Dysuria is the medical name for painful or difficult urination. The sufferer gets a burning or harsh feeling while passing urine. Most commonly, it occurs due to a bacterial contamination in the urinary passage. Doctors opine that sexually transmitted diseases and bladder stones or tumors cause painful urination to a host of patients. [1] The list of victims of dysuria encompasses a gigantic number of people including Napoleon Bonaparte, the French emperor.
Dysuria in men:
Men suffering from the burning or painful urination must be thoroughly checked. Their physical examination should include not only urine dipstick but microscopic evaluation also. The main reason in the masculine category is the urinary tract contagion. Normally the immature patients get infected with dysuria through sexually transmitted diseases; whereas in the case of mature patients coliform bacteria predominate. Renal calculus or spondyloarthropathy also cause the painful urination in all the age groups. In men this itching sensation takes place in the distal urethra and its tenure can predict about its intensity. Infection is the main cause of dysuria as 6 out of 10 cases of dysuria are due to contamination and two thirds of infections are caused by Escherichia coli. [2]
Dysuria in women:
Dysuria in women is much more widespread and grave in all the age groups of women. The main cause of painful urination in women is bacterial cystitis. Researchers are of the view that nearly 30 % women suffer from cystitis at least once in their life span. Survey claims that 33 out of 100 women suffer from upper urinary tract infection. [2] The female patients who suffer from vaginal infections are more prone to dysuria. Women normally comprehend the internal uneasiness in comparison to the external one. Some women develop the symptoms of dysuria immediately after sexual intercourse; whereas others generate in a couple weeks or even months. In many cases the vaginal discharge alarms the embryonic stage of dysuria in women.
References:
1. S. Oliver, “Measuring the sensations of urge and bladder filling during cystometry in urge incontinence and the effects of neuromodulation, Neurourol Urodyn”, 2003.
2. Rasanathan M., “Dysuria in general practice”, 1979.