Increased Urinary Frequency with or without Dysuria

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