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Related Experiment Videos

Dysuria in women.

P E Dans, B Klaus

    The Johns Hopkins Medical Journal
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Many women with dysuria lack significant bacteriuria. Initial evaluation should focus on "dysuria" and include comprehensive testing, as cystitis is not always predictable.

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    Area of Science:

    • Urology
    • Infectious Diseases
    • Women's Health

    Background:

    • Dysuria, or painful urination, is a common symptom in women.
    • Urinary tract infections (UTIs) are often suspected, but other conditions can cause dysuria.

    Purpose of the Study:

    • To evaluate the causes of dysuria in women.
    • To determine the diagnostic utility of initial clinical findings and laboratory tests.

    Main Methods:

    • Prospective study of 84 women presenting with dysuria.
    • Included urinalysis, urine culture, Gram stain, and pelvic examination.
    • Urethral and labial examinations were also performed.

    Main Results:

    • Only 46% of women had significant bacteriuria.

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  • Gonorrhea, herpes progenitalis, and vaginitis (monilia, Trichomonas) accounted for other cases.
  • A significant portion (remainder) were diagnosed with urethral syndrome.
  • No single factor reliably predicted cystitis at the initial visit.

    • Conclusions:

    • Dysuria in women has diverse causes beyond typical UTIs.
    • Initial management should address "dysuria" broadly, incorporating a thorough workup.
    • Pelvic examination is crucial, especially if initial urine cultures are negative.