Female urethra with pimples and pain

Every day, our bodies encounter many diseases. When you feel unwell, timely treatment can help you recover faster. If a female friend finds that there are bumps next to her urethra and it is painful, then she must not delay and should get checked in time, because this situation may be caused by urethritis.

Urethritis is a common disease, which refers to the inflammation of the urethral mucosa, and is more common in women. Clinically, it can be divided into acute and chronic, nonspecific urethritis and gonococcal urethritis. The latter two have similar clinical manifestations and must be differentiated based on medical history and bacteriological examination. It is mostly caused by retrograde invasion of pathogenic bacteria into the urethra.

Clinical manifestations

Frequent urination, painful urination, urgent urination and hematuria. In the acute phase, men may have urethral secretions, which are mucous at first and then purulent. Women have less secretions. When it becomes chronic, it manifests as urethral stinging and discomfort during urination. The urethral secretions decrease and become thin and serous. During the acute attack, there is dull pain in the suprapubic area and perineum, and the urethral opening is red and has secretions.

examine

Urinalysis shows an increase in white blood cell count or pyuria, accompanied by an increase in red blood cells, and a few cases show gross hematuria. The three-cup urine test shows a large number of pus cells and red blood cells in the first cup, while the second and third cups are basically normal. The number of bacteria in first-stream urine cell culture is significantly higher than that in midstream urine. In a smear examination of urethral or vaginal secretions, intracellular or extracellular gonococci may be seen in gonococcal urethritis. Nonspecific urethritis can be cultured with secretions or anterior urethral swabs, and a large number of bacteria may grow. If no bacteria are found in secretion smears and cultures, there is a possibility of mycoplasma or chlamydia infection, and special methods of culture or PCR examination can be performed.

Chronic urethritis requires urethrocystoscopy to clarify the cause of the disease. Sometimes a metal urethral probe can be used to test whether there is stricture in the urethra. Urethral angiography can be performed when necessary. In the acute phase, the use of instruments for examination in the urethra should be avoided.

treat

1. Antibiotic application

There are many types of drugs currently used for treatment. According to the type of pathogen and its sensitivity to the drugs, 2 to 3 drugs should be selected and used in combination to achieve better therapeutic effects. The medication should be continued for 7 to 10 days before being discontinued after the symptoms disappear completely, the urine test is normal, and the bacterial culture is negative.

2. Adjuvant therapy

During the acute phase, you should drink more water to increase urine volume and flush the urethra. If you experience frequent urination, urgency, and pain when urinating, you can take antispasmodics and eliminate the various causes of 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

Suitable for chronic urethritis, contraindicated in the acute phase. ①Urethra dilation. ②Intraurethral instillation of drugs. ③Endoscopic electrocautery.