What is urinary tract pain

Urinary tract pain is a very obvious manifestation of urethritis and is also a disease that poses a great threat to patients. There are many causes of urethritis, such as urethral injury, urethral obstruction, foreign objects in the urethra, etc. Of course, there are many symptoms of urethritis, including frequent urination, hematuria and painful urination. Below, we will introduce you to the relevant knowledge about urethritis in detail!

1. Overview

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.

2. Causes

The common causes of urethritis are as follows: ① Urethral injury: abrasions of the urethral mucosa caused by urethral instrument examination can destroy the defense function of the urethral mucosa and lead to bacterial infection; ② Foreign bodies in the urethra: foreign bodies inserted from the outside or stones in the urethra, etc., can cause urethral infection if they stay there for a long time; ③ Urethral obstruction: such as stenosis of the foreskin opening, stenosis of the external urethral opening, urethral stenosis, posterior urethral valve, urethral tumor, female hymen umbrella, fusion of the hymen at the urethral opening, etc., due to poor urination, urine accumulates in the urethra and can cause secondary urethral infection; ④ Inflammation of adjacent organs, such as prostatitis, seminal vesiculitis, vaginitis or cervicitis, can spread to the urethra, which is often a stubborn lesion of chronic posterior urethritis; ⑤ It is often related to sexual life, and unclean sexual life can easily cause urethral infection.

3. 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.

IV. Treatment

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.