Dysuria – colloquially called pain on urination – (synonyms: Alguria; Bladder urgency; Bladder spasm; Bladder tenesmus; Burning on urination; Dysuria; Urinary bladder spasm; Urinary bladder tenesmus; Urinary urgency; Painful micturition; Painful urination; Painful urination; Painful urination; Stranguria; Tenesmus vesicae; Vesical tenesmus; ICD-10-GM R30. -: pain during urination) is understood as a difficult, deliberate emptying of the bladder (micturition), which can also be painful. Dysuria is one of the micturition complaints. It also includes alguria (pain during urination alone) and stranguria (an urge to urinate that cannot be suppressed and is accompanied by pain).
Dysuria can have many different causes. Frequently, it involves obstructions to urinary flow or urinary tract infections.
Dysuria can be a symptom of many diseases (see under “Differential diagnoses”).
Sex ratio: Women are more frequently affected than men.
Course and prognosis: The course depends on the disease. Dangerous courses are possible in:
- Development of pyelonephritis (inflammation of the renal pelvis)/sepsis (blood poisoning) esp. in geriatric patients, concomitant obstruction (occlusion of a hollow organ).
- Pregnant women: already with asymptomatic bacteriuria (ABU), there is an increased risk of pyelonephritis.
- Children: in febrile urinary tract infections risk of permanent renal parenchymal damage.
- Fertility disorder (disturbance of fertility) in:
- Women: Urethritis (urethritis; chlamydial infection), colpitis (vaginitis) with silent adnexitis (inflammation of the fallopian tubes and ovaries).
- Men: chronic prostatitis (prostatitis).
Dysuria that is untreated or not completely cured can become chronic.