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Evaluation of dysuria in men.
1Department of Family Medicine, University of Wisconsin Medical School, Madison 53715, USA.
American Family Physician
|September 25, 1999
Summary
Men experiencing painful urination (dysuria) require evaluation for urinary tract infections, often caused by Chlamydia trachomatis in younger men and coliform bacteria in older men. Identifying the specific cause is crucial for effective dysuria treatment.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Dysuria, or painful urination, is a common symptom in men.
- It often indicates inflammation of the urethral mucosa, most frequently due to urinary tract infections (UTIs).
Purpose of the Study:
- To outline the diagnostic approach for men presenting with dysuria.
- To differentiate common causes of dysuria based on patient demographics and associated conditions.
Main Methods:
- Evaluation involves a detailed medical history.
- A focused physical examination is performed.
- Urinalysis, including dipstick and microscopic examination, is essential.
Main Results:
- In younger men, sexually transmitted organisms like Chlamydia trachomatis are frequent causes.
- In men over 35, coliform bacteria are the predominant infectious agents.
- Urinary stasis from benign prostatic hyperplasia is a common factor in older men.
- Other potential causes include kidney stones, genitourinary cancers, spondyloarthropathies, and medications.
Conclusions:
- Dysuria evaluation requires a comprehensive approach including history, physical exam, and urinalysis.
- The etiology of dysuria varies significantly with age and underlying conditions.
- Accurate diagnosis is paramount for successful treatment of painful urination.