What are the most common causes of dysuria (pain on passing urine)?

Doctor's Answers 2

The most common cause of dysuria is a urinary tract infection, especially in young females. This is often associated with increased frequency and urgency of passing urine.

This is sometimes accompanied with fever, cloudy smelly urine or visible blood in the urine. This is usually easily treated with a short course of antibiotics.

Vaginal infections such as from yeast can also cause dysuria.

Sexually transmitted infections such as gonorrhea, chlamydia or herpes also cause dysuria, and can be accompanied by genital itching and abnormal discharge from the urethra (men) or vagina.

Other less common causes of dysuria could be a bladder stone or bladder cancer. If the dysuria is persistent, and does not respond to antibiotics, one of these causes needs to be considered.

The most common cause of dysuria in a young lady would be urinary tract
infection. Infection can result in inflammation of the urethra (urine tube)
and the bladder, referred to as urethritis and cystitis respectively.

Urinary tract stones e.g bladder stones can also cause dysuria and in the
rare occasion, bladder malignancies (which is highly unlikely in your age
group).

Similar Questions

How does a urine cytology help to detect urinary tract cancers?

Urine cytology is the examination of urothelial cells under the microscope. This allows assessing the cellular nature of the urothelial cells. We study the nuclear and cytoplasmic features which may suggest a urothelial malignancy. Voided urinary cytology is recommended in all patients who have risk factors for urothelial carcinoma. The sensitivity of voided urine cytology for detection of urothelial neoplasm ranges from 18% to 76% and is dependent on factors such as tumor grade, the number of specimens examined, and the expertise of the cytopathologist.

Photo of Dr Jipson Quah

Answered By

Dr Jipson Quah

General Practitioner

How can one tell whether dysuria (pain on passing urine) is caused by a urinary tract infection or sexually transmitted infection (STD)?

This can be easily diagnosed. Just send a sample of your urine and a swab of your vagina to the laboratory to test for infection if any. Depending on the results, your doctor will prescribe the appropriate medication. It can either be anti-fungal or antibiotic (for bacterial) medication and it will help effectively treat the infections.

Photo of Dr Christopher Ng

Answered By

Dr Christopher Ng

Gynaecologist

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