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Dysuria in Men

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1. Assessment of dysuria

?tool=bestpractice.com and 27% in the UK per year. Jolleys JV. The reported prevalence of urinary symptoms in women in one rural general practice. Br J Gen Pract. 1990;40:335-337. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1371312/pdf/brjgenprac00077-0025.pdf http://www.ncbi.nlm.nih.gov/pubmed/2121180?tool=bestpractice.com Although dysuria is uncommon in men, incidence increases with advancing age. Rasanathan M. Dysuria in general practice. N Z Med J. 1979;89:54-56. http://www.ncbi.nlm.nih.gov (...) /pubmed/372868?tool=bestpractice.com Lower urinary tract symptoms increase dramatically in men aged >40 years due to bladder outlet obstruction secondary to benign prostatic hyperplasia. Sommer P, Nielsen KK, Bauer T, et al. Voiding patterns in men evaluated by a questionnaire survey. Br J Urol. 1990;65:155-160. http://www.ncbi.nlm.nih.gov/pubmed/2317647?tool=bestpractice.com Among men of all ages who seek medical advice for urological symptoms, dysuria is present in about 5% of cases. Wolfs GG

2018 BMJ Best Practice

2. Dysuria in Men

Dysuria in Men Dysuria in Men Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Dysuria in Men Dysuria in Men Aka: Dysuria in Men (...) Bing) These images are a random sampling from a Bing search on the term "Dysuria in Men." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Symptoms About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content

2018 FP Notebook

3. MKSAP: 46-year-old man with fever, dysuria, and urinary frequency

MKSAP: 46-year-old man with fever, dysuria, and urinary frequency Treatment: Patients with uncomplicated acute bacterial prostatitis MKSAP: 46-year-old man with fever, dysuria, and urinary frequency | | September 9, 2017 3 Shares Test your medicine knowledge with the , in partnership with the . A 46-year-old man is evaluated for fever, dysuria, and urinary frequency of 1 day’s duration. He also notes a sensation of deep pelvic pain near the rectum. He has no urethral discharge or testicular (...) present with fever, chills, malaise, nausea and vomiting, dysuria, urgency, frequency, and pain in the lower abdomen, perineum, and rectum. The onset of symptoms is typically rapid. On physical examination, the prostate is tender and tense or boggy. Excessive palpation of the prostate should be avoided because it may contribute to bacteremia. As was done with this patient, blood and urine cultures should be obtained, and empiric broad-spectrum antibiotics should be started. Gram-negative bacillary

2017 KevinMD blog

4. Dysuria: An Uncommon Presentation in Emergency Department Following Bladder Neck Disruption (PubMed)

Dysuria: An Uncommon Presentation in Emergency Department Following Bladder Neck Disruption Prostate cancer is the most common life-threatening cancer diagnosed in men. Complications of prostatectomies vary and often include urinary incontinence, erectile dysfunction and pain, while other complications go unreported. While emergency physicians are already familiar with the more common post-operative complications presenting to their departments, including urinary retention, ileus, surgical site (...) infections, venous thromboembolisms and urinary tract infections, they must have a high index of suspicion for rarer complications. We report a case of posterior bladder neck disruption as a complication of a robotic assisted laparoscopic prostatectomy that presented to the emergency department as dysuria and abdominal pain following urination.

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2017 Urology case reports

5. Dysuria

. Definition Burning or stinging of the with voiding III. Causes: By Cohort See See See IV. Causes: Infectious itis Urethritis s (15-40% of cases) (following anal intercourse) Genital ( ) genitalium urealyticum vaginalis Other genitourinary infections Women See (e.g. , yeast ) Men See or V. Causes: Dermatologic See Spermacidal gel Topical deodorants Behcet Syndrome VI. Causes: Medication and food causes of Dysuria Medications G Cyclophosphamide s Food and herbal supplement adverse effects Pumpkin seeds VII (...) . Causes: Miscellaneous l l stricture l diverticulum Local l (e.g. , horse back riding) and Pelvic Irradiation Genitourinary foreign body (e.g. stent) VIII. Causes: Miscellaneous - Men See IX. Causes: Miscellaneous - Women See and Vagina Vaginal cancer s (paraurethral) X. Causes: Psychogenic and social (e.g. ) Sexual abuse XI. History: Characteristics of Dysuria Timing Start of void: l source End of void: source Pain location itis and l pain Suprapubic or retropubic pressure External pain distribution

