Candidal vaginitis]]
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| *[[Cervical cancer]]
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| *[[Chlamydia]]
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| *[[Contraceptive foam]]
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| *[[Contraceptive sponge]]
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| *[[Cystitis]]
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| *[[Cystocele]]
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| *[[Diabetes mellitus]]
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| *[[Drugs]]
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| *[[E.coli]]
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| *[[Ectopic pregnancy]]
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| *[[Endometriosis (female)]]
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| *[[Enterobacter]]
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| *[[Enterococcus]]
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| *[[Epididymitis]]
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| *[[Gonorrhea]]
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| *[[Herpes viruses (HSV-II)]]
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| *[[Hunner ulcer]]
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| *[[Klebsiella]]
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| *[[Malakoplakia]]
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| *[[Melarsoprol]]
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| {{ColBreak}}
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| *[[Menopause]]
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| *[[Mumps]]
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| *[[Mycobacteria]]
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| *[[Neisseria gonorrhea]]
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| *[[Nephrolithiasis or Kidney stones]]
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| *[[Prolapsed uterus]]
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| *[[Prostatitis (male)]]
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| *[[Proteus]]
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| *[[Pseudomonas]]
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| *[[Pyelonephritis]]
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| *[[Radiation therapy]]
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| *[[Reactive arthritis]]
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| *[[Rectovesical fistula]]
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| *[[Reiter's Syndrome]]
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| *[[Schistosomiasis]]
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| *[[Sexually transmitted disease]]
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| *[[Spermicidal gel]]
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| *[[Tiaprofenic acid]]
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| *[[Trichomoniasis]]
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| *[[Tuberculosis]]
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| *[[Urethral caruncle]]
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| *[[Urethral catheterization]]
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| *[[Urethral stricture]]
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| *[[Urethral trauma]]
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| *[[Urethritis]]
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| *[[Urinary tract infection (UTI)]]
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| *[[Urinary tract malformation]]
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| *[[Urolithiasis]]
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| *[[Vaginal douche]]
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| *[[Vaginal lubricant]]
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| *[[Vaginitis]]
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| *[[Vesical Calculus]]
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| *[[Vesicovaginal fistula]]
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| *[[Vulvitis]]
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| {{EndMultiCol}}
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| ==Treatment==
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| [[Phenazopyridine]] (oral) is an effective treatment for pain relief.
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| == External links == | | == External links == |
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| * [http://www.medic8.com/healthguide/articles/dysuria.html Medic8] | | * [http://www.medic8.com/healthguide/articles/dysuria.html Medic8] |
| * [http://www.im.org/AAIM/Pubs/Docs/CDIMCurriculumGuide/AchievingCoreCompetencies/Dysuria.htm IM.org] | | * [http://www.im.org/AAIM/Pubs/Docs/CDIMCurriculumGuide/AchievingCoreCompetencies/Dysuria.htm IM.org] |
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| ==References==
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| {{Reflist|2}}
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| {{Symptoms and signs}} | | {{Symptoms and signs}} |
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| [[pl:Dysuria]] | | [[pl:Dysuria]] |
| [[tr:Disüri]] | | [[tr:Disüri]] |
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| [[Category:Symptoms]] | | [[Category:Symptoms]] |