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In men, urethritis is diagnosed by at least one of the following: mucopurulent or purulent urethral discharge on examination, ≥ 2 white blood cells per oil immersion field from a Gram stain of a urethral swab, or positive leukocyte esterase and/or ≥10 white blood cells per high power field of the first-void urine. Men who meet the criteria ...
Urinalysis is the most useful test to start the work up in a patient of dysuria. Urinalysis positive for nitrite carries a high predictive value of a positive urine culture. Also, urine dipstick showing leukocytes as equal predictive value as the presence of nitrites. When both are present, the predictive value goes even higher.
Penile discharge is liquid from the urethra at the end of the penis that is not urine or semen. [2] The dripping of clear fluid (pre-ejaculate) when sexually excited is normal. [2] There may be pain or burning when passing urine, soreness inside the penis or feeling of wanting to pass urine frequently. [6]
Normal urine pH is slightly acidic, with usual values of 6.0 to 7.5, but the normal range is 4.5 to 8.0. A urine pH of 8.5 or 9.0 is indicative of a urea-splitting organism, such as Proteus, Klebsiella, or Ureaplasma urealyticum; therefore, an asymptomatic patient with a high pH means UTI regardless of the other urine test results.
Men with prostatic hypertrophy are advised to sit down whilst urinating. [18] A 2014 meta-analysis found that, for elderly males with LUTS, sitting to urinate meant there was a decrease in post-void residual volume (PVR, ml), increased maximum urinary flow (Qmax, ml/s), which is comparable with pharmacological intervention, and decreased the ...
Micturition syncope or post-micturition syncope is the name given to the human phenomenon of fainting shortly after or during urination.The underlying cause is not fully understood, but it may be a result of vasovagal response, postural hypotension, or a combination thereof.