Definition
Urethritis is inflammation of the urethra from any cause.
Symptoms
In men:
In women:
- Burning pain while urinating
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Definition
Urethritis is inflammation of the urethra from any cause.
Causes
Urethritis may be caused by bacteria or a virus. The same bacteria that cause urinary tract infections (E. coli) and some sexually transmitted diseases (chlamydia, gonorrhea) can lead to urethritis. Viral causes of urethritis include herpes simplex virus and cytomegalovirus.
People who are sensitive to the chemicals used in spermicides or contraceptive jellies, creams, or foams may develop urethritis.
Injury may also cause urethritis.
Men between the ages of 20 and 35, those with multiple sexual partners, and those who engage in high-risk sexual behavior (such anal sex without a condom) have the highest risk for urethritis. Young women in their reproductive years are also at risk. A prior history of sexually transmitted diseases raises one's risk of urethritis.
Treatment
The goal of therapy is to improve symptoms, prevent spread of infection, and eliminate the cause of infection. Antibiotic therapy should target the specific organism causing the infection. In some cases, antibiotics may need to be given by IV. Pain relievers (including pyridium, which works specifically on the urinary tract) may be used along with antibiotics.
Persons with urethritis who are being treated should avoid sex or use condoms during sex. If an infectious organism is the cause of the inflammation, the patient's sexual partner must also be treated.
Urethritis caused by trauma or chemical irritants is treated by avoiding the source of injury or irritation.
Outlook (Prognosis)
With appropriate diagnosis and treatment, urethritis usually clears up without any complications. However, urethritis can lead to permanent damage to the urethra and other genitourinary organs in both men and women.
Prevention
Some causes of urethritis may be avoided with good personal hygiene and by practicing safer sexual behaviors such as monogamy (one sexual partner only) and using condoms.
Exams and Tests
The health care provider will perform a physical examination. For men, the areas to be examined include the abdomen, bladder area, penis, and scrotum. A digital rectal exam will also be performed. The physical exam may reveal tender and enlarged lymph nodes in the groin area, discharge from the penis, or a tender and swollen penis.
For women, areas to be examined include the abdominal and pelvic exams. The health care provider will check for lower abdominal tenderness, uterine tenderness, and discharge from the urethra.
The following laboratory tests may be done:
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References
Lyon CJ . Urethritis. Clin Fam Pract . 2005 Mar; 7(1); 31-41.
Walsh PC. Campbell's Urology . 8th ed. St. Louis, Mo: WB Sanders; 2002:673-678.
