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Uptodate Reference Title
Diagnostic approach to the adolescent male with dysuria
Diagnostic approach to the adolescent male with dysuria
UTI may coexist with noninfectious etiologies. Unless the cause of dysuria is obvious on physical examination (eg, balanoposthitis, obvious local trauma, or viral exanthem) a urine specimen for rapid dipstick should be obtained in all patients. Urinalysis and urine culture should also be obtained if the urine dipstick suggests a UTI (refer to UpToDate topics on diagnosis of UTI in children).
PCR: polymerase chain reaction; UTI: urinary tract infection. * Testing for Neisseria gonorrhoeae and Chlamydia trachomatis is warranted. Refer to UpToDate topics on urethritis in men. ¶ In addition to Stevens-Johnson, varicella infection, Behçet syndrome, mycoplasma-induced rash and mucositis, and reactive arthritis with urethritis and conjunctivitis, potential causes include inflammatory bowel disease and urinary tuberculosis. Refer to appropriate UpToDate topics. Δ Refer to UpToDate topics and algorithms on symptomatic microscopic hematuria in children.
