Dysuria
Basics
Description
Symptoms of pain and/or burning on urination
Etiology
- Infectious
- Cystitis
- Bacterial
- Viral
- Interstitial
- Pyelonephritis
- Urethritis
- Viral infection
- Herpes simplex
- Neisseria gonorrhoeae
- Chlamydia trachomatis
- Balanitis/balanoposthitis
- Vaginitis
- Candida albicans
- Group A Streptococcus
- Shigella species
- Cervicitis
- Pelvic inflammatory disease (PID)
- Varicella
- Tuberculosis
- Pin worms
- Pruritus rather than true dysuria
- Cystitis
- Congenital/anatomic
- Urethral stricture
- Meatal stenosis
- Labial adhesions
- Lichen sclerosis
- Posterior urethral diverticula
- Vesicovaginal fistula
- Virginal vaginal ulcers
- Passage of gross hematuria
- Trauma
- Masturbation
- Sexual abuse
- Foreign body
- Diaper dermatitis
- Bicycle injury
- Irritation (e.g., sand, tight pants)
- Toxic/environmental/drugs
- Bubble baths
- Detergents
- Fabric softeners
- Perfumed soaps
- Spermicides/douches
- Cyclophosphamide
- Urolithiasis
- Hypercalciuria
- Hyperoxaluria
- Hyperuricosuria
- Cystinuria (autosomal recessive)
- Systemic illnesses
- Stevens-Johnson syndrome
- Behçet syndrome
- Reactive arthritis
- Food allergy
- Contact dermatitis
- Functional
- Dysfunctional voiding
- Psychogenic
- Tumor
- Sarcoma botryoides
Pathophysiology
- Muscular contraction of the bladder and peristaltic activity of the urethra
- Stimulates pain fibers in inflamed mucosa
- Pain when urine contacts inflamed mucosa
Commonly Associated Conditions
- Congenital anomalies of the kidney and urinary tract (CAKUT)
- Kidney stones
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Citation
Cabana, Michael D., editor. "Dysuria." 5-Minute Pediatric Consult, 8th ed., Wolters Kluwer, 2019. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617513/all/Dysuria.
Dysuria. In: Cabana MDM, ed. 5-Minute Pediatric Consult. Wolters Kluwer; 2019. https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617513/all/Dysuria. Accessed December 1, 2024.
Dysuria. (2019). In Cabana, M. D. (Ed.), 5-Minute Pediatric Consult (8th ed.). Wolters Kluwer. https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617513/all/Dysuria
Dysuria [Internet]. In: Cabana MDM, editors. 5-Minute Pediatric Consult. Wolters Kluwer; 2019. [cited 2024 December 01]. Available from: https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617513/all/Dysuria.
* Article titles in AMA citation format should be in sentence-case
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BT - 5-Minute Pediatric Consult
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