An Overview

Dysuria is the medical term for pain or discomfort when urinating. Often described as a burning sensation, dysuria most commonly is caused by bacterial infections of the urinary tract.. A number of conditions can cause painful urination (dysuria). In women, urinary tract infections are a common cause of painful urination. In men, urethritis and certain prostate conditions are frequent causes of painful urination.

Who gets dysuria (painful urination)

Men and women of any age can experience painful urination. It’s more common in women. Urinary tract infections (UTIs) are commonly associated with dysuria. UTIs occur in more women than men.
Other people at a higher risk of dysuria include:

• Pregnant women.
• Men and women with diabetes.
• Men and women with any type of disease of the bladder.

Symptoms of Dysuria

Symptoms of painful urination can vary between men and women, but both genders usually describe it as a burning, stinging or itching. Burning is the most commonly reported symptom. Pain can occur at the start of urination or after urination. Pain at the start of your urination is often a symptom of a urinary tract infection.

Symptoms in women can be internal or external. Pain outside your vaginal area may be caused by inflammation or irritation of this sensitive skin. Internal pain can be a symptom of a urinary tract infection.

Inflammation and irritation. A range of problems can lead to inflammation or irritation of the urinary tract or genital area, leading to the symptom of painful urination.
Cloudy or bloody urine. Another symptom of dysuria that one should take note of is hematuria(characterized by blood in the urine) or when your urine becomes dark and cloudy.
Increased urge to urinate frequently. When you always have an increased urge to pee all the time, even though it feels excruciating, it is time to visit your doctor, as this could be a sign of dysuria.
Mild pains. There are times when you are urinating, but you aren’t experiencing severe pains; instead, you feel slight pains. Whenever you experience this, you should visit your doctor as urination isn’t expected to be painful.
Sores and blisters. When you notice that you have begun to have painful sores and blisters just around your vagina or penis, then you should know that this is a classic sign of genital, herpes which is often accompanied by dysuria.

Causes of Dysuria

The most common type of infection is cystitis (bladder infection), pyelonephritis ( kidney infection ), prostatitis (prostate infection), and urethritis (inflammation of the tube, the urethra, that drains the bladder to the outside of the body). Sexually transmitted diseases can also produce symptoms of dysuria. Dysuria can also be caused by noninfectious inflammation or trauma, neoplasm, calculi, hypoestrogenism, interstitial cystitis, or psychogenic disorders.

Chlamydia is a very common sexually transmitted disease caused by a bacterial infection. The infection can cause inflammation and pain in the genital area, including the urinary pathways. Chronic pain during urination could be an indication of chlamydia.

Cystitis is an inflammatory condition that affects the bladder. Cystitis is most often caused by a urinary tract infection, which occurs when bacteria invade the bladder or the urethra.

Pyelonephritis is inflammation of the kidneys. Like many of the other conditions on this list, it’s caused by a bacterial infection. Patients may develop a fever, nausea, and sores or abscesses around the kidneys.
Prostatitis, or infection of the prostate, is a problem that affects men. The prostate is the walnut-sized gland located right below the bladder. It is involved in the production of semen.

Urethritis is an inflammatory condition of the urethra that is often caused by a bacterial infection. The urethra is the tube through which urine travels on its way out of the body. The most common symptom of urethritis is painful or difficult urination. It can also lead to difficult or uncomfortable ejaculation.
Lower urinary tract infection (cystitis). Frequent urination, an intense urge to urinate, loss of bladder control, pain in the lower front portion of the abdomen (near the bladder), cloudy urine that may have a strong odor, bloody urine.
Upper urinary tract infection (pyelonephritis). Pain in the upper back, high fever with shaking chills, nausea and vomiting, cloudy urine, frequent urination, an intense urge to urinate
Urethritis. A discharge from the urethra, redness around the opening of the urethra, frequent urination, vaginal discharge. Partners of people with urethritis that comes from a sexually transmitted disease often will not have any symptoms.
Vaginitis. Pain, soreness or itching in the vagina, an abnormal or foul-smelling vaginal discharge or odor, pain or discomfort during sexual intercourse.

Medical conditions and external factors that can cause painful urination include:
• Bladder stones
• bladder inflammation
• Genital herpes
• Gonorrhea
• Kidney stones
• Prostatitis
• Sexually transmitted diseases
• Kidney Infection


Dysuria can be a symptom of medical condition that may need to be treated. To diagnose your pain, first your healthcare provider will review your complete medical history, including asking you questions about your current and past medical conditions, such as diabetes mellitus or immunodeficiency disorders. He or she may also ask about your sexual history to determine if an STI could be the cause of the pain. Tests to screen for STIs may also be needed, especially if men have a discharge from their penis or women have discharge from their vagina.

Your healthcare provider will also ask you about your current symptoms and obtain a clean catch sample of your urine. Your urine sample will be analyzed for white blood cells, red blood cells or foreign chemicals. The presence of white blood cells tells your provider you have inflammation in your urinary tract.


To help prevent dysuria caused by cystitis or pyelonephritis, you can drink several glasses of water each day to flush out your urinary tract. Women should wipe from front to back after having a bowel movement. Also they should urinate soon after sexual intercourse to flush bacteria away from the urethra.

Hope this Symptoms and cure article will be helpful to all. Do not forget to share your valuable suggestions if any.

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