Differential Diagnosis for Male Dysuria
The differential diagnosis for male dysuria can be organized into the following categories:
- Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is the most common cause of dysuria in men, often caused by bacterial infection such as E. coli.
- Other Likely Diagnoses
- Urethritis: Inflammation of the urethra, often caused by sexually transmitted infections (STIs) like gonorrhea or chlamydia.
- Prostatitis: Inflammation of the prostate gland, which can cause dysuria, pelvic pain, and other urinary symptoms.
- Kidney Stones: Small, hard mineral deposits that can cause severe pain and dysuria as they pass through the urinary tract.
- Do Not Miss Diagnoses
- Epididymitis: Inflammation of the epididymis, which can cause severe pain and dysuria, and can lead to infertility if left untreated.
- Testicular Torsion: A medical emergency that requires prompt attention, characterized by severe pain and swelling of the testicle.
- Pyelonephritis: A bacterial infection of the kidney, which can cause severe pain, dysuria, and systemic symptoms like fever and chills.
- Rare Diagnoses
- Interstitial Cystitis: A chronic condition characterized by bladder pain, dysuria, and frequent urination.
- Bladder Cancer: A rare cause of dysuria, often associated with other symptoms like hematuria and weight loss.
- Schistosomiasis: A parasitic infection that can cause dysuria, hematuria, and other urinary symptoms, typically seen in travelers to endemic areas.