Urethritis Management Diagnosis
The diagnosis of urethritis, except under medical history and symptoms,is’s need to smear the urethral discharge line of stain or bacterial culture in order to identify pathogenic bacteria. Male patients without urethral discharge, three cups of tests should be performed (ie, before the first one cup of urine urethritis muddy, there are a large number of pus cell, white blood cell, the first 2,3-cup clear. Urethritis after the first 1,3 muddy cup, there are a large number of pus cell, WBC, No. 2 cups clear). Jiyong equipment within the acute phase of urinary tract examination. Of chronic urethritis urethral cystoscopy needed in order to identify causes of the disease. Sometimes, metal urethral bougie can be used to test whether urethral stricture, if necessary, line urethrography.
Acute urethritis with antibiotics in combination with chemical drugs, better effect. Recently norfloxacin in combination with sulfa drugs, the clinical results were satisfactory. Systemic treatment should pay attention to rest, add enough liquid. In the acute period, should avoid sexual life, otherwise they will extend the course of the disease. Chronic period, if the urethral stricture within the mouth or urethra, should be the urethra, or urethral dilatation split mouth technique. Long-term recurring problem, the obvious effect of systemic drugs in patients with chronic urethritis after consideration may be given topical urethra.
In addition,there is a relatively more common in non-gonococcal urethritis , attributes transmitted diseases. Its occurrence may be related to a variety of pathogenic microorganisms (eg, Chlamydia trachomatis, Ureaplasma, vaginal trichomoniasis, and human herpes virus, etc.). The main basis for the diagnosis as follows: ① The signs and symptoms of urethritis. ② urethral discharge smear microscopy, multi-core ≥ 5 white blood cells / high power field (× 1000), or urine sediment microscopy, multi-core ≥ 15 white blood cells / high power field (× 400). ③ Gonococcal culture negative.
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