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, DRE= Digital rectal examination,

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[1] + + Lichenified plaques N N often shows UTI in women N N N Biopsy
Behcet's syndrome[2][3][4] + + + + N N N N N None
Contact dermatitis - + - -
Infectious diseases Cystitis + + + + + + + N
  • DRE;
    • Tender prostate
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.
  2. Theodorou C, Floratos D, Hatzinicolaou P, Vaiopoulos G (August 1999). "Neurogenic bladder dysfunction due to Behçet's disease". Int. J. Urol. 6 (8): 423–5. PMID 10466456.
  3. Porru D, Pau AC, Scarpa RM, Zanolla L, Cao A, Usai E (May 1996). "Behçet's disease and the neuropathic bladder: urodynamic features: case report and a literature review". Spinal Cord. 34 (5): 305–7. PMID 8963981.
  4. Cetinel B, Akpinar H, Tüfek I, Uygun N, Solok V, Yazici H (January 1999). "Bladder involvement in Behçet's syndrome". J. Urol. 161 (1): 52–6. PMID 10037367.