urethritis


Also found in: Dictionary, Thesaurus, Encyclopedia, Wikipedia.
Related to urethritis: chronic urethritis

Urethritis

 

Definition

Urethritis is an inflammation of the urethra that is usually caused by an infection.

Description

The urethra is the canal that moves urine from the bladder to the outside of the body. When this canal becomes infected, inflammation occurs due to the accumulation of white blood cells in the area. When this occurs, it is called urethritis. Besides the urethra, the urinary tract consists of the bladder, ureters, and kidneys. Inflammation can move up the urethra, causing cystitis in the bladder, or nephritis in the kidneys. Collectively, these inflammations are called urinary tract infections or UTIs.
Urinary tract infections are much more common in women than in men, probably due to anatomy. Infections are especially more common in older women, due to bladder problems.

Causes and symptoms

Uncomplicated urethritis usually results from infection by the bacteria Escherichia coli, commonly found in the bowel. Complicated urethritis can occur when other problems exist, such as kidney stones, malformations of the urinary tract, spinal cord injury, or a compromised immune system. People with diabetes tend to have more urinary tract infections, as well as hospitalized patients. Urinary tract infections can also be sexually transmitted. Some people seem to be susceptible to urinary tract infections, having them recurrently.
Frequently, a urinary tract infection has no symptoms. Common symptoms though, include pain and a burning sensation when urinating, frequent urination, or passing blood in the urine. Signs that the infection may be worsening include fever and chills, nausea, vomiting, and lower back pain.

Diagnosis

The diagnosis for a urinary tract infection is made by assessing the symptoms, feeling (palpating) the abdomen for tenderness, and a urinalysis. A urinalysis, or urine sample, is examined for both the presence of bacteria and white blood cells. After this, a urine culture to determine what bacteria is causing the infection may be done.

Treatment

Typical treatment for urinary tract infections is a course of antibiotics. In women who have recurrent urethritis, the diagnosis and treatment is often resolved over the phone. Additional drugs are sometimes given to relieve discomfort.

Alternative treatment

For those individuals who seem to be more susceptible to urinary tract infections, drinking lots of fluids at the first sign of an infection can ward it off by diluting the bacteria present and flushing the system. Adding a teaspoon of baking soda to a glass of water and drinking it can change the pH of the urine, causing it to burn less. Also, cranberry juice contains a compound that can prevent bacteria from sticking to and thus growing in the urinary tract. Antimicrobial herbs, such as uva ursi (Arctostaphylos uva-ursi) and pipsissewa (Chimaphila umbellata), may be helpful. Other herbs, such as marsh mallow (Althaea officinalis), slippery elm (Ulmus fulva), comfrey (Symphytum officinale), plantain (Plantago major), and cornsilk, can soothe the urinary tract. Lactobacillus acidophilus and L. bifidus supplementation reintroduces normal flora into the urinary tract. Acupuncture and homeopathy can also be effective therapies for urethritis.

Prognosis

Given the appropriate antibiotic, urinary tract infections usually go away quickly. If not treated soon enough, however, urethritis can move up the urinary tract, infecting the bladder and possibly the kidneys, resulting in kidney damage. If the infection moves into the blood, additional complications can arise. Those who have previously had a urinary tract infection are more susceptible to additional urinary tract infections. Because of this, patients need to be aware of the symptoms so that a physician can be notified if the infection becomes recurrent.

