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Dysuria

Painful Urination


Presentation

  • One hundred twelve female soldiers presenting with acute dysuria and one hundred twenty-six presenting for other reasons were surveyed.[ncbi.nlm.nih.gov]
  • […] in young women presenting with this symptom.[ncbi.nlm.nih.gov]
  • During admission, 31 patients presented dysuria (19% of population was taking opioids). The prevalence of dysuria was more frequent in males, in patients presenting pelvic masses or who had pelvic surgery, and patients with neurological deficits.[ncbi.nlm.nih.gov]
  • The primary aim of our study was to evaluate the frequency of chlamydia testing among women presenting to the ED with dysuria.[ncbi.nlm.nih.gov]
  • Based on the results of this study, physicians should consider any child complaining of persistent pain as having a pathology in the urinary tract since pain was present in 13 of the 14 UTI cases.[ncbi.nlm.nih.gov]
Aspiration
  • The patients were treated by transrectal echo-guided aspiration of the SVs by the perineal approach. The fluid aspirated was examined, and antibiotics were directly injected into the SVs.[ncbi.nlm.nih.gov]
Self-Mutilation
  • Concomitant psychopathology is seen frequently, necessitating a thorough psychiatric assessment with attention to other acts of self-mutilation, suicide attempts, psychosis, or substance abuse.[ncbi.nlm.nih.gov]
Self Mutilation
  • Concomitant psychopathology is seen frequently, necessitating a thorough psychiatric assessment with attention to other acts of self-mutilation, suicide attempts, psychosis, or substance abuse.[ncbi.nlm.nih.gov]
Decreased Renal Function
  • Patients with decreased renal function may be more at risk for the dysuria and hematuria syndrome than those with normal renal function.[ncbi.nlm.nih.gov]

Workup

  • During evaluation and workup, it’s important for the family physician to document features of a local cause, such as irritation of the urethra or vagina; along with any features that might lead to a complicated urinary tract infection, such as pregnancy[ichelp.org]
  • A metastatic workup for TCC includes a complete blood count, blood chemistry tests (including alkaline phosphatase tests), liver function tests, and a CT or magnetic resonance imaging (MRI) scan of the chest and abdomen.[mdedge.com]
  • He was admitted for further workup of his sepsis. On admission, the patient was started on empiric IV antibiotic therapy. His symptoms did not improve with this, and he began registering objective fevers.[sgim.org]
  • C 8, 10 Clinical evaluation is useful to direct additional workup.[aafp.org]

Treatment

  • METHODS: Sixty patients conforming to the inclusion standards were randomly divided into a treatment group (n 30) and a control group (n 30).[ncbi.nlm.nih.gov]
  • A total of 71 patients were found to have urinary infection: bacteriological cure rates were 97% one week post-treatment, and 96% five weeks post-treatment, for both antibiotics.[ncbi.nlm.nih.gov]
  • All cases resolved with conservative treatment that included Foley catheter and/or suprapubic cystostomy.[ncbi.nlm.nih.gov]
  • The irritative voiding symptoms and urinary pH were recorded before and after treatment.[ncbi.nlm.nih.gov]
  • Clinical, treatment and dosimetric variables evaluated included alpha-blocker, age, IPSS before and the maximum after treatment, prostate volume on ultrasonography, hormonal status, supplemental radiotherapy, isotope, urethral dose, V(100/200), D90, and[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis : depends upon specific etiology. Pathogenesis Etiology Obstructive disease of the urinary tract Urolithiasis: Cystic. Urethral. Renal/ureteral. Urethral strictures. Urinary tract displacement (very uncommon). Neoplasia Penis: neoplasia.[vetstream.com]
  • What Is the Prognosis for Dysuria? Most urinary tract infections will improve with appropriate antibiotics and should have no long-term consequences.[emedicinehealth.com]
  • Formulate a prognosis and communicate it to the patient in a caring and compassionate manner. 7. Communicate the treatment plan and follow up plan to patient. 8. Consider the cost-effectiveness of the management plan.[medschool.vanderbilt.edu]

Etiology

  • OBJECTIVES: The syndromes of frequency and frequency dysuria of childhood are believed to have multifactorial etiologies.[ncbi.nlm.nih.gov]
  • Recently we reviewed a series of 600 case histories in the female, our object at that time being to evaluate all etiologic factors that were directly or indirectly responsible for bladder symptoms.[jamanetwork.com]
  • Treatment : depends upon specific etiology. Prognosis : depends upon specific etiology. Pathogenesis Etiology Obstructive disease of the urinary tract Urolithiasis: Cystic. Urethral. Renal/ureteral. Urethral strictures.[vetstream.com]
  • Diagnosing the etiology of dysuria is an important training problem for third year medical students because accurate diagnosis requires prudent selection and interpretation of common diagnostic studies.[med.unc.edu]
  • Generate a differential diagnosis recognizing specific history and physical exam findings that suggest a specific etiology. 5.[medschool.vanderbilt.edu]

Epidemiology

  • Epidemiology Dysuria accounts for between 5% and 15% of visits to family physicians. [1] Bremnor J, Sadovsky R. Evaluation of dysuria in adults. Am Fam Physician. 2002;65:1589-1597.[bestpractice.bmj.com]
  • Epidemiology of interstitial cystitis. In: Hanno PM, Staskin DR, Krane RJ, eds. Interstitial cystitis. New York: Springer-Verlag, 1990:29. 19. Parsons CL, Boychuk D, Jones S, Hurst R, Callahan H.[aafp.org]
  • Epidemiology of urinary tract diseases in general practice. Br Med J. 1969;4:390–4. 5. Sommer P, Nielsen KK, Bauer T, Kristensen ES, Hermann GG, Steven K, et al. Voiding patterns in men evaluated by a questionnaire survey.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • This choice can be an appropriate one for radiotherapy-induced dysuria as it is produced by a similar pathophysiology with bladder cell layer injury and urethritis.[ncbi.nlm.nih.gov]
  • The pathophysiology of the dysuria and hematuria syndrome is currently unknown. Patients who require urinary reconstruction with stomach tissue need to be made aware of the potential of the dysuria and hematuria syndrome.[ncbi.nlm.nih.gov]
  • Dysuria is defined as difficult or painful urination and localizes the pathophysiological process to the lower urogenital tract. There are many causes of dysuria and these must be differentiated from other causes of disorders of micturition.[onlinelibrary.wiley.com]
  • Pathophysiology Difficulty in passing urine. A presenting sign of a number of urinary tract disorders.[vetstream.com]
  • Prerequisites Prior knowledge, skills and attitudes acquired during the pre-clinical (basic science) years should include: Anatomy and physiology of the male and female urinary tract Pathophysiology of ureteral reflux, urethral obstruction, hydronephrosis[med.unc.edu]

Prevention

  • OBJECTIVE: To assess the clinical curative effect of fuzi-cake-separated moxibustion at Zhongji (CV 3) and Guanyuan (CV 4) for preventing dysuria after internal fixation of lower limb fractures.[ncbi.nlm.nih.gov]
  • It can lead to a diagnosis of disseminated Koch's, which if identified early can prevent permanent sequelae.[ncbi.nlm.nih.gov]
  • This helps prevent the bacteria from moving into the bladder.[drugs.com]
  • Counseling protocols specifically designed for men who continue to engage in unprotected sex after experiencing gonorrhea-related dysuria and discharge may be valuable for preventing the transmission of gonorrhea to women.[ncbi.nlm.nih.gov]

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