The urethra

Urethritis is an inflammation of the wall of the channel urination can be acute or chronic, caused by disease with viruses or bacteria.

Primary bacterial urethritis

Bacteria in the urethra

Bacteria in the urethra occurs the penetration of the urethra organisms, most often sexually. Form of bacteria in the urethra can be acute or chronic. It usually proceeds in less obvious clinical picture. Patients complain of pain when urinating, burning and itching in the urethra. Note in the allocation of scarce, sometimes mucous or purulent.

Primary bacterial urethritis

There are acute and chronic urethritis, caused by bacteria. Acute nonspecific inflammation of the difference between the clinical form of gonococcal urethritis. The duration of the incubation period can be different. Local signs of inflammation is manifested not so bright. There is pain when urinating, itching, burning, and purulent or Muco-purulent discharge, in addition to a small swelling of the mucous membrane of the urethra and the tissues that surround the exterior exit of the urethra.

Continuous inflammation of the urethra usually occur small symptoms. There is a slight itching and burning sensation during urination, scanty mucous discharge with high-resistance treatment. Short and wide channels the emission of the urine of girls or women allows the infection to penetrate freely to the bladder causing cystitis that is diagnosed during an ultrasound of the bladder. As for the men, the chronic form of this disease in some moments is a complex colliculites is an inflammation of a combined bump. Seed tubercle represents the location of the outlet ducts of the prostate, or vas deferens. Inflammation of this organ can be the cause of hemo-sperm or disorders of ejaculation in men.

How to quickly cure a urethra

Secondary bacterial urethritis

The infectious organism gets in the urethra of a local source of infection, it can be pelvic organs, bladder, prostate, seminal vesicles, or may develop during infectious diseases sore throat, pneumonia. Secondary, non-specific disease, which is characterized by a long latency time. Patients complain of mild pain during urination, small discharge from the urethra with mucopurulent character, is stronger pronounced in the morning. Children painful sensations during urination is often absent. During the examination revealed hyperemia and bonding sponges external opening of the urethra.

During the test, the initial part of the urine is cloudy as usual, contains a large number of white blood cells. Repeating part of the number of leukocytes less, and the third, most often corresponds to the norm. In order to preliminary determine the nature of the microflora carrying out the direct microscopic analysis detachable urethra. In order to clarify what the agent of infection, as well as the sensitivity with respect to antibacterial drugs implement sowing removable or flush the urethra.

Gonorrheal urethritis

Gonococcal urethritis is called a sexually transmitted diseases. It is transmitted sexually. It is often possible, and the household way to pass on the infection during the use of shared towels, toilet. Household factor infection more common in children. During childbirth it can be transmitted, if the mother is diagnosed with gonorrhea, the child may develop infections of the conjunctiva the membrane of the eye. The consequences of sexual contact with the plaintiff gonorrhea after 4-6 days appear yellowish-gray purulent discharge when urinating, can also appear painful and burning. As you progress the infection up the urethra, the area of infection widens, the patient has fever, feels weak and cold. Often the latency period of the disease lasts several weeks. In this case, gonococcal urethritis typically becomes chronic.

The chronic form of gonorrheal urethritis develops:

The urethra in men
  • in patients who are not treated or not completely cured of acute inflammatory process in gonococcal urethritis etiology;
  • patients with a weakened immune system;
  • during the period involved in the inflammation of the prostate, and also back area of the urethra.

Criteria for cure

After the first 7-10 days after completing treatment, perform a direct microscopic analysis detachable urethra. When the gonococci are not obvious, the running cumulative provocation: biological, chemical provocation (inserted into the urethra 0.5 R-RA silver nitrate). Even to understand the mechanical, thermal (heating industrie systeme currents), and finally, the provocation of alcohol or fatty foods.

Then every day for three days to analyze the secret of the prostate gland, filament-urine or swabs of the urethra. Without cells or gonococci provocation to continue after 1 month. After one month spend the third, the final control study. When clinical symptoms are absent, and the gonococcus is no longer detected during planting and examen, the patient is removed from the register.

Forecast

In the form of gonorrheal urethritis a favorable prognosis is possible only in case, that regular and correct treatment. Running more serious cases, they may be involved in the formation of stickuri the urethra. The clinical picture may be associated with chronic prostatitis, epididimit later infertility.

Trichomonas urethritis

Trichomonas in the urethra are the most common infections that are sexually transmitted. Men get infections due to pathogenic micro-organisms, which are found in the seminal vesicles and prostate. Infection occurs urinariorum channels. The causative agent of the disease — Trichomonas, pear-shaped bacteria.

Chlamydia of the urethra

Disease chlamydia urethritis is caused by bacteria — chlamydia. This infection can also affect the respiratory tract, gastrointestinal tract, eyes, can cause bronchitis, pneumonia, conjunctivitis.

Chlamydia urethritis usually is slow. Inflammation of the urethra in some cases, the event of loss the joints. The diagnostic criteria is the presence of stained scrapings from the urethra semilunar intracellular inclusions.

Kandidamikoze the urethra

Causes of urethra

Develops as a result of mucosal lesions, droge-sicut mushrooms. Most often it is a complication of long-term antibiotic treatment. The proceeds, usually without significant clinical symptoms. Can't be a tooth, minimal, burning, slight discharge from the urethra. Treatment is to remove the antibiotic, the appointment of vitamins and antifungal drugs.

