Dysuria in women symptoms of > 6 weeks duration in the

absence of infection or other

 Bacterial cystitis – (E. coli & S.
identifiable causes.
saprophyticus) acute onset; dysuria,
frequency, urgency, suprapubic pain GFR = primary metric for kidney function;
and/or hematuria measured by inulin or iothalamate since it is
 Lower genital tract infections – neither reabsorbed nor secreted throughout
vaginitis, urethritis & ulcerative the tubule
lesions. Dysuria onset more gradual
Crea = most widely used marker for GFR
than in cystitis. Usually present with
vaginal discharge and/or irritation.

Dysuria in men

 Bacterial prostatitis – (E.. coli) usually

involved underlying pathology in
prostate most commonly BPH which
presents as weak stream, hesitancy
and dribbling.
o Acute = fever and chills
o Chronic = recurrent episodes of
bacterial prostatitis
 Urethritis, herpes simplex, chancroid,
ulcerative lesions – may all present as
dysuria BUT without urinary frequency

Other causes of dysuria

 Stones
 Trauma
 Medications/chemicals
 Cancer
 Interstitial cystitis (bladder pain
syndrome) – intense symptoms of pain
in the bladder, urgency, frequency,
nocturia; usually occurs in women; can
present for months, years or lifetime;
may or may not be associated with
Hunner’s lesions
Unpleasant sensation perceived
to be related to the urinary bladder
associated with lower urinary tract