2018 FP Notebook

6. Urinary tract infections in men

://www.ncbi.nlm.nih.gov/pubmed/17036917?tool=bestpractice.com Lipsky BA, Schaberg DR. Managing urinary tract infections in men. Hosp Prac. 2000;35:53-59. http://www.ncbi.nlm.nih.gov/pubmed/10645989?tool=bestpractice.com History and exam presence of risk factors dysuria urgency frequency suprapubic pain costovertebral angle pain hesitancy nocturia enlarged prostate tender prostate rectal/perineal pain fever/rigors urethral discharge benign prostatic hypertrophy urinary tract stones urological surgery, instrumentation (...) Urinary tract infections in men Urinary tract infections in men - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Urinary tract infections in men Last reviewed: February 2019 Last updated: September 2018 Summary Rarely occurs before 50 years of age. Often associated with abnormal structure or function of the urinary tract (complicated UTI). Catheter-associated UTI is the most common cause of nosocomial infection

2018 BMJ Best Practice

7. Urinary tract infections in men

://www.ncbi.nlm.nih.gov/pubmed/17036917?tool=bestpractice.com Lipsky BA, Schaberg DR. Managing urinary tract infections in men. Hosp Prac. 2000;35:53-59. http://www.ncbi.nlm.nih.gov/pubmed/10645989?tool=bestpractice.com History and exam presence of risk factors dysuria urgency frequency suprapubic pain costovertebral angle pain hesitancy nocturia enlarged prostate tender prostate rectal/perineal pain fever/rigors urethral discharge benign prostatic hypertrophy urinary tract stones urological surgery, instrumentation (...) Urinary tract infections in men Urinary tract infections in men - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Urinary tract infections in men Last reviewed: February 2019 Last updated: September 2018 Summary Rarely occurs before 50 years of age. Often associated with abnormal structure or function of the urinary tract (complicated UTI). Catheter-associated UTI is the most common cause of nosocomial infection

2018 BMJ Best Practice

8. Dysuria in Men

Dysuria in Men Dysuria in Men Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Dysuria in Men Dysuria in Men Aka: Dysuria in Men (...) Bing) These images are a random sampling from a Bing search on the term "Dysuria in Men." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Symptoms About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content

2015 FP Notebook

9. Urinary tract infection (lower) - men

urinary tract infection (UTI) if a man has: Symptoms of a UTI — this may include: Dysuria (pain or discomfort on passing urine). Frequency. Urgency (the desire to pass urine immediately). Nocturia (having to urinate during the night more frequently than usual). Suprapubic pain. Signs of a UTI — this may include: Suprapubic tenderness. Odorous urine. Cloudy urine. Haematuria. In men who are frail and elderly, and/or catheterized, and/or in institutional care, do not rely on classical symptoms or signs (...) to predict the likelihood of UTI — in these men, UTI may present with atypical symptoms. In men aged 65 years or over, UTI is likely if dysuria alone is present, or two or more of the following: Temperature 1.5ºC above normal twice in 12 hours. Frequency or urgency. Incontinence. Worsening delirium/debility. Suprapubic pain. Visible haematuria. Basis for recommendation Basis for recommendation These recommendations are based on the Scottish Intercollegiate Guidelines Network (SIGN) guideline Management

