Dysuria is painful or uncomfortable urination, typically a sharp, burning sensation. In some cases, people experience a painful ache over the perineum or the bladder. This is an extremely common symptom in women, but also known to occur in men.
Dysuria is known to result from inflammation caused in the urethra or the bladder trigone. Irritation or stricture of the urethra results in difficulty in urinating, often characterized by excruciating pain or a burning feeling. Bladder contraction is a direct cause when the trigone is irritated, which leads to painful and frequent urination. Dysuria is more often a result of an infection of the lower urinary tract, but it could also be caused by an upper urinary tract infection.
Causes of Dysuria
There are several conditions that can lead to dysuria. In women, urinary tract infections are one of the most common causes that lead to painful urination. For men, certain prostate conditions and urethritis are the most common cause of dysuria.
Then there are some external factors and medical conditions, including chlamydia trachomatis, bladder stones, genital herpes, cystitis, use of drugs, kidney infections, kidney stones, STDs, UTIs, gonorrhea and from soaps or other personal care products.
Symptoms of Dysuria
Dysuria is most commonly characterized by pain when urinating. But depending on the cause, there are several other symptoms that include:
Frequent urination, an intense urge to urinate, loss of bladder control, pain in the lower front portion of the abdomen (near the bladder), cloudy urine that may have a strong odor, bloody urine
Pain in the upper back, high fever with shaking chills, nausea and vomiting, cloudy urine, frequent urination, an intense urge to urinate
A discharge from the urethra, redness around the opening of the urethra, frequent urination, vaginal discharge. Partners of people with urethritis that comes from a sexually transmitted disease often will not have any symptoms.
Pain, soreness or itching in the vagina, an abnormal or foul-smelling vaginal discharge or odor, pain or discomfort during sexual intercourse
Treatment for Dysuria
The treatment for dysuria is directed towards the cause, rather than just eliminating the pain. Many healthcare physicians do not prescribe any treatment until they have identified the cause after a complete examination and results of a urinalysis.
If treatment is decided upon, a 3-day course of trimethoprim/sulfamethoxazole or trimethoprim alone is recommended. Because they can cause tendinopathy, fluoroquinolones should not be used for uncomplicated urinary tract infections (UTIs) whenever possible.
Dysuria caused by cystitis can be relieved by taking phenazopyridine 100 to 200 mg orally 3 times a day for the first 24 to 48 hours. This drug turns urine red-orange and may stain undergarments; patients should be cautioned not to confuse this effect with the progression of infection or hematuria. Complicated UTI requires 10 to 14 days of treatment with an antibiotic that is effective against gram-negative organisms, particularly Escherichia coli.
ICD 10 Code Set
ICD-10 (short for International Classification of Diseases, tenth edition) is a clinical documentation and cataloging system owned by the World Health organization which consists of thousands of codes, where each code represents critical information about the different diseases, findings, causes of injuries, symptoms, possible treatments, and epidemiology, playing a vital role in enabling advancements in clinical treatment and medication.
Under the Health Insurance Portability and Accountability Act (HIPAA), it is required by all healthcare providers and physicians to apply the ICD-10 codes in their practices, replacing the previous ICD-9 code set.
ICD serves as a foundation to identify clinical trends and statistics globally. Diseases, injuries, disorders, and all health conditions are listed comprehensively and organized into standard groupings allowing health care providers from around the world to compare and share information using the ICD codes.
ICD-10 code for Dysuria
The diagnostic ICD-10 code for dysuria is R30.0. This is a billable code which means that it is valid for submission for all HIPAA-covered transactions.
Moreover, the R30.0 code can be used to indicate a diagnosis and treatment in the reimbursement process. This version of the ICD-10-CM code for dysuria came into effect on October 1, 2018 and is specific to the American version of the ICD-10-CM. Internationally, the code may be different.
|ICD-10 Chapter||Codes||Code Description|
|14||N39.8 N39.8||Other specified disorders of urinary system|