What Is Non-Specific Urethritis?

Nonspecific urethritis is a type of urethritis and a common disease. Usually refers to purulent or serous discharge of urethra and urinary pain within a few days or weeks after sexual intercourse; urethral discharge contains a large number of pus cells, but no gram staining or culture examination To gonorrhea. The pathogens of non-specific urethritis are E. coli, Streptococcus and Staphylococcus. The symptoms in the acute phase are mainly urinary tract burning pain, which is even worse during urination, purulent secretions flowing out of the urethra, and turbidity in the first urine.

Basic Information

English name

nonspecific urethritis

Visiting department

Urology

Multiple groups

male

Common symptoms

Urethral burning and purulent discharge

Causes of non-specific urethritis

The occurrence of non-specific urethritis in addition to pathogenic bacteria, there are many inducing factors, mainly: urethral or intraurethral obstruction, such as phimosis, urethral stricture, stones, tumors, etc., hinder the discharge of urine. urogenital infections, such as prostatitis, vaginitis, cervicitis, etc. Mechanical stimulation in the urethra, such as indwelling catheter, application of urethral instruments, masturbation, etc. Women are short of the urethra, and the urethra is often in contact with vaginal discharge, which can easily cause urethritis. In addition, congenital malformations, chemical irritation, tumors, and certain allergic factors can also cause urethritis. Systemic diseases such as Stevens-Johnson syndrome can cause urethritis. There is no evidence that masturbation, drinking coffee, alcohol, certain foods, too little or too much sex can cause urethritis.

Clinical manifestations of non-specific urethritis

The main symptom in the acute phase is urinary tract burning pain, especially during urination. At the same time, purulent secretions flow out of the urethra, and turbidity of the first urine. Generally does not cause systemic symptoms, sometimes symptoms such as frequent urination, urgency.

Nonspecific urethritis diagnosis

The diagnosis of urethritis is mainly based on medical history and examination of urethral secretions. Male patients can use a three-cup test to determine the location of urethritis. Male patients with chronic urethritis must undergo prostate examination, and if necessary, urethral microscopy or cystoscopy can be performed to observe the posterior urethral condition. Female patients must undergo a gynecological examination to determine the presence of vaginitis and cervicitis.

Non-specific urethritis treatment

Purpose of treatment: cure infection, prevent complications, and block further transmission.
Principles of treatment: early detection, early treatment, adequate medication and foot treatment, sexual partners should be treated at the same time.

General treatment

Keep the vulva clean and dry to avoid scratching. Do not eat spicy spicy food. Change your underwear frequently. Do not wash it with other clothes to avoid cross infection.

2. Change vaginal pH

The weak acidic environment of the vagina can maintain the self-cleaning function of the vagina, which is 3.7 to 4.5 in normal people. After using the toilet, wipe the vulva with a feminine sanitary wipe to keep it dry to prevent the growth of harmful bacteria.

3. Drug treatment

The treatment of the acute phase is mainly to encourage patients to drink more water to increase urine output, play the role of urine flushing the urethra, and apply antibacterial drugs to reduce inflammation.

In addition to the above methods, the treatment of chronic urethritis can be supplemented with urethral irrigation therapy. Commonly used are 1/1000 silver nitrate solution or 0.5% to 1% neomycin solution. Chronic posterior urethritis can be treated with 1% silver nitrate solution through the urethoscope. Prostatitis should be treated accordingly.

Non-specific urethritis prevention

1. Do not abuse antibiotics

Antibiotics may inhibit some beneficial bacteria, and harmful bacteria will take the opportunity to multiply. Therefore, use antibiotics with caution.

2. Wash underwear separately

Harmful bacteria can multiply on the skin surface, gastrointestinal tract, nails and other places. Therefore, underwear must be washed separately, it is best to soak for a few minutes with special underwear sterilization solution.

3. Feminine care solution is suitable for daily cleaning

Frequent use of medicine size lotion, disinfection pads, etc., is easy to damage the vaginal weak acid environment. The weak acidic environment of the vagina can maintain the self-cleaning function of the vagina.

4. Pay attention to nursing during pregnancy

Sex hormone levels, glycogen, and acidity in the vagina all increase during pregnancy, making them vulnerable to mold attack. For pregnant women, oral medication should not be used, but local prevention and adjuvant treatment options should be selected.

5. Pay attention to public place hygiene

Public places can hide large amounts of harmful bacteria. Do not use hotel tubs, wear pajamas, use clean paper towels on the front of the toilet, etc. while using personal cleaning products.

6. Proper contraception

The estrogen in birth control pills has the effect of promoting harmful bacteria. If recurrent bacterial urethritis occurs, try not to use drugs for contraception.

7. Partner Tongzhi

Infected with bacterial urethritis, sexual partners need to be treated at the same time in order to have the expected effect.

8. Control blood sugar and clean vulva properly

Female diabetic patients have high vaginal glycogen content. Fermentation produces alkaline substances under the action of glycogen, which causes the normal vaginal pH value to deviate from 3.5 to 4.5 to 5.5, which destroys the self-cleaning function of the vagina, and is therefore vulnerable to harmful bacteria. Therefore, while controlling blood sugar, we should also pay attention to the use of weak acid formula of female care solution when cleaning the vulva every day.