The main causes and methods of diagnosis pains and sharp pains in the urethra in women and men
Causes of pain in the urethra
Diseases of the genitourinary system are the men and women of any age. Pain in the urethra is one of the most common complaints of patients when referring to the urologist. In most cases, the pain syndrome arises at the moment of emptying of the bladder. Pain in the urethra can be due to blockage of the urinary tract stones, urethral narrowing, mechanical compression (benign prostatic hyperplasia), irritation of the mucosa by pathogenic microorganisms.
In men, pain in the urethra is far more common than in women. The reason for this - more long and narrow urethra. Pain in the urethra is periodic and continuous. Often it is combined with the following symptoms:
- pain in the lower abdomen above the pubis;
- pain in the groin and perineum;
- the pollakiuria (frequent emptying of the bladder);
- a feeling of incomplete emptying of the bladder;
- turbidity of urine;
- the appearance of blood in the urine;
- a decrease in daily diuresis;
- violation of sexual function;
- the discharge from the urethra.
Pain syndrome can cause stones in the bladder or urethra. With the flow of urine can be carried away fine particles (stones, sand). All of this may injure the mucous membrane of the urethra. The basis for the development of urolithiasis is a violation of metabolism. By the predisposing factors include improper diet, the presence of inflammatory diseases of the urinary organs, injuries, gout, harmful working conditions. In the case of obstruction of the lower third of the ureter the symptoms will resemble those of acute cystitis and urethritis.
Diagnostic and therapeutic measures
These patients are engaged in a urologist. The scheme of treatment depends on the underlying disease. Diagnosis includes a medical history, external examination, taking a smear from the urethra, holding trehstakannoy tests, urinalysis and blood ultrasound of the bladder, prostate and kidneys, cystoscopy ureters.
May be a urine culture to isolate the causative agent. When examining women may need a pelvic exam. If identifiedkidney stones, treatment can be conservative and operative. In the first case is assigned to diet, drugs (Allopurinol, Hydrochlorothiazide, herbal remedies). The choice of medication depends on the type of stones. The treatment plan often includes physical therapy.
If large stones is lithotripsy or surgical removal of stones. If necessary, appointed antibacterial agents. Infectious prostatitis is treated with antimicrobials. To eliminate the pain used antispasmodics (no-Spa, Drotaverine), pain relievers, rectal suppositories. In the phase of remission is physical therapy. In the case of stagnant prostatitis is required to normalize sexual life.
In the case of tumors may require surgery, radiotherapy or chemotherapy. In that case, if the pain in the urethra triggered by a fungal infection, are appointed antifungals (Itraconazole, Ketoconazole). Thus, pain in the urethra that lasts a long time and combined with other complaints, is the reason for going to the urologist.