Urethritis is an inflammation of the wall of the channel, the urination can be acute or chronic disease caused by the viruses or the bacteria.
Bacterial urethritis is manifested in the penetration of the urethral organisms, most often sexually. Form of the bacterial urethritis can be acute or chronic. Usually progresses less obvious clinical picture. The patient complains of pain when urinating, burning sensation and itching in the urethra. Note: the allocation of scarce, sometimes mucous, or purulent.
Primary bacterial urethritis
Acute and chronic urethritis, caused by bacteria. Acute, non-specific inflammation, different from the clinical form of gonococcal urethritis. The duration of the incubation period can be different. Local signs of inflammation of is manifested, not so bright. There is pain during urination, itching, burning, purulent or Muco-purulent secretion, in addition, a small swelling of the mucous membrane of the urethra, tissue around the external exit of the urethra.
Continuous inflammation of the urethra usually occurs in the small symptoms. There is a slight itching, burning sensation the period of urination, incomplete mucous discharge high resistance to treatment. Short, wide channel emission of urine, the girls or the women allows the infection to penetrate freely to the bladder, which is cystitis the diagnosis during ultrasound of the urinary bladder. As regards the men, the chronic form of this disease is a few moments the complexity of the colliculites the inflammation of a combined bump. Seed tuberculosis represents the location of the output channels, the prostate or the VAS deferens. The inflammation of this organ may be the cause of the kata-the sperm or disorders in ejaculation in men.
Secondary bacterial urethritis
The infectious organism gets to the urethra from a local source of infection of the pelvic organs, the bladder, the prostate, the study of blisters, or develop during the infectious diseases, pharyngitis, pneumonia. The secondary non-specific disease, which is a long incubation period. The patients complained of mild pain during urination, a mild fistula of the urethra of the mucopurulent character, is stronger pronounced in the morning. The children's painful sensations during urination is often missing. During this period, the investigation revealed hyperemia, knitting sponges external opening of the urethra.
During the test, the initial part of urine is not cloudy, as always, contains a high number of white blood cells. The repeat part of the number of white blood cells is less, and the third, in most cases, corresponds to the norm. In order to preliminary determine the nature of the microflora of the implementation of direct microscopic analysis detachable urethra. In order to clarify the kind of agent of the infection and the sensitivity compared to antibacterial agents finally, the detachable, or rinse the urethra.
Gonorrhea of urethritis
Gonococcal urethritis referred to venereal diseases. It is transmitted sexually. Often it's possible household ways of transfer of infection, the use of the common towel, toilet. Household factors the infection is more common in children. During childbirth can also be transmitted if the mother is diagnosed with gonorrhea, the child may develop infection of the conjunctiva membrane in the eye. As a result, your sexual contact with a carrier of gonorrhoea after 4-6 days appears yellowish-gray purulent discharge when urinating, can also occur, painful, burning. When promoting infection of the urethra, the inflammation area is getting wider, the sick you have a fever, feel weak, cold. Often the latent period of the disease lasts for a few weeks. In this case, gonococcal urethritis is usually becomes chronic, of course.
The chronic form of gonorrhea from urethritis develops:
- those patients who are not treated or not completely cured acute inflammatory process in the urethra gonococcal etiology;
- in patients with a weak immune system;
- during the period involved in the inflammation of the prostate, as well as the back area of the urethra.
After the first 7-10 days after completing the treatment, carried out direct microscopic analysis detachable urethra. When the gonococci are not obvious, the achieved cumulative provocation: biological, chemical provocation (inserted into the urethra 0.5 R-RA silver nitrate). Even that mechanical, thermal (heating industrie systeme power), and finally the provocation of alcohol or fatty foods.
And every day, three days, to analyze the secret of the prostate, endless urine or swabs of the urethra. In the absence of cells or gonococci provocation continue after 1 month. A month after we spend the third and final control examination. If the clinical symptoms are not present, the gonococcus is no longer detected during planting, examen, the patient is removed from the register.
In the form of gonorrhea from urethritis favorable prognosis is possible only if the regular and appropriate treatment. Running in more severe cases may be accompanied by the formation stickuri the urethra. The clinical picture can connect to, chronic prostatitis, epididimit subsequent infertility.
Trichomonas urethritis is among the common infections that are sexually transmitted. The men infections due to pathogenic micro-organisms, which are found in the famous blisters the prostate. The infection occurs urinariorum channels. The pathogen of the disease — caused by Trichomonas, pear-shaped bacteria.
Disease chlamydia urethritis is caused by bacteria — chlamydia. This infection affects the respiratory tract, digestive system, the eyes, ' cause bronchitis, pneumonia, conjunctivitis.
Chlamydia urethritis is usually slow. The inflammation of the urethra in some cases takes place, the defeat of the joints. The diagnostic criterion is the presence of painted morzsalékot the urethra semilunar intracellular inclusions.
Develops, as a result, the mucous membrane lesions, drug-sicut mushrooms. Most often it is a complication of prolonged antibiotic therapy. Income, usually without significant clinical symptoms. It may be a tooth, is negligible, burning, slight discharge from the urethra. The goal of treatment is to eliminate the antibiotic, the appointment of vitamins, anti-fungal drugs.
