Acute urethral syndrome

Acute Urethral Syndrome: Description, Causes and Risk Factors:Abbreviation: AUS.The urethra is a channel or tube through which urine flows from the bladder to the outside. In women, this channel ends just above the vaginal opening. The urethra is surrounded by muscles, which squeeze the channel shut, and gives us our urinary control.The urethral syndrome is a disorder well known to urologists. It occurs frequently in women. Urethral syndrome is thought to affect 20-30% of all adult women and it is particularly seen in young women.Urethral syndrome can be a very frustrating and upsetting disease. While this disease is not life-threatening, it can cause disrupting symptoms and be difficult to treat. An understanding physician can help significantly in the diagnosis and treatment of these problems.The true cause of acute urethral syndrome is not known. Some feel that it may be due to urethral stenosis, but this is not well documented. Others fell that it may be due to infectious agents, which are difficult to isolate, neurologic factors, or psychologic factors. More likely, urethral syndrome is a combination of all these events.Other possible causes include:E. coli.
  • Chlamydia.
  • Gonorrhea.
  • Adenovirus.
  • Cytomegalovirus.
  • Herpes simplex virus.
  • Trichomonas vaginalis.
  • Haemophilus vaginalis.
  • Mycoplasma genitalium.
  • Ureaplasma urealyticum.
Risk Factors include:Bowel incontinence.
  • Kidney stones.
  • Menopause.
  • Narrowed urethra.
  • Not drinking enough fluids.
  • Prostate inflammation or enlargement.
  • Sexual intercourse, especially if you have multiple partners.
Symptoms:Frequency - More frequent urination.
  • Urgency - The sensation of not being able to hold urine.
  • Hesitancy - The sensation of not being able to urinate easily or completely.
  • Dysuria - Pain or burning during urination.
  • Cloudy, bad smelling, or bloody urine.
  • Lower abdominal pain.
  • Mild fever and chills.
  • Fatigue.
Diagnosis:acute urethral syndromePatients with urethral syndrome have nobacteria in their urine and hence more detailed urine and swab tests are important in making an accurate diagnosis.Patients with acute urethral syndrome may have any number of white blood cells or bacteria present, however they usually have lower white blood cell and bacterial count than those with UTIs.Special culture swabs of the cervix,vagina and possibly urethra can help diagnose of exclude infections like chlamydia or gonorrhea.Treatment:All these symptoms would respond to any antibiotic. However, those women who develop a stricture of the urethra will respond to a cystoscopy examination during which the urethra can be dilated. Many of these patients feel greatly relieved by this procedure. For those with chronic urethral syndrome, treatment depends upon whether attacks are associated with bacteriuria or if urological investigations reveal any abnormalities. Other treatments include placing special medications directly into the bladder and urethra. Changing one's diet to reduce irritating foods and beverages such as caffeine, acids, cranberries, and alcohol may also help.Disclaimer: The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care. 

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