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Urethral syndrome is defined as symptoms suggestive of a lower urinary tract infection but in the absence of significant bacteriuria with a conventional pathogen. [1] It is a diagnosis of exclusion in patients with dysuria and frequency without demonstrable infection. [2] In women, vaginitis should also be ruled out. [3]
Dysuria refers to painful or uncomfortable urination. [ 1 ] [ 2 ] It is one of a constellation of irritative bladder symptoms (also sometimes referred to as lower urinary tract symptoms), which includes nocturia and urinary frequency .
Large studies of patients have also failed to show any correlation between lower urinary tract symptoms and a specific diagnosis. [11] Also, recently a report of lower urinary tract symptoms even with malignant features in the prostate failed to be associated with prostate cancer after further laboratory investigation of the biopsy.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), previously known as chronic nonbacterial prostatitis, is long-term pelvic pain and lower urinary tract symptoms (LUTS) without evidence of a bacterial infection. [3] It affects about 2–6% of men. [3] Together with IC/BPS, it makes up urologic chronic pelvic pain syndrome (UCPPS). [4]
Bacteriuria accompanied by symptoms is a urinary tract infection while that without is known as asymptomatic bacteriuria. [1] [2] Diagnosis is by urinalysis or urine culture. [3] Escherichia coli is the most common bacterium found. [1] People without symptoms should generally not be tested for the condition. [3] Differential diagnosis include ...
The symptoms of urethritis can include pain or a burning sensation upon urination , a white/cloudy discharge and a feeling that one needs to pass urine frequently. For men, the signs and symptoms are discharge from the penis, burning or pain when urinating, itching, irritation, or tenderness.
HeV Infection Hendra virus infection HF Heart failure: HFA High-functioning autism: HFMD Hand, foot, and mouth disease: HFRS Hemorrhagic fever with renal syndrome: HI Hearing impaired: HiB disease Haemophilus influenzae type B disease: HIBM Hereditary inclusion body myopathy: HMSN Type III
In straightforward cases, a diagnosis may be made and treatment given based on symptoms alone without further laboratory confirmation. [4] In complicated or questionable cases, it may be useful to confirm the diagnosis via urinalysis , looking for the presence of urinary nitrites , white blood cells (leukocytes), or leukocyte esterase . [ 54 ]