The anterior urethra of either gender, skin and perineum due to proximity of the same type includes a small number of microorganisms. These microorganisms are often coagulase-negative staphylococci, Corynebacterium, and Lactobacillus species.
A gram-negative diplococci urethritis Gonococcal factor of N. Gonorrhea is ". Although the incubation period for many exceptions GU ranged from 3 to 10 days. For example, some strains of the gonococcus in as little as 12 hours of symptoms, while some other strains of this period is up to 3 months.
Gonococcal urethritis "Most of the patients with disease during sexual intercourse. For men, sexual intercourse with an infected partner is the only possibility of getting 17% of gonorrhea is ". Infected partner, the risk increases as the number entered in the relationship. Uncircumcised men may be at highest risk of transmission of gonorrhea. The only way for the transition is not direct contact with vaginal gonococci. Pharynx through oral sex with an infected partner also is increasing evidence that could pass.
Classically, GU "is seen in the urethral discharge and burning during urination. This discharge is usually abundant and only a very small amount or not at all. GU can be seen in 40-60% of asymptomatic patients with known Gonorrheal spouses. Treatment of symptomatic gonorrhea, even though not recover. However, as the remaining carrier potentially also protect.
Gonorrhea, the use of condoms on a regular basis, and intravaginal antibiotic and antiseptic applications postexposure antibiotic use can be prevented.
Laboratory examinations are needed for initiating the correct diagnosis of gonorrhea. Gonococcic infections, such as the urethra to occur in regions with a very wide range of normal bacterial flora, contaminated not samples collect last degree It is important. Examples patient at least 1 hour after the making of urine calcium should be taken alginate bars. Swabs should be planted directly into the cultures. The same example can also be used for gram stain. Gram staining facing the trained lab personnel on a regular basis, 99% and 95% sensitivity and specificity of the diagnosis of gonorrhea in a way.
Pharynx, Anorectal, cervix and the urethra is now recommended for uncomplicated infections gonococcic drug. However, 30% of men with GU "u as well as C. Trachomatis with "because they were infected in the treatment of a tetracycline derivative, suggested the addition of azithromycin or ofloxacin.
Non-gonococcal Urethritis
NGU "in the most important and potentially the most dangerous pathogens C. Trachomatis is ". Of cases of NGU % 30-50 "Sinden C. Trachomatis is responsible. NGU "li 25-60% of heterosexual men, "then, Gonorrhea 4-40% of men" and STD clinics, but not seen in 0-7% of men without symptoms of urethritis "cynical C. Trachomatis detected. The United States "in 40% of PID are" the reasons for this C. Trachomatis is ".
NGU "with 20-50% of men" of Ureaplasma urealyticum "la become infected. In the etiology of NGU U.urealyticum "because it is difficult to ascertain the role of the pathogenic microorganism of genital colonization of the patient directly proportional to the number of previous sexual partners. From five to three the number of partners for men, 70% of samples taken from the Ureaplasma "or come across.
NGU "in the usual incubation period of 1-5 weeks. Typical symptoms of dysuria and urethral discharge. Although a small amount is usually dense and purulent urethral discharge may be. May not discharge, and the patient may complain of only the urethral pruritus.
A man suspected urethritis, urethral discharge is ideal for the accurate depiction as 4 hours after holding urine should be examined. Gram stain of urethral discharge in more than four polymorphonuclear leukocytes per 1000 magnification oil immersion field correlates with presence of urethritis. C. As far as possible Trachomatis should be made ??to determine the culture. C. Trachomatis is an intracellular parasite, the culture of urethral exudate or urine sample to be taken to be rather swab. Example 2 to 4 mm of the urethra, and a special transport medium should be taken with caution.
NGU "in the treatment of choice, or doxycycline, 100 mg single oral dose of azithromycin 1 g orally, 2 times a day 7 days. If culture, NGU "in the cause of C. Trachomatis should be considered. NGU "with 60% of men and women mate with 30% C. Trachomatis has been isolated. As part of the management of urethritis, for the treatment of the patient's sexual partner should also immediately make an attempt. In general, the regime used in the treatment of men, should also be used in the treatment of women.
NGU "with 20-50% of men" of Ureaplasma urealyticum "la become infected. In the etiology of NGU U.urealyticum "because it is difficult to ascertain the role of the pathogenic microorganism of genital colonization of the patient directly proportional to the number of previous sexual partners. From five to three the number of partners for men, 70% of samples taken from the Ureaplasma "or come across.
NGU "in the usual incubation period of 1-5 weeks. Typical symptoms of dysuria and urethral discharge. Although a small amount is usually dense and purulent urethral discharge may be. May not discharge, and the patient may complain of only the urethral pruritus.
A man suspected urethritis, urethral discharge is ideal for the accurate depiction as 4 hours after holding urine should be examined. Gram stain of urethral discharge in more than four polymorphonuclear leukocytes per 1000 magnification oil immersion field correlates with presence of urethritis. C. As far as possible Trachomatis should be made ??to determine the culture. C. Trachomatis is an intracellular parasite, the culture of urethral exudate or urine sample to be taken to be rather swab. Example 2 to 4 mm of the urethra, and a special transport medium should be taken with caution.
NGU "in the treatment of choice, or doxycycline, 100 mg single oral dose of azithromycin 1 g orally, 2 times a day 7 days. If culture, NGU "in the cause of C. Trachomatis should be considered. NGU "with 60% of men and women mate with 30% C. Trachomatis has been isolated. As part of the management of urethritis, for the treatment of the patient's sexual partner should also immediately make an attempt. In general, the regime used in the treatment of men, should also be used in the treatment of women.
What is urethral stricture
Urethral stricture, as the term is usually the anterior urethra, spongy erectile tissue that covers the corpus cavernosum defines or refers to the formation of scar. Impairing the urethral epithelium or the underlying corpus cavernosum to result in scarring healing processes as part of any degree of harm; the anterior urethra. Today, most urethral stricture is a result of trauma. (Usually consisting of straddle injuries). Symptoms of voiding dysfunction that often occurs with trauma to the urethra is not noticeable. Unfortunately, iatrogenic trauma of the urethra, but there are still small endoscopes development and male in children cystoscopy We see now as a result of limiting the indications for iatrogenic urethral more rare.
Obstructive voiding symptoms in patients with urethral stricture or urinary tract infection is often found. Some patients with urinary retention may also. However, a detailed medical history is taken, a considerable majority of these patients prior to full Obstructive voiding symptoms for a long time where the state of progress is revealed.
Obstructive voiding symptoms in patients with urethral stricture or urinary tract infection is often found. Some patients with urinary retention may also. However, a detailed medical history is taken, a considerable majority of these patients prior to full Obstructive voiding symptoms for a long time where the state of progress is revealed.
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