{"id":12665,"date":"2025-07-09T09:54:29","date_gmt":"2025-07-09T13:54:29","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/dysuria\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"disuria-pt-br","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/disuria-pt-br\/","title":{"rendered":"Dis\u00faria"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[108,107],"class_list":["post-12665","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>\n        A dis\u00faria \u00e9 a sensa\u00e7\u00e3o de dor e\/ou ard\u00eancia, ferroada ou coceira na uretra ou no meato uretral associada \u00e0 mic\u00e7\u00e3o.<sup>1<\/sup> \u00c9 um sintoma urin\u00e1rio prevalente, experimentado pela maioria das pessoas pelo menos uma vez na vida. A dis\u00faria normalmente ocorre quando a urina entra em contato com o revestimento mucoso uretral inflamado ou irritado. Isso \u00e9 agravado pela contra\u00e7\u00e3o do m\u00fasculo detrusor e pelo peristaltismo uretral, aos quais est\u00e1 associado, que estimulam os receptores de dor submucosos, resultando em dor ou sensa\u00e7\u00e3o de ard\u00eancia durante a mic\u00e7\u00e3o.<sup>2<\/sup>\n    <\/p>\n    <p>\n        A dis\u00faria verdadeira requer diferencia\u00e7\u00e3o de outros sintomas, que tamb\u00e9m podem ocorrer devido ao desconforto p\u00e9lvico de diversas condi\u00e7\u00f5es vesicais, como cistite intersticial, prostatite e dor suprap\u00fabica ou retrop\u00fabica.<sup>3<\/sup> Essa condi\u00e7\u00e3o angustiante pode ser causada por m\u00faltiplos fatores subjacentes, incluindo infec\u00e7\u00f5es do trato urin\u00e1rio (ITUs), inflama\u00e7\u00e3o da bexiga, infec\u00e7\u00f5es sexualmente transmiss\u00edveis (ISTs) ou at\u00e9 condi\u00e7\u00f5es mais graves, como c\u00e1lculos renais.<sup>4<\/sup>\n    <\/p>\n    <p>\n        O desconforto associado \u00e0 dis\u00faria pode impactar significativamente a qualidade de vida do indiv\u00edduo e exige avalia\u00e7\u00e3o imediata e manejo adequado. Compreender as poss\u00edveis causas e procurar atendimento m\u00e9dico em tempo h\u00e1bil \u00e9 fundamental para aliviar o desconforto e tratar quaisquer problemas de sa\u00fade subjacentes associados \u00e0 dis\u00faria. O tratamento varia conforme a etiologia.<sup>5<\/sup>\n    <\/p>","gt-synonyms":"Dor ao urinar, ardor ao urinar, ardor urin\u00e1rio, desconforto urin\u00e1rio, ardor ao urinar, dor uretral, ardor uretral, desconforto uretral, dor na mic\u00e7\u00e3o, mic\u00e7\u00e3o dolorosa, urodinia","gt-citation":"[1] Dysuria: What You Should Know About Burning or Stinging with Urination. Am Fam Physician. 2015 Nov 01;92(9):Online. PMID: 26554482.\n\n[2] Michels TC, Sands JE. Dysuria: Evaluation and Differential Diagnosis in Adults. Am Fam Physician. 2015 Nov 01;92(9):778-86. PMID: 26554471.\n\n[3] Geerlings SE. Clinical Presentations and Epidemiology of Urinary Tract Infections. Microbiol Spectr. 2016 Oct;4(5). DOI: https:\/\/doi.org\/10.1128\/microbiolspec.UTI-0002-2012\n\n[4] Stamm WE. Chlamydia trachomatis infections: progress and problems. J Infect Dis. 1999 Mar;179 Suppl 2:S380-3. DOI: https:\/\/doi.org\/10.1086\/513844\n\n[5] Gaydos C, Maldeis NE, Hardick A, Hardick J, Quinn TC. Mycoplasma genitalium compared to chlamydia, gonorrhoea and trichomonas as an aetiological agent of urethritis in men attending STD clinics. Sex Transm Infect. 2009 Dec;85(6):438-40. DOI: https:\/\/doi.org\/10.1136\/sti.2008.035477\n\n[6] Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015 Jun 5;64(RR-03):1-137. PMID: 26042815.","gt-clinical-context":"<p>\n        A dis\u00faria \u00e9 um sintoma comum de apresenta\u00e7\u00e3o tanto na aten\u00e7\u00e3o prim\u00e1ria quanto na urologia, exigindo uma avalia\u00e7\u00e3o minuciosa para determinar sua causa subjacente.