Urethritis

Background

Genitourinary infection

"UTI" frequently refers specifically to acute cystitis, but may also be used as a general term for all urinary infections; use location-specific diagnosis.

• Acute cystitis ("UTI")
• Pyelonephritis
• Urethritis
• Chronic cystitis
• Infected nephrolithiasis
• Prostatitis
• Renal abscess/perinephric abscess
• Emphysematous pyelonephritis

Differential Diagnosis

Dysuria

• Genitourinary infection
  • Acute cystitis ("UTI")
  • Pyelonephritis
  • Urethritis
  • Chronic cystitis
  • Infected nephrolithiasis
  • Prostatitis
  • Epididymitis
  • Renal abscess/perinephric abscess
  • Emphysematous pyelonephritis
• Nephrolithiasis
• Urethral issue
  • Urethritis
  • Urolithiasis
  • Urethral foreign body
  • Urethral diverticulum
  • Allergic reaction (contact dermatitis)
  • Chemical irritation
  • Urethral stricture or obstruction
  • Trauma to vagina, urethra, or bladder
• Gynecologic
  • Vaginitis/cervicitis
  • PID
  • Genital herpes
  • Uterine/bladder/vaginal prolapse
  • Fistula
  • Cystocele
• Other
  • Diverticulitis
  • Behavioral symptom without detectable pathology

Management

Antibiotics

Cefixime 400mg PO once

OR

Azithromycin 1g PO once

ADD

Flagyl 2g PO once if concern for trichomoniasis

Disposition

• Outpatient

See Also

• STIs
• Urinary tract infections

References

Authors

Ross Donaldson, Daniel Ostermayer, Neil Young