Urethritis - an inflammation of a wall of the genitourinary channel. Distinguish an infectious and not infectious urethritis. Infectious includes venereal (bacteriemic, mecotic, virus, mycotic, etc.), not infectious arises at damages of the genitourinary channel at diagnostic and medical procedures (a traumatic urethritis), as reaction to alimentary and medicamental allergens (allergic), at disturbances a metabolism (diabetes mellitis). The Most frequent reason of a venereal infectious urethritis are microbes a gonococcal urethritis and a vulval Trichomonas. The urethritis can be acute and chronic. In the latter case the urethritis quite often becomes complicated a colliculitis, a prostatitis, a vesiculitis and an epididymitis. Distinguish a forward, back and total urethritis.
Signs, current. Not gonorrheal urethritis proceeds was acutely only at 25-30 % of patients. Current of a urethritis torpidly with a poor symptomatology is usual., at an acute urethritis the pain, a burning sensation, an itch in the beginning of an emiction, allocation from an external aperture of the genitourinary channel are characteristic. At survey - the hyperemia and an edema mucous in the field of an external aperture of the genitourinary channel, a plentiful purulent or mucopurulent discharge, a palpation of a back wall of the genitourinary channel is morbid. In the subsequent the pain, puffiness and morbidity decrease, the discharge becomes insignificant or stops. Sometimes the discharge is marked only in the mornings in the form of a crust which are sticking together an external aperture of the genitourinary channel, urine usually transparent with individual purulent strings. The acute total urethritis is characterized by frequent uncontrollable desires to an emiction, pains in its extremity, a pyuria, sometimes a terminal hematuria. At insufficiently effective treatment the urethritis can get chronic current: unpleasant sensations (a burning sensation, an itch) during an emiction and outside of it, poor allocation from the genitourinary channel which quantity is enlarged under influence of provoking factors are characteristic; the use of alcohol, cooling, sexual exaltation, etc.
