Approach to urinary disorders

Approach to Dysuria

Probability diagnosis 

• UTI esp. cystitis 
• Urethritis 
• Urethral syndrome 
• Vaginitis

Serious disorders not to be missed

• Neoplasia
• Bladder
• Prostate
• Urethra
• Severe infection 
• gonorrhoea
• NSU
• Genital herpes
• Reactive arthritis
• Calculi (e.g. bladder)

Pitfalls 

• Menopause syndrome
• Prostatitis
• Foreign bodies in LUT
• Acidic urine 
• Acute fever
• Interstitial cystitis
• Urethral caruncle/diverticuli
• Vaginal prolapse
• Obstruction 
• benign prostatic hyperplasia
• urethral stricture
• phimosis 
• meatal stenosis