Urethritis

Information

Inflammation of urethra /urethral canal/ caused by microorganisms is named urethritis. Most affected is mainly the age of 21 – 30 years, but there is a trend to moving to earlier age. In men the lesion is 2-3 times more frequent than in women, and by paradox more affected are the married women as compared with the single. With regards to the seasons, there is a slight majority of the summer months. As for the professions, significant share belongs to unemployed by socially useful labour /18.2%/, drivers /11.5%/ and students /8.2%/, while in the professions with hard labour, morbidity is insignificant /1.3%/. By statistical data, 80% of the patients are with secondary and higher education and well insured materially, 35% are infected at business trip. Over 40% are contaminated /infected/ under the effect of alcohol and only 25% have certain knowledge about the sexual culture and sexually transmitted diseases.

Subjective symptoms vary from itching and stinging in urethra to severe urethral syndromes, expressed by strong pain at emiction, interrupted emiction, tenesmus, impossibility for long retention of emiction – manifested at passage of inflammation to the urinary bladder, sense of insufficient emiction. Exudate appears /fluid from urethra/, which may be:

• abundant, milky exudates – in trichomonasis;
• creamy exudates – in candidosis /fungi/;
• abundant purulent exudates – in bacterial inflammation /mainly gonococci/;
• mucopurulent exudates – in viral /respectively chlamydia and mycoplasma/ agents.

Inflammation always start as acute one.

After a good treatment and control exams, the final healing is possible. In not well healed inflammation, it is possible to turn to the so called chronic urethritis, expressed by light complaints about emiction, almost without secretion from urethral canal, by periodical isolation of microorganisms and virulent agents from urethra. Inflammation disseminates to the urethra adjacent organs like prostate, seminal vesicles, testicles, urinary bladder and may reach to disorders of sexual functions, insemination ability.

Diagnosis is placed from anamnesis of the patient, the exam done at the urological consulting room as well as taking secret from inflamed urethra to establish the microbiological or viral agent. Treatment depends on the microbiological results, status and duration of complaints. Treatment may continue from several days up to a month, by one or several antibacterial drugs, anti-inflammatory drugs, vitamins and immunomodulators. It is desirable during the treatment to observe definite hygienic-dietary regimen for quicker recovery and protection from overlaying of infections or re-infections.

Control exams are carried out after the therapeutic course to prove the therapeutic effect. “Vita” has available clinical and microbiological laboratory for proving of about 90% of sexually transmitted urethritis – banal microflora - Gr(+) and Gr(-) bacteria, parasites, virulent agents – Chlamydia, mycoplasma, and mycotic agents – candida (fungi). By statistical data, 90% of the patients, who attended “Vita” with lesions of acute or chronic inflammation of urethra, are completely healed.