Urethritis

Urethritis (Urethra Inflammation): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection/bacteria and shoot fungi, if necessary mycoplasma, ureaplasma urealyticum and resistogram). Laboratory parameters 2nd order – depending on the results of the history, physical examination, … Urethritis (Urethra Inflammation): Test and Diagnosis

Urethritis (Urethra Inflammation): Drug Therapy

Therapeutic targets Improvement of the symptomatology Elimination of pathogens Partner management in non-gonorrheic urethritis, i.e., infected partners, if any, must be located and treated (contacts must be traced for 4 weeks). Therapy recommendations For bacterial infection (antibiotic therapy): Acute urethritis: e.g., azithromycin or doxycycline (tetracycline). Gonococcal infection: without resistance testing ceftriaxome (cephalosporins); combined with azithromycin … Urethritis (Urethra Inflammation): Drug Therapy

Urethritis (Urethra Inflammation): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Renal ultrasonography (ultrasound examination of the kidneys; including the urinary tract) – if complications/consequential diseases are suspected. Urethrography (X-ray imaging of the urethra with contrast medium) or urethrocystoscopy (urethral … Urethritis (Urethra Inflammation): Diagnostic Tests

Urethritis (Urethra Inflammation): Prevention

To prevent urethritis (urethritis), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Sexual transmission Promiscuity (sexual contact with relatively frequently changing different partners or with parallel multiple partners). Prostitution Men who have sex with men (MSM). Sexual contacts in the vacation … Urethritis (Urethra Inflammation): Prevention

Urethritis (Urethra Inflammation): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate urethritis (urethritis): Leading symptoms Urethral discharge (urethral fluoride; urethral discharge), mucopurulent or purulent [Note: may not be noticed by the patient, or may be present only with urethral massage]. Dysuria – pain during urination Itching/burning in the urethra (urinary tract). Man: Penile irritation (penile irritation). Woman: Fluor vaginalis … Urethritis (Urethra Inflammation): Symptoms, Complaints, Signs

Urethritis (Urethra Inflammation): Causes

Pathogenesis (development of disease) The exact pathomechanism of urethritis is still unknown. In women, it is thought that, among other factors, a reduction in lactobacilli from the vaginal flora (vaginal flora) favors colonization (colonization) with Escherichia coli. Factors that favor inflammation also include the length of the female urethra, proximity to the anus, pregnancy, and … Urethritis (Urethra Inflammation): Causes

Urethritis (Urethra Inflammation): Therapy

General measures Partner management for non-gonorrheic urethritis, i.e., infected partners, if any, must be located and treated (contacts must be traced for 4 weeks). Observance of general hygiene measures! Genital hygiene Once a day, the genital area should be washed with a pH neutral care product. Washing several times a day with soap, intimate lotion … Urethritis (Urethra Inflammation): Therapy

Urethritis (Urethra Inflammation): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney … Urethritis (Urethra Inflammation): Examination

Urethritis (Urethra Inflammation): Medical History

Medical history (history of illness) is an important component in the diagnosis of urethritis (urethritis). Family history What is the general health of your relatives? Are there frequent urinary tract diseases in your family? Social history Has there been a recent change in sexual partner? Current medical history/systemic history (somatic and psychological complaints). Have you … Urethritis (Urethra Inflammation): Medical History

Urethritis (Urethra Inflammation): Or something else? Differential Diagnosis

Infectious and parasitic diseases (A00-B99). Bacterial urethritis, unspecified. Mycotic urethritis – caused by a fungal infection. Protozoal urethritis – caused by parasites (e.g. trichomonad urethritis). Viral urethritis Musculoskeletal system and connective tissue (M00-M99) Reactive arthritis (synonym: postinfectious arthritis/joint inflammation) – secondary disease after gastrointestinal (affecting the gastrointestinal tract), urogenital (affecting the urinary and genital organs), … Urethritis (Urethra Inflammation): Or something else? Differential Diagnosis

Urethritis (Urethra Inflammation): Complications

The following are the most important diseases or complications that can be caused by urethritis (urethritis): Musculoskeletal system and connective tissue (M00-M99). Reiter’s disease (synonyms: Reiter’s syndrome; Reiter’s disease; arthritis dysenterica; polyarthritis enterica; postenteritic arthritis; posturethritic arthritis; undifferentiated oligoarthritis; urethro-oculo-synovial syndrome; Fiessinger-Leroy syndrome; English Sexually acquired reactive arthritis (SARA)) – special form of “reactive arthritis” … Urethritis (Urethra Inflammation): Complications