If you have dull pain in the glans penis and are accompanied by symptoms such as urgency, frequency, and pain when urinating, you may be suffering from urethritis. Urethritis is a common disease that can be acute or chronic. It can be caused by foreign objects or urethral injuries, prostatitis infection, or unclean sexual behavior. Urethritis can be treated with some antibiotics. Clinical manifestations Frequent urination, painful urination, urgent urination and hematuria. In the acute phase, males may have urethral secretions, which are mucous at first and then purulent. Females have less secretions. When the disease becomes chronic, it manifests as urethral stinging and discomfort during urination. The urethral secretions decrease and become a thin syrup. In acute attacks, there is dull pain in the suprapubic area and perineum, and the urethral opening is red and has secretions. Complications Complications in male patients include epididymitis, prostatitis, seminal vesiculitis, etc.; complications in female patients include endometritis, salpingitis, pelvic inflammatory disease, peritonitis, etc. Infection in the urethra can spread directly to the bladder or prostate, causing cystitis or prostatitis. If acute urethritis is not properly treated, it may be complicated by paraurethral abscesses, which can penetrate the penis skin and become urethral fistulas. Fibrosis during the healing process of urethritis can cause urethral stenosis. treatment 1. Antibiotic Application There are many kinds of drugs currently used for treatment. Two to three drugs should be selected and used in combination according to the type of pathogen and its sensitivity to the drugs. The curative effect is better. The medication should be continued for 7 to 10 days before it can be stopped after the symptoms disappear completely, the urine test is normal, and the bacterial culture is negative. 2. Adjunctive therapy In the acute stage, you should drink plenty of water to increase urine volume and flush the urethra. If you have frequent urination, urgency, and pain, you can take anti-convulsants and remove various inducements that cause urethritis. Urethritis caused by sexually transmitted diseases should be treated at the same time as your spouse, otherwise it will be difficult to cure. 3. Local treatment Applicable to chronic urethritis, contraindicated in acute stage. ①Urethra dilation. ②Urethra instillation of drugs. ③Endoscopic electrocautery. |
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