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What is Dysuria?

Dysuria also known as painful urination is a condition characterized by discomfort and burning in the urethra and surrounding genitals while urinating. This condition usually indicates the presence of a urinary tract infection and is more commonly seen in women than men. 

Causes of Dysuria

Some of the common causes of dysuria include:

  • Urinary tract infection
  • Prostatitis
  • Cystitis
  • Obstructive uropathy
  • Vaginal infection
  • Genital herpes
  • Sexually transmitted diseases
  • Urethritis
  • Medications
  • Gonorrhea
  • Bladder stones
  • Pelvic inflammatory disease
  • Obstructive uropathy
  • Bladder cancer
  • Structural malformation

Related Signs and Symptoms of Dysuria

Signs and symptoms that may accompany dysuria include:

  • Frequent urination
  • Abnormal discharge
  • Pain in the sides of the abdomen
  • Loss of bladder control
  • Difficulty with urination
  • Fever
  • Vomiting
  • Urgency to urinate
  • Blood in urine
  • Painful intercourse
  • Pelvic pain
  • Vaginal bleeding
  • Intense period cramps

Diagnosis of Dysuria

Your doctor will review your medical history and symptoms and based on this a physical examination will be performed. Your doctor may also recommend the following diagnostic tests:

  • Urine examination: A urine sample is collected to detect the presence of blood, protein, WBC, or signs of infection in the urine. 
  • Urethral swab:  A swab test of the urethral discharge will be performed to detect any sexually transmitted infections.
  • Ultrasound: This study uses high-frequency sound waves to produce images of the bladder tissues.
  • MRI Scan: This study uses a large magnetic field and radio waves to produce images that help in detecting damage to the soft tissues and ligaments.
  • Computed Tomography (CT) scan: This scan uses multiple x-rays to produce detailed cross-sectional images of the bladder and other pelvic organs.
  • Cystoscopy: A long, thin instrument with an eyepiece on one end and a tiny lens with a light on the other end is inserted into the urethra and bladder for examination.

Treatment for Dysuria

Treatment for dysuria may vary based on the root cause, this includes:

  • Medications:
  • Antibiotics and Antifungal:
    • Your doctor will prescribe antibiotics and antifungal medications to treat bacterial and fungal infections.
    • Over-the-counter medications will be prescribed to relieve painful urination.
    • Anti-inflammatory medications will be given to relieve inflammation caused due to skin irritation.
    • Topical ointments will be provided to avoid skin irritation.
  • Lifestyle modifications:
    • Drink plenty of water
    • Use fragrance-free soaps to avoid a possible allergic reaction
    • Urinate when there is urgency

Prevention from Dysuria

Preventive measures for dysuria include:

  • Proper hygiene
  • Safe sex practices
  • Proper hydration
  • Change urinary incontinence pads as soon as they are soiled

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Suite 310
Tualatin, OR 97062

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