Prevention of urethritis
To avoid infection you need to avoid unprotected and casual sex, stick to the hygiene rules, but it is also very important to prevent the entry of bacterial pathogens into the body. And this is very important to treat all chronic, acute diseases, not to control them.
Causes of urethra inflammation
Urethritis can be divided into primary, if the process of charging begins immediately at the channel wall, and the secondary, if the bacteria is placed in the channel of the other organs. Usually the infection in the channel, cystitis, prostatitis, pyelonephritis, inflammation of genitals.
The first significant, "bell", which entails the doctor's visit, painful urination, some discomfort.
The infection in the canal during urination the primary urethritis, as a rule, passes after intercourse. Infection, after trauma, catheterization of the bladder. Occasionally they met allergic urethritis.
The disease rarely develops in the absence of infectious (toxic, radioactive radiation, allergic urethritis). Often cause this disease is damaged during diagnostic or therapeutic procedure (catheterization of the urinary bladder in men, drugs, etc.).
The urethritis symptoms
The symptoms of gonococcal urethritis
The chronic inflammatory stroke characteristics, it is not clear the severity of the symptoms. Patients worried about itching, mild burning of the urethra. Beginning of urination occurs in parallel to weak pain. Discharge from the urethra is small, Muco-purulent, usually in the morning. The tampon shows the presence of gonococci, and the secondary microflora.
During this period, the chronic gonorrhea of urethritis, the process is often involved in the ducts of the para urethra of glands. Inflammation makes it difficult outflow, which is a blockage of the duct, progression of infiltrates, abscesses, osmawani cavities. Overall, the patient's condition is worsening, characterized by sharp pain during urination.
The symptoms of Trichomonas urethritis
The first symptoms after 2-10 days after contact with the bacteria in the body. But very often the patients do not have any special complaints, especially the symptoms of the urethra inflammation in women.
Often in men, trichomoniasis remains asymptomatic or causes a very minor symptoms. The patients are often not aware of the spread of the disease among the partners. 15-20% of the chronic form develops in the prostate, which worsen the patient's condition, but it is difficult to cure.
Typical symptoms of itching, burning, urethra pain during sex, frequent urination. The symptoms worsen after the consumption of alcoholic beverages. Notably, the complaint in this case is also very diverse — from discomfort to sexual dysfunction, associated with neurotic condition.
Diagnosis of urethritis
Diagnosis of gonococcal urethritis
The diagnosis is the microscopic examination of mucus from the urethra. Not sure of the diagnosis, when gonorrhea — gram-negative, bean-shaped aerobic diplococci. The standard analysis involves two stages, the staining method Gram, and the brilliant green.
Diagnosis of Trichomonas urethritis
The diagnosis is based on history, the results of microscopic examination of the clinical picture. In doubtful cases, refer to the bacteriological research.
The treatment of bacterial urethritis
Date, urologist, owner of effective methods of treatment of non-specific urethritis. The treatment strategy is decided, depending on the type of pathogen, symptoms, presence or absence of complications. Tandem urethritis from cystitis, it becomes the indication for the combination therapy. During this period, the chronic non-specific the treatment of antibacterial drugs has been updated with the instillation of the urethra, the solution dioksidina, the collargol and silver nitrate, as activities, which aim to stabilize the immune system. Summary of the therapy during the secondary urethritis this is largely due to the effectiveness of treatment of the primary disease, stricture of the urethra, vesiculitis, prostate.
The treatment of gonorrhea of urethritis
Treatment of urethritis associated with prescription antibiotics, bactericidal, bacteriostatic activity. The treatment of gonorrhea from urethritis careful laboratory and clinical examination of patients, comprehensive treatment: symptomatic, pathogenetic etiotropic therapy, individual approach to each patient.
The most commonly used to treat the following antibiotics:
- the penicillin;
- the medication with other people.
But, of course, treatment of urethritis, the man, the woman should be prescribed only by a doctor. I wouldn't give.
Treatment of Trichomonas urethritis
Use specific anti-Trichomonas drugs, the most effective is also metronidazole, tinidazole, liberal. The sequence of the treatment is determined by the condition of the patient, the severity of the symptoms, the complications the presence of, or co-infections, which are sexually transmitted. Self-treatment is unacceptable, since it can contribute to deformation of an acute process into a chronic form.
Prevent the infection to be treated at a time, regular sexual partner of the patient. During the treatment, the subsequent a few months after the patient is advised to often drink, exclude spicy foods and alcohol from the diet. When resistance-inflammation, chronic in a form is assigned, and the general and local treatment. For the past 5-6 days the patient is carried out by instillation of 1% solution trichomonacide lasting approximately 10-15 minutes.
The duration of treatment is approximately 1 month. During the treatment, and subsequent recovery must wait the sexual acts.
Treatment of chlamydia urethritis
Inconvenience, for the treatment of chlamydia is caused by insufficient permeability of cell membranes to many antibiotics. Typical recurrent symptoms after completed courses of treatment. In order to increase the efficiency of the drug wide spectrum of action is prescribed concurrently with corticosteroids. The maximum dose of prednisone 40 mg/day, duration of treatment — 2-3 weeks. During the therapy, the dose of hormones and gradually reduced until their total abolition.
What are the consequences of this disease may be the ectopic pregnancy before period, infertility, therefore, it is important that a very responsible attitude to the treatment.