DENOMINATION

• Syndrome uretral.

DEFINITION

Inflammation and annoyance of the urethra that can last weeks or months. The urethra is, basically, the conduit for which it thinks up the urine from the bladder up to the exterior.

CAUSES, INCIDENCE AND FACTORS OF RISK

Normally, the chronic uretritis, is caused by a bacterial infection, or by a structural problem (the tightening of the urethra). It can collaborate also with a big variety of systemic illnesses, including emotional problems. The uretritis can appear in women or men. The principal symptoms of the uretritis (the painful micturition and increase of the urinal frequency) are very common and they suppose of 5 10 % of all the visits to the doctor. Of all the persons who present the above mentioned symptoms, between 50 and 70 % suffer a bacterial infection in the urethra or the bladder (cystitis); be already for the first time, or of ingenious appellant. 10 % is women with vaginitis and, the rest, they are men or women with syndrome uretral (the symptoms appear but there is no infection evidence). Inside the group of possible causative agents there are included all the organisms that cause the big variety of sexually transmitted diseases (ETS).

PREVENTION

It is of big help to drink a lot of water. The women with infections of the urinal tract associated with the sexual relation (the symptoms appear in 12 p.m. later to the relation) should urinate just after this one. Also it is important to support a good hygiene, so much on the part of the affected person as for that of his couple. The good hygiene is that one suitable, neither excessively nor deficiently, and it is necessary to carry out with soaps adapted for the genital area, not excessively aggressive.

So soon the symptoms appear it is important to obtain the suitable attention, in order to avoid the structural damage that can cause in the textiles a persistent inflammation or the plastered one.

SYMPTOMS

• I increase in the urgency and the urinal frequency.
• On having urinated, with intense heat or itch in the urethra and part discomfort sensation goes down the abdomen (to see Pain on having Urinated).
• It discharges uretral, that can be bloody or purulent.

The symptoms are lasting (chronic).

ANALYSIS AND TEST

• Analysis of urine, which can reveal the possible existence of an infection.
• Urine cultivation with antibiograma to confirm the infection, the causative agent and the most suitable antibiotic.
• Cultivation of exudado uretral or vaginal cultivation to discard any ETS.
• Cistoscopia, to examine the urethra straight. This not always is necessary, although if the uretritis does not become possible to recover, or it does not go so far as to determine his cause, it can go so far as to have to be realized.

TREATMENT

If there is infection evidence, antibiotics are prescribed and, after having taken the whole medication, a few serial cultivation is done, to confirm his efficacy.

The women who have presented repeated episodes of uretritis or cystitis can be prescribed by a dose of antiseptic postcoital (taken a little time earlier or after the sexual relation).

With syndrome uretral (symptoms without the infection evidence) it is possible to prescribe the persons fenazopiridina to diminish the discomfort on having urinated, if he does not go so far as to know the cause of the inconveniences, which can be great others (to see Vaginitis).

PROGNOSIS

In most of cases, it is possible to identify the causative reagent, and to initiate the appropriate treatment.

COMPLICATIONS

A long infection, without treatment it can progress and derive in a pielonefritis (infection of the kidney) or produce a structural damage in the urinal tract.

WHEN TO CALL THE DOCTOR?

Whenever symptoms appear of uretritis chronicle.

WHAT DOCTOR CAN TREAT ME?

• UROLOGISTS
• GYNECOLOGISTS
• Consult the specialist

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