Epistemis

Dysuria

Specialty: Nephrology and urology.

  • stinging when urinating
  • pain when urinating

Why it occurs

  • Urinary infection (cystitis)
  • Urethritis/STI
  • Prostatitis
  • Lithiasis

Initial workup

Reagent strip and urinary sediment; Urine culture if complicated or recurrent.

red flags

Dysuria + fever and low back pain (pyelonephritis), pregnant, male or sepsis → directed treatment and study.

Standard management

  • Fosfomycin — uncomplicated cystitis
  • Nitrofurantoin — cystitis (avoid in advanced CKD)
  • Analgesia — symptomatic relief

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousDyspareunia
Area
Nephrology and urology
Listed causes
4
Treatment options
3
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