Evaluation of Dysuria in Adults(American Academy of Family Physicians, Judy D. Bremnor, MD, and Richard Sadovsky, MD, State University of New York Health Science Center at Brooklyn College of Medicine, Brooklyn, New York: Am Fam Physician. 2002 Apr 15; 65(8): 1589-1597.) "Dysuria, defined as pain, burning, or discomfort on urination, is more common in women than in men. Although urinary tract infection is the most frequent cause of dysuria, empiric treatment with antibiotics is not always appropriate. Dysuria occurs more often in younger women, probably because of their greater frequency of sexual activity. Older men are more likely to have dysuria because of an increased incidence of prostatic hyperplasia with accompanying inflammation and infection. A comprehensive history and physical examination can often reveal the cause of dysuria. Urinalysis may not be needed in healthier patients who have uncomplicated medical histories and symptoms."