Evaluation of dysuria

Last reviewed: 30 Sep 2024
Last updated: 25 Jun 2024

Summary

Differentials

Common

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

Uncommon

  • Genital herpes simplex virus (HSV)
  • Epididymo-orchitis
  • Cervicitis
  • Schistosomiasis
  • Tuberculosis
  • 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
Full details

Contributors

Authors

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

Disclosures

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

Disclosures

SRS declares that she has no competing interests.

Acknowledgements

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.

Disclosures

EL and VJG declare that they have no competing interests.

Peer reviewers

Robert Pickard, MD, FRCS (Urol)

Professor of Urology

Institute of Cellular Medicine

Newcastle University

Newcastle upon Tyne

UK

Disclosures

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

Disclosures

GM declares that he has no competing interests.

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