Abnormalities in micturition

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Micturation Abnormalities Microchapters

Overview

Causes

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Classification

Causes

Abnormalities of Micturation Differential Diagnosis

Differentiating the diseases that can cause abnormality in micturation:

Abbreviations: N= Normal, UTI= Urinary tract infection, CBC= Complete blood count, CT= Computed tomography, IBS= Irritable bowel syndrome,

Diseases Clinical manifestations Para-clinical findings Gold standard Additional findings
Symptoms Physical examination
Lab Findings Imaging
Fever Urinary symptoms Supra-pubic tenderness Skin lesions Other CBC Electrolytes Urinalysis Ultrasonography CT scan Other
Dysuria Frequency Dribbling Hesitancy Nocturia
Inflammatory Dermatological disorders Lichen sclerosus + + Lichenified plaques N N often shows UTI in women N N N Biopsy Associated with:[1]
Behcet's syndrome + + - + + -
Contact dermatitis - - + - -
Infectious diseases Cystitis + +/- + - +
Urethritis + - + - +/-
Pyelonephritis + - + - +/-
Vulvovaginitis + + + - -
Cervicitis + +/- - - +
Prostatitis +/- + + + +
Epididymoorchitis +/- + +
Non-inflammatory Anatomic Urethral stricture
Benign prostatic hyperplasia (BPH) +
Drug Spermicides
Cyclophosphamide
Endocrine disorders Atrophic vaginitis
Endometriosis
Malignancy Bladder cancer
Vulvovaginal cancer
Iatrogenic Genitourinary instrumentation +
Pelvic irradiation
Trauma ±

References

  1. Ventolini G, Patel R, Vasquez R (2015). "Lichen sclerosus: a potpourri of misdiagnosed cases based on atypical clinical presentations". Int J Womens Health. 7: 511–5. doi:10.2147/IJWH.S82879. PMC 4431497. PMID 26056492.