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Canterbury District Health Board
Canterbury Regional Cancer and
Haematology Service
Oncology Service
Telephone Triage symptom prompt sheet
Dysuria
NU10.01.08 Dysuria
Definition
Dysuria: painful or difficult urination
Nocturia: excessive urination at night
Haematuria: discharge of blood in the urine
Potential causes
Spinal cord compression, UTI, acute infection, chemotherapy, invasive pelvic procedures – TURP,
cystoscopy, prostatectomy, radiation, brachytherapy.
Symptom Assessment
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Onset, duration, current voiding pattern – frequency, urgency, hesitation?
Time of last void and volume?
Appearance of urine: colour, clarity, presence of blood, clots or debris?
Usual voiding pattern? Any smell to urine?
Presence of pain: location, description, duration?
Recent procedures: catheters, surgery, radiation, chemotherapy
(cyclophosphamide/ifosphamide)?
Any other symptoms: fever, fatigue, dizziness, SOB, flank pain?
Does sexual activity exacerbate the problem?
How much fluid intake in last 24 hours? Insatiable thirst or diabetes?
Any history of UTI’s?
Date of last blood test, has a urine sample has been taken?
Have other symptoms of spinal cord compression been excluded i.e. limb numbness,
weakness, back pain, faecal incontinence.
Measurement/Evaluation
CTCAE Grading Guidelines
1
-
2
-
Acute pain
Incontinence
Unable to void > 10 hours with normal
fluid intake
Frank bleeding
Fever of 38OC or more
VERY URGENT
Author:
Clinical Nurse Specialist
Oncology Outpatient Dept.
Doc Code: NU10.01.08
3
4
Urgency limiting instrumental
ADL; medical management
indicated
Urinary urgency present
Change in character of urine
Minor changes in normal
voiding pattern
Consider MSU to exclude
infection
Urgent
Non-Urgent
Authorised By:
Medical Oncology
Clinical Director
Issue: 2016
Issue: 0.1
Review due: February 2018
Page 1 of 2
Canterbury District Health Board
Canterbury Regional Cancer and
Haematology Service
Requires immediate medical
attention
Author:
Clinical Nurse Specialist
Oncology Outpatient Dept.
Doc Code: NU10.01.08
Oncology Service
Telephone Triage symptom prompt sheet
Dysuria
Consult on call
team/medical attention
within 6-12 hours
Authorised By:
Medical Oncology
Clinical Director
Follow up within 24
hours, consider
community provider
support
Issue: 2016
Issue: 0.1
Review due: February 2018
Page 2 of 2
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