How does a urethritis manifest?
The urethra of the man is about 25 to 30 inches long, the only woman's three to four inches. No wonder, then, that in men, inflammation of the urethra occurs more frequently and usually causes more discomfort, while in women, the germs more often migrate directly to the bladder and rather cause inflammation there.
Signs of urethritis
The symptoms vary depending on the pathogen, form and gender. It is estimated that in a quarter of cases (especially in women) no or hardly noticeable symptoms occur, which is why the germs are often passed unnoticed.
A typical inflammation is discharge, which is more purulent in an acute form, and whitish-glassy in a chronic form. Other signs include an unpleasant, burning or painful emptying of the urinary tract, frequent urination, itching or burning in the urethra and possibly blood in the urine. Rarely, fever and general symptoms also occur. In senile urethritis also bladder weakness (urinary incontinence) and itching in the vagina may be added; the discharge is missing.
How is the diagnosis made?
First, the doctor will ask for specific ailments and the history, especially after diseases, examinations and treatments of the urinary system. During physical examination, which often shows a reddened urethral opening, a small wire loop is used to remove a swab from the urethra. This secretion is examined under the microscope and, if necessary, incubated on a nutrient medium to detect the pathogens.
Also in the urine researches for signs of inflammation and germs. The further tests (for example: blood test, urogram, cystoscopy) are based on the findings and the suspected diagnosis.