Prevention urethra

To avoid infection you need to avoid unprotected and casual sex, observe the rules of hygiene, 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 and acute diseases, and not to use them.

Causes of urethra

The urethra can be divided into primary, if the process of filling starts immediately after the channel wall, and the secondary, if the bacteria have channels to other organs. Normally, the infection arrives into the channel, cystitis, prostatitis, pyelonephritis, inflammation of genitals.

First and significant, "bell", which should include a visit to the doctor should be painful urination and discomfort.

Infection channel of urination during the primary in the urethra, as a rule, passes after intercourse. Infection after trauma, catheterization of the bladder. Sometimes you come across an allergic the urethra.

The disease rarely develops in the absence of the pathogen (toxic, radiation, allergic the urethra). Often the cause of this disease to be injured during a diagnostic or therapeutic procedure (catheterization of the bladder in men, drugs, etc.).

Symptoms of the urethra

The urethra

Symptoms of gonococcal urethritis

Chronic inflammatory shock feature does not clear the severity of symptoms. Patients worried about itching, and slight burning in the urethra. At the beginning of urination occur simultaneously weak of pain. Discharge from the urethra is small, Muco-purulent, usually in the morning. The swab shows the presence of gonococci, and the secondary microflora.

During chronic gonorrheal urethritis in the process often involved ducts paraurethral glands. The inflammation impedes the outflow, which leads to the blockage of the channel, the progression of infiltrates, abscesses, and osmawani cavities. Overall, the patient's condition is getting worse, which is characterized by sharp pain when urinating.

Symptoms of Trichomonas urethritis

The first symptoms appear after 2 to 10 days after contact with bacteria in the body. But very often patients do not have any specific complaints, particularly symptoms of urethritis in women.

Often in men, trichomoniasis is still asymptomatic or causes a very scarce symptoms. Patients are often not aware of their disease and spread it among their partners. 15-20% of cases of chronic form develops in the prostate, which worsen the patient's condition and difficult to cure.

Typical symptoms are itching and burning in the urethra, pain during sex, frequent urination. Symptoms may worsen after the consumption of alcoholic beverages. In particular, the complaint in this case can be very different — the small discomfort of sexual dysfunction associated with neurotic condition.

The diagnosis of urethritis

The diagnosis of gonococcal urethritis

In order to diagnosis microscopy of secretions from the urethra. The diagnosis is confirmed, when there is a gonorrhea — gram-negative bean-shaped aerobic diplococci. The standard analysis consists of two steps, the staining method of Gram, as well as brilliant green.

Diagnosis of Trichomonas urethritis

Diagnosis is based on anamnesis, results of microscopic examination of the clinical picture. In case of doubt, refer to the bacteriological examination.

Treatment of bacterial urethritis

So far, urology owns effective methods for the treatment of nonspecific urethritis. The treatment strategy is decided, depending on the pathogen, the symptoms, the presence or absence of complications. Tandem-urethritis, cystitis should be marked combined treatment. During chronic non-specific treatment with antibacterial drugs has been updated for instillation into the urethra of a solution dioksidina, and collargol and silver nitrate, to perform operations, the purpose of which is to stabilize the immune system. Summary during treatment with the secondary of the urethra due largely to the fact that the effectiveness of the treatment of the primary disease, stricture of the urethra, vesiculitis and prostatitis.

Treatment of gonorrheal urethritis

Treatment urethra associated with prescription of antibiotics with bactericidal action and bacteriostatic action. Treatment of gonorrheal urethritis careful laboratory and clinical research for patients, a comprehensive treatment: symptomatic, pathogenic etiotropic treatment, individual approach to each patient.

Most often used for the following antibiotics:

  • ketocef;
  • klaforan;
  • oletet the;
  • chloramphenicol;
  • penicillin;
  • erythromycin and other.

But, of course, the treatment of urethritis in men and women should be prescribed only by a doctor. Not to self-medicate.

In the treatment of Trichomonas urethritis

The use of special anti-Trichomonas drugs, the most effective ones are metronidazole, tinidazole and liberalism. The sequence of treatment is determined by the patient's condition, severity of symptoms, presence of complications or co-infections that are sexually transmitted. Self-treatment is unacceptable, because it can contribute to deformation of the acute process to a chronic form.

To prevent reinfection to simultaneously treat a regular sexual partner of the patient. During treatment, and within a couple of months after, when patients often recommend drinking, exclude spicy foods and alcohol from the diet. After enduring inflammation of the chronic form is defined and the General and local treatment. The last 5-6 days the patient is to carry out the instillation of 1% solution trichomonacide takes about 10-15 minutes.

Pills

The duration of treatment is about 1 month. During treatment and afterwards is to wait with sex.

Treatment of chlamydia urethritis

Harm to treat chlamydia, caused by insufficient permeability of the cell membranes of a large number of antibiotics. Characterized by recurrent manifestations after completed courses of treatment. In order to increase the effectiveness of the drug broad spectrum of action is prescribed concurrently with corticosteroids. Maximum dose of prednisone 40 mg/day, duration of treatment — 2-3 weeks. During treatment, the dose of hormones and gradually decreased until complete removal.

As a result of this disease may be an ectopic pregnancy before period, infertility, so it is important, very responsible approach to its treatment.