2018 NICE Clinical Knowledge Summaries

10. Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people

Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people PREVENTION AND TREATMENT OF HIV AND OTHER SEXUALLY TRANSMITTED INFECTIONS AMONG MEN WHO HAVE SEX WITH MEN AND TRANSGENDER PEOPLE Recommendations for a public health approach 2011 HIV/AIDS ProgrammePREVENTION AND TREATMENT OF HIV AND OTHER SEXUALLY TRANSMITTED INFECTIONS AMONG MEN WHO HAVE SEX WITH MEN AND TRANSGENDER PEOPLE Recommendations for a public health approach (...) 2011WHO Library Cataloguing-in-Publication Data Guidelines: prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people: recommendations for a public health ap- proach 2011. 1.Homosexuality, Male. 2.HIV infections - ethnology. 3.Sexually transmitted diseases - ethnol- ogy. 4.Sexual behavior. 5.Unsafe sex - prevention and control. 6.Sexual partners. 7.Guidelines. I.World Health Organization. ISBN 978 92 4 150175 0 (NLM classification

2011 World Health Organisation HIV Guidelines

11. Dysuria

. Definition Burning or stinging of the with voiding III. Causes: By Cohort See See See IV. Causes: Infectious itis Urethritis s (15-40% of cases) (following anal intercourse) Genital ( ) genitalium urealyticum vaginalis Other genitourinary infections Women See (e.g. , yeast ) Men See or V. Causes: Dermatologic See Spermacidal gel Topical deodorants Behcet Syndrome VI. Causes: Medication and food causes of Dysuria Medications G Cyclophosphamide s Food and herbal supplement adverse effects Pumpkin seeds VII (...) . Causes: Miscellaneous l l stricture l diverticulum Local l (e.g. , horse back riding) and Pelvic Irradiation Genitourinary foreign body (e.g. stent) VIII. Causes: Miscellaneous - Men See IX. Causes: Miscellaneous - Women See and Vagina Vaginal cancer s (paraurethral) X. Causes: Psychogenic and social (e.g. ) Sexual abuse XI. History: Characteristics of Dysuria Timing Start of void: l source End of void: source Pain location itis and l pain Suprapubic or retropubic pressure External pain distribution

2015 FP Notebook

12. Lower Urinary Tract Symptoms: Prevalence, Perceptions, and Healthcare-Seeking Behavior amongst Nigerian Men (PubMed)

Lower Urinary Tract Symptoms: Prevalence, Perceptions, and Healthcare-Seeking Behavior amongst Nigerian Men The aim of this study was to determine the prevalence of lower urinary tract symptoms (LUTS) and the factors influencing the healthcare-seeking behavior of men with LUTS.A cross-sectional survey was performed of 658 men selected using multi-staged sampling techniques. They were interviewed about LUTS and their healthcare-seeking behavior. The data were analysed using PASW Statistics ver (...) . 18. Associations between specific factors and healthcare-seeking behavior were examined using the chi-square and Fisher exact tests.The overall prevalence of LUTS was 59.1%. Storage symptoms (48.2%) were more prevalent than voiding (36.8%) or post-micturition (29.9%) symptoms. Approximately a quarter (25.5%) had a poor quality of life (QoL) score. The average duration of symptoms before seeking help was 3.4 years. Almost half (46.8%) of the men with LUTS had never sought help. Perceptions of LUTS

Full Text available with Trip Pro

2016 The world journal of men's health

13. Dysuria

Platform Loading , MD, David Geffen School of Medicine at UCLA Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources Dysuria is painful or uncomfortable urination, typically a sharp, burning sensation. Some disorders cause a painful ache over the bladder or perineum. Dysuria is an extremely common symptom in women, but it can occur in men and can occur at any age. Podcast Pathophysiology Dysuria results from irritation of the bladder trigone or urethra (...) apparent on inspection. In men, a very tender prostate suggests , and a tender, swollen epididymis suggests . Other findings also are helpful but may not be diagnostic; eg, women with findings of vulvovaginitis may also have a or another cause of dysuria. Diagnosis of UTI based on symptoms is less accurate in the elderly. Findings suggestive of infection are more concerning in patients with red flag findings. Fever, flank pain, or both suggest an accompanying . History of frequent UTIs should raise

