Pain when urinating (Dysuria, Strangury): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing).
      • Skin and mucous membranes
    • Inspection and palpation (palpation) of the abdomen (belly), inguinal region (groin region), etc. [cystitis (urinary bladder infection)]
    • Inspection of the genital and urethra [urethritis (inflammation of the urethra)]
    • Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of the prostate in size, shape and consistency, detection of indurations (tissue hardening), if necessary). [Benign prostatic hyperplasia (BPH) – benign enlargement of the prostate gland]
  • Cancer screening
  • Urologic examination [due todifferential diagnoses: bladder stones, urinary tract infections, neoplasms, benign or malignant, unspecified, prostatitis (inflammation of the prostate), urethritis (inflammation of the urethra), cystitis (inflammation of the urinary bladder), and foreign bodies and injuries, unspecified]

Square brackets [ ] indicate possible pathologic (pathological) physical findings.