Post Date December, 03 2023
The typical symptoms of urethritis are redness, swelling, and stinging at the urethral opening, but these symptoms are not unique. Some other diseases may also have such diseases, mainly reproductive infections. So men should pay attention to this, not only by timely diagnosis, but also by distinguishing it from other diseases.
1. Urethritis and gonococcal urethritis
Gonorrhea urethritis is a more serious disease, and it is a specific infectious sexually transmitted disease. There is purulent discharge in the urethra, and Gram negative diplococci can be seen in the granulocytes of the lobulated nucleus through pus smear staining. Secondly, it should be distinguished from non gonococcal urethritis and trichomonal urethritis. Women are easy to find trichomonas in the vagina, while men are not easy to find trichomonas. It is often necessary to check for trichomonas under the foreskin, urethral orifice secretion, prostatic fluid and urine to make a diagnosis. Reiter syndrome, in addition to urethritis, also includes conjunctivitis and arthritis.
2. How to treat urethritis
The treatment of urethritis depends on the situation, and acute and chronic treatments are different. Acute urethritis is often treated with a combination of antibiotics and chemical drugs. Systemic treatment should pay attention to rest and replenish sufficient fluids. During acute periods, sexual activity should be avoided in the short term, otherwise it may prolong the course of the disease; During chronic periods, if the urethral opening or inner urethra is narrow, urethral dilation should be performed. If a patient has urinary tract irritation syndrome and regular antibacterial treatment is ineffective, and unless there are complex factors present, it should be considered as a mycoplasma, chlamydia, or virus infection, and tetracycline treatment can be used first. If there is resistance to tetracycline, erythromycin, methylerythromycin, or roxithromycin can be used instead. The above drugs are effective against Mycoplasma and Chlamydia. If the above treatment is still ineffective, it may be acute urethral syndrome.
Therefore, although the symptoms of urethritis are more obvious, it is still necessary to have experienced physicians diagnose it for oneself to avoid confusion with other diseases. At the same time, treatment should be immediately carried out after diagnosis, and appropriate drugs should be selected based on the patient's disease and physical condition.
(Intern Editor: Cai Junyi)
