Symptom Finder - Dysuria
Dysuria
Many cases of dysuria are associated with a urethral or vaginal discharge, so the techniques used to evaluate these complaints apply here. In male patients presenting with dysuria alone, the physician will want to massage the prostate to determine if there is chronic prostatitis. If a discharge is produced by this procedure, even a small amount, the patient probably has prostatitis. One can confirm the diagnosis by putting a drop on a slide and examining for white blood cells under the microscope. Examine for flank tenderness in both male and female patients because there may be pyelonephritis.
In females presenting with dysuria, a thorough pelvic examination is clearly indicated. A uterine mass, PID, or ectopic pregnancy may be the
cause of the dysuria.
In both males and females, the physician should be alert for congenital anomalies of the genitourinary tract (e.g., hypospadias) on examination.
Catheterization for residual urine may be the only way of picking up a neurogenic bladder or bladder neck obstruction.
Many cases of dysuria are associated with a urethral or vaginal discharge, so the techniques used to evaluate these complaints apply here. In male patients presenting with dysuria alone, the physician will want to massage the prostate to determine if there is chronic prostatitis. If a discharge is produced by this procedure, even a small amount, the patient probably has prostatitis. One can confirm the diagnosis by putting a drop on a slide and examining for white blood cells under the microscope. Examine for flank tenderness in both male and female patients because there may be pyelonephritis.
In females presenting with dysuria, a thorough pelvic examination is clearly indicated. A uterine mass, PID, or ectopic pregnancy may be the
cause of the dysuria.
In both males and females, the physician should be alert for congenital anomalies of the genitourinary tract (e.g., hypospadias) on examination.
Catheterization for residual urine may be the only way of picking up a neurogenic bladder or bladder neck obstruction.