<sup>1<\/sup> O contexto cl\u00ednico da dis\u00faria varia amplamente, pois ela pode estar associada a in\u00fameras condi\u00e7\u00f5es que afetam o trato urin\u00e1rio e as estruturas adjacentes.\n    <\/p>\n    <p>\n        Na pr\u00e1tica cl\u00ednica, a dis\u00faria est\u00e1 mais comumente associada \u00e0s infec\u00e7\u00f5es do trato urin\u00e1rio (ITUs), que ocorrem tanto em homens quanto em mulheres. Por raz\u00f5es anat\u00f4micas, as ITUs s\u00e3o muito mais comuns em mulheres do que em homens. Nas mulheres, as bact\u00e9rias podem alcan\u00e7ar a bexiga com mais facilidade devido \u00e0 uretra mais curta e mais retil\u00ednea que a dos homens.<sup>2<\/sup> Mulheres que utilizam t\u00e9cnicas de higiene \u00edntima inadequadas, que tomam banho de banheira em vez de chuveiro ou que t\u00eam determinadas pr\u00e1ticas de higiene podem estar predispostas a ITUs mais frequentes devido \u00e0 contamina\u00e7\u00e3o repetida do meato uretral por bact\u00e9rias perirretais e outras.<sup>3<\/sup>\n    <\/p>\n    <p>\n        A avalia\u00e7\u00e3o da dis\u00faria come\u00e7a com a obten\u00e7\u00e3o de uma anamnese detalhada e a realiza\u00e7\u00e3o de um exame f\u00edsico minucioso. Sinais e sintomas associados de hemat\u00faria, dor \u00e0 palpa\u00e7\u00e3o suprap\u00fabica, aumento da frequ\u00eancia urin\u00e1ria, urg\u00eancia, febre, calafrios, n\u00e1useas, v\u00f4mitos, dor lombar baixa, dor no flanco, dor articular ou erup\u00e7\u00e3o cut\u00e2nea exigem acompanhamento rigoroso.<sup>4<\/sup> O exame de urina \u00e9 o exame inicial mais \u00fatil em um paciente com dis\u00faria. Exames de urina positivos para nitritos t\u00eam alto valor preditivo de urocultura positiva (75%-95%). Leuc\u00f3citos positivos tamb\u00e9m s\u00e3o altamente preditivos, por\u00e9m um pouco menos do que os nitritos (65%-85%).<sup>5<\/sup>\n    <\/p>\n    <p>\n        Nos homens, a dis\u00faria \u00e9 frequentemente causada por uretrite e problemas da pr\u00f3stata. A causa mais comum de uretrite masculina \u00e9 infecciosa, por organismos sexualmente transmiss\u00edveis, como Neisseria gonorrhoeae, Chlamydia trachomatis e Mycoplasma genitalium.<sup>6<\/sup> A clam\u00eddia \u00e9 a causa mais comumente identificada de uretrite n\u00e3o gonoc\u00f3cica (encontrada em cerca de 15-40% dos casos), seguida por Mycoplasma genitalium.\n    <\/p>\n    <p>\n        As abordagens terap\u00eauticas variam conforme a etiologia subjacente. Para infec\u00e7\u00f5es bacterianas, s\u00e3o prescritos antibi\u00f3ticos adequados com base nos resultados da cultura e do antibiograma. Para causas n\u00e3o infecciosas, o tratamento concentra-se na condi\u00e7\u00e3o subjacente, por exemplo, removendo irritantes, tratando afec\u00e7\u00f5es da pr\u00f3stata ou tratando a cistite intersticial.<sup>5<\/sup> A educa\u00e7\u00e3o do paciente \u00e9 fundamental para prevenir casos recorrentes de dis\u00faria, particularmente naqueles com ITUs recorrentes, ISTs ou condi\u00e7\u00f5es como a vaginite atr\u00f3fica.<sup>6<\/sup>\n    <\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":140},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Dis\u00faria: Causas, Sintomas e Tratamento da Dor ao Urinar<\/title>\n<meta name=\"description\" content=\"A dis\u00faria \u00e9 a dor, desconforto ou queima\u00e7\u00e3o ao urinar. 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