In men urethritis are usually sexually transmitted with purulent discharge

In men urethritis are usually sexually transmitted

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In men, urethritis are usually sexually transmitted with purulent discharge (gonorrhea infection), clear discharge (non-gonorrheal urethritis) Urethritis in general causes bothersome LUT symptoms such as dysuria, frequency, urgency, similar to cystitis. In women, discharge may not be present Drug treatments include trimethoprim/sulfamethoxazole (Bactrim), doxycycline (Vibramycin), ceftriaxone (Rocephin), and nitrofurantoin. Metronidazole (Flagyl) and clotrimazole (Mycelex) can be used for trichomonas infections Warm sitz baths can be used as well Avoid intercourse until symptoms have subside Urethral Diverticula Localized outpouchings of the urethra Result from an enlargement of obstructive periureteral glands Women have a higher chance than men and it protrudes into the anterior vaginal wall Causes include: urethral damage from child bearing, urethral instrumentation, urethral dilation, and infection with gonococcal organisms Symptoms: dysuria, post void dribbling, frequent urination, (more than every 2 hours), urgency, suprapubic discomfort or pressure, dyspareunia, and a feeling of incomplete bladder emptying Urine may show grossly blood (hematuria), sediment and give a cloudy appearance Anterior vaginal mass might be felt Radiographic studies such as voiding cystourethrography (VCUG) can be used to confirm the diagnosis Surgical options may include transurethral incision of the diverticula neck, marsupialization ( creation of a permanent opening) of the diverticular sac into the vagina Interstitial Cystitis/Painful Bladder Syndrome Interstitial cystitis (IC) is a chronic, painful inflammatory disease of the bladder characterized by symptoms of urgency, frequency, and pain in the bladder and/or pelvis Painful bladder syndrome ( PBS) is suprapubic pain in bladder filling IC/PBS- cases of urinary pain that cannot be attribited to other causes such as infection or urinary calculi 7
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More common in women than men Etiology- remians unknown and most likely multifactorial Possible causes include: neurogenic hypersensitivity of the lower tract, alteractions in mast cells in the muscle of the bladder, infection with an unusual organism, or production of a toxic substance in the urine Glomerulations (superficial ulcerations with pinpoint bleeding) and Hunners ulcers may occur on the bladder wall Clinical Manifestations and Diagnostic Studies Two primary symptons are pain and bothersome LUTS (frequency, urgency) People with severe IC/PBS urinate more than 60 times a day Pain localized in the suprapubic area but may involve the vagina, labia, or entire perineal region, including the rectum and the anus Pain exacerbated by bladder filling, postponed urination, physical exertion, pressure against the suprapubic area, certain foods, emotional stress Pain is relieved by urination Pain occurs before menstruation and during intercourse, or emotional stress IC/PBS is an exclusion diagnosis
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