A woman who reports painful urination during or after voiding might have problem in which of the following locations?
A. Bladder
B. Kidney
C. Uterus
D. Urethral
Correct Answer: D. Urethral
Explanation
Painful urination ( dysuria ) occurring during or immediately after voiding usually indicates a problem in the lower urinary tract.
Most likely location:
👉 Urethra
Explanation:
- Urethral inflammation (urethritis) causes burning or pain during or just after passing urine, because urine directly irritates the inflamed urethral mucosa.
- Common causes include:
- Urinary tract infection (UTI)
- Sexually transmitted infections (e.g., Gonorrhea, Chlamydia)
- Local irritation or trauma
Comparison with other sites:
- Bladder (cystitis): Pain is more commonly suprapubic and associated with urgency and frequency, usually worse at the end of micturition.
- Kidneys: Cause flank pain and fever, not dysuria.
- Vagina or vulva: Pain may occur externally but is not true urinary dysuria.
✅ Correct answer:
Urethra
Other Options Details
Here is a clear description of all the options, especially in relation to painful urination (dysuria):
A. Bladder
- The bladder stores urine.
- Inflammation or infection of the bladder (cystitis) commonly causes pain or burning during or at the end of urination.
- Patients may also have urgency, frequency, and suprapubic pain.
- This is a very common cause of dysuria in women.
B. Kidney
- Kidneys produce urine.
- Kidney infection (pyelonephritis) usually causes flank pain, fever, chills, and malaise.
- Pain is not typically felt during urination.
- Dysuria may be present but is not the primary symptom.
C. Uterus
- The uterus is a reproductive organ and not part of the urinary tract.
- Uterine disorders usually cause pelvic pain, abnormal bleeding, or menstrual problems.
- Painful urination is not directly related to uterine pathology.
D. Urethral
- The urethra is the passage through which urine exits the body.
- Urethritis (often due to infection) causes burning or pain during urination, especially at the start of voiding.
- It is a common cause of dysuria, particularly in sexually transmitted infections.
Key Clinical Note
- Pain at the start of urination → Urethral cause
- Pain at the end of urination → Bladder cause
I hope that you liked this article.
Thanks!! 🙏 😊
Writer: Vandita Singh, Lucknow (GS India Nursing Group