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Urination - painful
Alternative namesDysuria; Painful urination
DefinitionPainful urination involves and pain, discomfort, or burning sensation during urination.
ConsiderationsPain on urination is a fairly common problem. It is most often caused by an infection somewhere in the urinary tract.
Home CareFollow prescribed therapy.
Call your health care provider if
Your health care provider will obtain your medical history and will perform a physical examination .
Medical history questions documenting painful urination may include the following:
With previous bladder or kidney infections, a more detailed history and physical are needed, and extra laboratory studies may be necessary. In women with a vaginal discharge, an examination of the vagina and any discharge is necessary. Men who have penile discharge will need to have a urethral swab done.
Your health care provider will probably start with an office urine dipstick. Based on those results, a urine culture may be ordered. DNA probes for gonorrhea or chlamydia may also be obtained.
If a urinary tract infection is confirmed or highly suspected, treatment will include the prescription of an antibiotic. If appropriate, pain medications will be administered. If gonorrhea or chlamydia is suspected, your health care provider will provide you with antibiotics to treat these infections, usually even before the lab can confirm the infection, and instructions on notifying your sexual partner(s) for treatment.
If vaginitis or vulvitis is diagnosed, your health care provider will recommend appropriate treatment.
Other medications or surgical treatment may be necessary depending on the cause of the discomfort.
Update Date: 10/28/2002David R. Knowles M.D., Department of Urology, New York-Presbyterian Hospital Columbia Campus, New York, NY. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT