CLINICAL DIAGNOSTIC MANUAL
Increased urinary frequency, with or without dysuria, is a common symptom that can significantly affect the patient’s quality of life. This symptom may result from various pathological conditions affecting the urinary system, ranging from infections to neurological disorders.
Urinary frequency is defined as the need to urinate more frequently than normal, and when accompanied by dysuria, it indicates pain or burning during urination. Proper evaluation of these symptoms requires a detailed medical history, physical examination, and complementary tests to identify the underlying cause and provide appropriate treatment.
Pathology | Symptoms and Clinical Signs | Suspicion Diagnosis | Confirmatory Diagnosis |
|---|---|---|---|
Urinary Tract Infection with Cystitis | Frequent urination (polakiuria), dysuria, urinary urgency, suprapubic pain, occasional fever | Clinical history, physical examination, urinalysis | Urinalysis, urine culture |
Bladder Stones | Frequent urination, dysuria, hematuria, suprapubic pain | Clinical history, physical examination, ultrasound | Ultrasound, cystoscopy |
Urethral Stones | Acute pain during urination, dysuria, difficulty urinating, hematuria | Clinical history, physical examination, ultrasound | Ultrasound, cystoscopy |
Uterine Prolapse | Sensation of pressure or lump in the vagina, frequent urination, urinary incontinence | Clinical history, gynecological examination | Pelvic ultrasound, physical examination |
Benign Prostatic Hyperplasia (BPH) | Frequent urination, weak urinary stream, nocturia, incomplete emptying sensation, dysuria | Clinical history, physical examination, digital rectal exam | Transrectal ultrasound, uroflowmetry |
Spastic Bladder Secondary to Upper Motor Neuron Lesion | Urinary urgency, frequent urination, incontinence, bladder spasms | Clinical history, history of neurological injury, physical examination | Urodynamic study, MRI or CT scan of the spine, cystoscopy |
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