Urethritis

Urethritis is an inflammatory disease of the urethra wall. There are gonorrheal and non-gonorrheal urethritis. The latter can be infectious and non-infectious. Noninfectious urethritis occurs when the urethra is damaged in diagnostic and therapeutic procedures (traumatic urethritis), as a reaction to food and medicinal allergens (allergic), in metabolic disorders (phosphaturia, oxaluria, diabetes mellitus). Congenital urethritis occurs as a result of venous stasis in the prostateviscular vasculature. There are anterior, posterior and total urethritis.

Symptoms, course. In acute urethritis, pain, burning, itching at the beginning of urination, discharge from the external opening of the urethra are characteristic. Upon examination, hyperemia and mucosal edema in the area of ​​the external opening of the urethra, profuse purulent or mucopurulent discharge, palpation of the posterior wall of the urethra is painful. Subsequently, pain, swelling and soreness decrease, the detachment becomes insignificant or stops. Sometimes the detachable is noted only in the morning in the form of a crust that adheres the external opening of the urethra, urine is usually transparent with single purulent filaments. With prolonged urethritis, inflammation spreads to the posterior part of the urethra and the neck of the bladder (total urethritis). Acute total urethritis is characterized by frequent irresistible urge to urinate, pain at the end of it, pyuria, sometimes terminal hematuria.

With insufficiently effective treatment, urethritis can acquire a chronic course: complaints are usually associated with complications and neurotic phenomena. More often it is scanty discharge from the urethra, the number of which increases under the influence of provoking factors; Alcohol use, cooling, sexual arousal, etc.

Complications: prostatitis, epididymitis.

The diagnosis is based on the data of the clinic, a "three-glassed sample", bacteriological and bacterioscopic examination of the discharge from the urethra, and sometimes urethroscopy.

Treatment. The choice of medicines depends on the etiology of the disease. Produce a rinse of the urethra with antiseptics (potassium permanganate, silver nitrate, etc.) or antibiotics. Effective are tetracyclines, erythromycin. The prognosis is favorable.

Preventive maintenance: observance of personal hygiene, carrying out zndouretralnyh interventions with strict observance of asepsis and restriction of traumatic manipulations.