Dysuria

Introduction Urine pain refers to pain in the urethra or with the suprapubic area and perineum when the patient is urinating. Urinary pain refers to pain in the urethra, bladder, and perineum when urinating. The degree of pain is light and heavy, often burning, and severe pain such as knife cutting. Urinary pain is common in urethritis, prostatitis, benign prostatic hyperplasia, seminal vesiculitis, cystitis, urinary calculi, bladder tuberculosis, pyelonephritis and so on. According to the characteristics of dysuria, it helps to identify the diagnosis of the disease.

Cause

There are many causes of pathological dysuria, but mainly bladder and urinary tract diseases. Common causes are:

1 Bladder urethra is stimulated: the most common inflammatory stimuli, such as pyelonephritis, kidney stones combined with infection, kidney tuberculosis, cystitis, urethritis, prostatitis, vaginitis. It is most pronounced in acute inflammation and active urinary tuberculosis. Non-inflammatory stimuli such as stones (bladder stones, urethral stones, 1/3 of the lower ureter stones, etc.), tumors (bladder, urethra, prostate tumors, etc.), foreign body in the bladder or urethra, bladder spasm and pregnancy compression.

2 Bladder capacity reduction: such as bladder occupying lesions, or bladder wall inflammation infiltration, sclerosis, contracture caused by decreased bladder capacity.

3 abnormality of bladder nerve function: seen in mental stress and rickets, may be accompanied by urgency, but no dysuria.

an examination

Related inspection

Urine sediment urine sediment cytology urine sediment epithelial cell urine sediment crystallization urinary sediment crystallization

Carefully ask about the medical history, familiar with the patient's daily habits, understand the characteristics of dysuria, and carry out related examinations, such as routine urine examination, smear examination of urethral secretions, etc., comprehensive data from all aspects to diagnose dysuria, Determine the cause.

Differential diagnosis

Urinary pain is not necessarily prostatitis. It is important to emphasize that there is no frequent urination, dysuria, etc. It must be caused by prostatitis, and it is not the case of chronic prostatitis. It is misled by some bad consulting services and bad information, so as not to affect physical and mental health, delay in diagnosis and treatment, and waste of money. In order to get timely and accurate diagnosis and effective treatment, it is necessary to go to a regular hospital for treatment.

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