Chlamydial urethritis: signs, diagnosis, treatment
Chlamydial urethritis, or chlamydia - an inflammation that develops in the urethra.This pathology is provoked by bacteria of chlamydia, which are transmitted sexually.The patient can complain about problems with urination, which is associated with swelling and inflammation.Sometimes the disease is asymptomatic and changes into a chronic form.
Chlamydia is dangerous because it affects not only the genitourinary system, but also nearby organs, and also harms breathing, digestion and vision.
Unprotected intimate communication, in which chlamydia divide and spread from a sick organism to a healthy one - the main way of infection.
Important! Often, chlamydia occurs against the background of other infectious diseases caused by fungi, trichomonads and gonococci.
When diagnosing several infectious diseases, the number of symptoms increases, and the treatment becomes more complicated.The incubation period lasts on average from a week to a month and depends on the degree of infection of
Types of chlamydial urethritis
Different types of chlamydial urethritis have their clinical manifestations, which differ from each other. The acute form resembles infection with gonococci.In chronic form, the symptoms are not completely present, or are constantly changing. Chlamydia have various symptoms, so other pathologies are often diagnosed.This is due to the fact that many symptoms are similar to manifestations of other diseases.For each species there are methods of therapy and preparations.
Types of chlamydia depend on the location and extent of the lesion:
- Torpid urethritis is located in the front;
- total chlamydial urethritis occurs with complications in the prostate in men;
Anterior urethritis changes to chronic and is total.In advanced cases in men it is accompanied by prostatitis.
Causes of development of chlamydial urethritis
Unprotected sexual intercourse is the most common cause of pathology development.Bacteria can pass from both men and women.Chlamydia in men linger on the mucous membrane of the penis, and sometimes get through the rectum.Bacteria multiply and infect the body.
Important! With weakened immunity, the urogenital system becomes infected.Bacteria begin to multiply in the epithelium of the urethra, which provokes inflammation.Chlamydia produce harmful toxins that negatively affect the subepithelial structure of the urethra.
Infection may not appear for a long time, which can lead to unpleasant consequences.Treatment is not performed in a timely manner, as a result of which complications develop.
Clinical picture of chlamydial urethritis
Manifestations in men
Often chlamydial urethritis in men has no symptoms and at first does not manifest itself.Only after a few weeks there are unpleasant sensations .The first thing the patient finds is problems with urination, which is associated with inflammation.
Disease in men is accompanied by the following symptoms:
- , when urine is released, burning and painful sensations occur;
- redness and swelling of the glans penis;
- yellowish discharge from the penis.
With chlamydial urethritis, the patient does not have discomfort in the entire penis, but only in the urethra.It is difficult to urinate, and urine is released in small amounts.
Similar symptomatology is observed in gonorrhea.Often these two pathologies occur together and flow the same .Men are prescribed drugs for the treatment of gonorrhea and chlamydia, because the disease is difficult to differentiate.
Manifestations in women
Initially, chlamydial urethritis in women is not manifested, or it is confused with other pathologies of the genitourinary system. A woman experiences discomfort in the genital area, from the urethra mucus is secreted - these are the first and main signs of the disease.
In addition, a woman can complain about such symptoms of :
- discomfort during sexual intercourse;
- painful urination;
- itching and burning in the urethra;
- appearance of an unpleasant odor from the genital tract;
- purulent or spotting.
If you do not start on time treatment, the disease quickly spreads to the cervix. With exacerbation of chlamydia, symptoms appear, as when infection with gonococci.First, only the front wall of the urethra is affected, then the symptoms recede, but after a certain time they manifest with new strength, which indicates the spread of the infection.
Consequences and complications
Complications of chlamydial urethritis appear in the form of various diseases in the genitourinary system and genitals.In advanced cases, epididymitis, hemorrhagic cystitis develops.In men, specialists diagnose infection of seminal vesicles and stricture of the urethra.
If the pathology is treated incorrectly, a number of complications arise that are difficult to treat.
In men with advanced chlamydia urethritis, chronic prostatitis develops, impotence is often diagnosed.
Women develop cervical erosion, as well as ectopic pregnancies.
Important! In chlamydial urethritis, it is difficult for a woman to conceive and tolerate a healthy child.The disease provokes a miscarriage.
Diagnosis of chlamydial urethritis
The first thing a doctor does is to interview a patient to identify complaints and find out when the first symptoms appear.Then the specialist appoints an examination: for men - for a urologist, for women - for a gynecologist .During the examination, a smear from the urethra is taken for analysis, which will determine the type of urethritis.
In chronic form appoint urethrography and urethroscopy.
The patient gives an urine test in which, if present, bacteria will be detected.
To determine the sensitivity of the pathogen to antibiotics, a bacterial culture of urine is prescribed.
Additionally, an ultrasound of the genitourinary system is prescribed to determine the condition of the internal organs.
Complex diagnostics allows not only to diagnose a disease, but also to find out the cause and pathogenesis.This makes it possible to choose the most effective method of treatment.
Treatment of chlamydial urethritis
Because chlamydial urethritis is an infectious disease, antibiotic therapy is used to treat it. The doctor appoints "Doxycycline", "Ofloxacin", "Rulid" and other antibacterial agents.
Pregnant women are prescribed other drugs, with minimal side effects.
Therapy is performed orally, or drugs are injected into the urethra.In the chronic form of pathology, physiotherapy procedures are additionally prescribed.
During the period of treatment, intimate life is completely excluded.
If a patient has a permanent sexual partner, the treatment must pass both to avoid re-infection.
Radevich Igor Tadeushevich, the doctor of the sexopathologist-andrologist of 1 category