Evaluation of dysuria

Última revisão: 13 Aug 2025
Última atualização: 04 Jul 2025

Resumo

鉴别诊断

常见

  • Cystitis
  • Urethritis
  • Pyelonephritis
  • Vulvovaginitis (including bacterial vaginosis)
  • Balanitis/balanoposthitis
  • Acute prostatitis
  • Benign prostatic hyperplasia
  • Urolithiasis
  • Local irritants
完整详情

不常见

  • Genital herpes simplex virus (HSV)
  • Epididymo-orchitis
  • Cervicitis
  • Schistosomiasis
  • Tuberculosis (TB)
  • Urethral stricture/stenosis
  • Instrumentation or catheterization
  • Sexual abuse
  • Athletics
  • Interstitial cystitis
  • Atrophic vaginitis
  • Spondyloarthropathies
  • Noninfectious prostatitis
  • Primary prostate pain syndrome
  • Ketamine bladder
  • Urinary fistula
  • Prostate cancer
  • Bladder cancer
  • Renal cancer
  • Cervical cancer
  • Urethral cancer
  • Penile cancer
  • Drugs or herbs
完整详情

撰稿人

作者

Kasra Saeb-Parsy, BSc, MBBS, AFHEA, FRCSEd (Urol)
Kasra Saeb-Parsy

Consultant Urologist

Cambridge University Hospitals NHS Foundation Trust

Cambridge

UK

Honorary Lecturer

Anglia Ruskin University

Cambridge

UK

利益声明

KS-P declares that he has no competing interests.

Sarah R. Saifuddin, BSc (Hons), MBBS, MRCS

Urology Specialty Registrar

Cambridge University Hospitals NHS Foundation Trust

Cambridge

UK

利益声明

SRS declares that she has no competing interests.

鸣谢

Kasra Saeb-Parsy and Sarah R. Saifuddin would like to acknowledge Dr Elaine Lee and Dr Vincent J. Gnanapragasam, the previous contributors to this topic.

利益声明

EL and VJG declare that they have no competing interests.

同行评议者

Robert Pickard, MD, FRCS (Urol)

Professor of Urology

Institute of Cellular Medicine

Newcastle University

Newcastle upon Tyne

UK

利益声明

RP has received funding from the UK NHS (NIHR) to undertake commissioned reviews of treatment for benign prostatic enlargement.

George Martin, MD

Instructor

Department of Urology

Mayo Clinic

Scottsdale

AZ

利益声明

GM declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

European Association of Urology. Guidelines on urological infections. Apr 2024 [internet publication].全文

American College of Radiology. ACR appropriateness criteria: acute pyelonephritis. 2022 [internet publication].全文

​American College of Radiology. ACR appropriateness criteria: recurrent lower urinary tract infections in females. 2020 [internet publication].全文

American College of Radiology. ACR appropriateness criteria: lower urinary tract symptoms-suspicion of benign prostatic hyperplasia. ​2019 [internet publication].全文

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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