Stephen J. Schueler, M.D.

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Urinary Pain Evaluation

The evaluation of painful urination begins with a complete history and physical examination, including a pelvic exam for females.

Physical findings in someone with painful urination may include:


Tests are necessary to make the diagnosis of painful urination.

Tests that may be used to evaluate painful urination include:

Less commonly performed tests that may be used to evaluate painful urination include:

For more information:

Urinary Pain Clean Catch Urine

Urine tests help to evaluate painful urination caused by bladder infections.

Unfortunately, a urine sample can be contaminated by bacteria on the skin surface, where urine exits the urethra. A clean-catch urine sample reduces the chance that the sample is contaminated by bacteria from the outside of the bladder.

In males, a clean-catch urine procedure includes:

  • Retract the foreskin.
  • Cleanse the tip of the penis.
  • Begin urinating into the toilet.
  • Place the urine sample cup into the stream of urine.
  • Catch 1-3 ounces of urine in a cup.
  • Take the cup out of the urine stream.
  • Complete voiding in the toilet.
  • Close the sample cup.

In females, a clean-catch urine procedure includes:
  • Cleanse the urethra and vulva.
  • Begin urinating into the toilet.
  • Place the urine sample cup into the stream of urine.
  • Catch 1-3 ounces of urine in a cup.
  • Take the cup out of the urine stream.
  • Complete voiding in the toilet.
  • Close the sample cup.

Continue to Urinary Pain Treatment

Last Updated: Dec 22, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Urinary Pain References
  1. Bent S, Nallamothu BK, Simel DL, Fihn SD, Saint S. Does this woman have an acute uncomplicated urinary tract infection? JAMA. 2002 May 22-29;287(20):2701-10. [12020306]
  2. Bremnor JD, Sadovsky R. Evaluation of dysuria in adults. Am Fam Physician. 2002 Apr 15;65(8):1589-96. [11989635]
  3. Shaikh N, Morone NE, Lopez J, Chianese J, Sangvai S, D'Amico F, Hoberman A, Wald ER. Does this child have a urinary tract infection? JAMA. 2007 Dec 26;298(24):2895-904. [18159059]
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