2013 Merck Manual (19th Edition)

14. A Review of the Prostatic Urethral Lift for Lower Urinary Tract Symptoms: Symptom Relief, Flow Improvement, and Preservation of Sexual Function in Men With Benign Prostatic Hyperplasia (PubMed)

A Review of the Prostatic Urethral Lift for Lower Urinary Tract Symptoms: Symptom Relief, Flow Improvement, and Preservation of Sexual Function in Men With Benign Prostatic Hyperplasia Prostatic urethral lift (PUL) has been shown to be a safe, effective treatment option for lower urinary tract symptoms secondary to benign prostatic hyperplasia. Discomfort with PUL is similar to that with rigid cystoscopy and can be tolerated with local anesthesia in an office setting. Of those who are given (...) voiding trials, 70-80 % of subjects do not require a catheter. Subjects often quickly return to pre-operative activity level with minimal absence from work. Symptom relief can start within 2 weeks and be sustained through 2 years. Urinary flow rate improvements have been shown to be durable through 2 years. The most common adverse effects are dysuria, hematuria, pain, and urgency which are typically mild to moderate and transient. Sexual function appears to be preserved after PUL with no reported new

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2015 Current bladder dysfunction reports

15. MIrabegron With oveRACtive bLadder Symptoms in mEn

/treatment Phase Overactive Bladder Drug: mirabegron Drug: placebo Phase 4 Detailed Description: About 50 to 75% of men with LUTS secondary to BPH also have overactive bladder symptoms. As a major drug for the treatment of overactive bladder symptoms, muscarinic receptor antagonists are used, but precautions should be taken by a specialist when using muscarinic receptor antagonists due to possibilities of dry mouth, constipation, blurred vision and post-dose dysuria and acute ischuria. Mirabegron (...) MIrabegron With oveRACtive bLadder Symptoms in mEn MIrabegron With oveRACtive bLadder Symptoms in mEn - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. MIrabegron With oveRACtive bLadder Symptoms in mEn

2014 Clinical Trials

16. Prevalence and associations of genital ulcer and urethral pathogens in men presenting with genital ulcer syndrome to primary health care clinics in South Africa. (PubMed)

pathogens were detected in 451 (73.6%) and 48 (7.8%) of genital ulcers, respectively. Human immunodeficiency virus, HSV-2, and treponemal antibodies were detected in 387 (62.9%), 434 (70.6%), and 141 (23.0%) men, respectively, whereas 54 men (8.8%) were rapid plasmin reagin (RPR) seropositive. A total of 223 urethral infections were diagnosed in 188 men (30.6%), including 69 (11.2%) M. genitalium, 64 (10.4%) T. vaginalis, 60 (9.8%) C. trachomatis, and 30 (4.9%) N. gonorrhoeae infections. Dysuria (...) Prevalence and associations of genital ulcer and urethral pathogens in men presenting with genital ulcer syndrome to primary health care clinics in South Africa. This study aimed to determine the prevalence of genital ulcer and urethral pathogens, as well as their association with clinical features, in men with genital ulcer disease (GUD) enrolled in a clinical trial.Clinical data were collected by questionnaire. Ulcer swabs were tested for herpes simplex viruses (HSV-1/2), Treponema pallidum

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2012 Sexually transmitted diseases Controlled trial quality: uncertain

17. Add-on fesoterodine for residual storage symptoms suggestive of overactive bladder in men receiving α-blocker treatment for lower urinary tract symptoms. (PubMed)

Add-on fesoterodine for residual storage symptoms suggestive of overactive bladder in men receiving α-blocker treatment for lower urinary tract symptoms. Study Type - Therapy (RCT) Level of Evidence 1b What's known on the subject? and What does the study add? Male lower urinary tract symptoms are often attributed to bladder outlet obstruction secondary to benign prostatic hyperplasia and treated with drugs targeting the prostate. However, many men with storage lower urinary tract symptoms may (...) not respond adequately to these agents. Antimuscarinics, with or without an α-blocker, may be effective for the treatment of the storage symptoms of overactive bladder in some men. Flexible-dose fesoterodine as an add-on treatment significantly improved urinary frequency and symptom bother, but not urgency episodes (primary endpoint), versus add-on placebo and was well tolerated in men with persistent overactive bladder symptoms despite receiving α-blocker.• To evaluate flexible-dose fesoterodine vs

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2012 BJU international Controlled trial quality: predicted high

18. Prostatitis (acute): antimicrobial prescribing

trimethoprim (for adults unable to take a fluoroquinolone). Fluoroquinolones are more effective against a wider range of urinary pathogens than trimethoprim. But for adults unable to take a fluoroquinolone, trimethoprim is recommended. Trimethoprim generally has a lower risk of resistance in men, and can reach therapeutic prostate levels. Second-choice: le lev voflo ofloxacin xacin (a fluoroquinolone) or co-trimo co-trimoxazole xazole The committee agreed that second-choice oral antibiotics should (...) for a further 14 days as needed based on clinical assessment. From experience, the committee discussed that whether to continue treatment or not would be based on the person's history or risk of developing chronic prostatitis, their current symptoms and any recent examination, urine and blood test results. Continued symptoms, such as fever or lower urinary tract symptoms (dysuria, frequency, urgency, or acute urinary retention) require ongoing treatment. Prostatitis (acute): antimicrobial prescribing (NG110

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

19. Interstitial cystitis/bladder pain syndrome

cystitis despite negative cultures. IC/BPS is a diagnosis of exclusion, so other common disease processes must first be excluded before effective treatment can be initiated. This topic deals primarily with the condition in women, as similar symptoms in men are often labelled as chronic prostatitis/pelvic pain syndrome (CP/PPS). This dichotomy is somewhat arbitrary because, in the absence of infection, the treatment is similar to type III chronic prostatitis. The exception would be the finding (...) best practice management of interstitial cystitis/bladder pain syndrome. Ther Adv Urol. 2018 Mar 19;10(7):197-211. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048622/ http://www.ncbi.nlm.nih.gov/pubmed/30034539?tool=bestpractice.com History and exam presence of risk factors food or stress triggers urinary urgency urinary frequency urinary incontinence nocturia dysuria pelvic-floor pain dyspareunia worsening of symptoms before menses urethral pain bladder neck pain suprapubic pain levator ani pain

2019 BMJ Best Practice

20. Genital tract chlamydia infection

://www.ncbi.nlm.nih.gov/pubmed/25254560?tool=bestpractice.com In women, chlamydia infection tends to occur in the endocervical canal. Some women who have uncomplicated cervical chlamydia infection already have subclinical upper reproductive tract infections upon diagnosis. Symptoms may include intermenstrual or postcoital bleeding; an odourless, mucoid vaginal discharge; pelvic pain; or dysuria. In men, chlamydia infection can occur in the urethra, causing a penile discharge. Untreated or inadequately treated (...) chlamydia infections can lead to more serious problems such as pelvic inflammatory disease (PID), ectopic pregnancy, and infertility in women, and epididymitis and prostatitis in men. History and exam presence of risk factors asymptomatic cervical discharge friable cervix abnormal vaginal bleeding penile discharge vaginal discharge dysuria pelvic pain fever/chills nausea/vomiting scrotal pain myalgias abdominal pain mucopurulent rectal discharge or tenesmus age under 25 years, sexually active new sex

2019 BMJ Best Practice

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