Prevention

There are some steps that can be taken to keep the urinary tract healthy and prevent infection.
  • drink plenty of fluids
  • do not hold urine once the urge to urinate has occurred
  • after a bowel movement, wipe from front to rear to keep bowel bacteria at a distance
  • wear cotton underwear
  • rinse soap off well in the shower
  • urinate after sexual intercourse
  • for post-menopausal women, estrogen replacement therapy can help prevent urinary tract infection

Resources

Periodicals

"Drink Away Urinary Tract Infections." Prevention Magazine January 1998: 135.

urethritis

 [u″re-thri´tis]
inflammation of the urethra, often a symptom of gonorrhea(gonococcal urethritis) but sometimes caused by another infectious organism. The urethra swells and narrows and the flow of urine is impeded; both urination and the urgency to urinate increase and there is burning pain, sometimes with a purulent discharge, on urination. It usually responds to treatment with antibiotics or sulfonamides.
nongonococcal urethritis (nonspecific urethritis) a sexually transmitted inflammation of the urethra caused by any of various organisms other than gonococci.

u·re·thri·tis

(yū'rĕ-thrī'tis),
Inflammation of the urethra.
[ureth- + G. -itis, inflammation]

urethritis

/ure·thri·tis/ (u″re-thri´tis) inflammation of the urethra.
urethritis cys´tica  urethritis with formation of multiple submucosal cysts.
nongonococcal urethritis , nonspecific urethritis urethritis without evidence of gonococcal infection.
simple urethritis  nongonococcal u.

urethritis

(yo͝or′ĭ-thrī′tĭs)
n.
Inflammation of the urethra.

urethritis

[yoo͡r′ithrī′tis]
inflammation of the urethra. The condition is characterized by dysuria and is usually the result of an infection in the bladder or kidneys. An antibiotic, a urinary antiseptic, and an analgesic are usually prescribed after the causative organism is identified by bacteriological culture of a urine specimen. See also nongonococcal urethritis.

urethritis

Urology Inflammation of the urethra, Etiology Infection–E coli, Klebsiella, STDs–eg, Chlamydia, N gonorrhoeae, Ureaplasma urealyticum; chemical irritants–spermatocides in condoms, contraceptive jelly, cream, or foam; mechanical–insertion of stuff into urethra Risk factors ♂ age 20–35, multiple sexual partners, high-risk sexual behavior–eg, anal intercourse. See Nongonococcal urethritis.

urethritis

Inflammation of the lining of the URETHRA. This is usually caused by a SEXUALLY TRANSMITTED DISEASE.

urethritis

inflammation of urethra (exit canal from urinary bladder); characteristic of Reiter's disease

u·re·thri·tis

(yūr'ē-thrī'tis)
Inflammation of the urethra.
[ureth- + G. -itis, inflammation]

urethritis (yoor´ithrī´tis),

n an inflammatory condition of the urethra that is characterized by dysuria, usually the result of an infection in the bladder or kidneys.

urethritis

inflammation of the urethra due to injury or infection. The urethra swells and narrows, and the flow of urine is impeded. Both urination and the urgency to urinate increase. There may be a purulent discharge.

granulomatous urethritis
occurs in female dogs, often complicated by bacterial infection. May cause partial obstruction and stranguria.
References in periodicals archive ?
To study the co-existence of Neisseria gonorrhoea and Chlamydia trachomatis in male urethritis.
Urethritis in symptomatic men is first determined to be gonococcal or non-gonococcal using microscopy.
Up to 90% of patients were treated with an appropriate treatment for Nm urethritis for presumed Ng infection with the CDC-recommended regimen.
Cases of urethritis caused by a clonal strain of Nm (non-groupable, ST-11 and CC-11/ET-37) are occurring among primarily heterosexual men seeking sexual health services in Columbus, Ohio, and Oakland County, Michigan.
Moi, "2016 European guideline on the management of nongonococcal urethritis," International Journal of STD & AIDS, vol.
fermentans is a cause of nongonococcal urethritis in men or disease in the urogenital tract of women [21].
Prostatitis caused by Trichomonas vaginalis is more often found in young sexually active men with frequent episodes of urethritis (15, 21).
genitalium is associated with 15%-22% of nongonococcal urethritis cases, and 10%-15% of cervicitis cases, and in many settings is more common that Neisseria gonorrhoeae with treatment outcomes often far worse," said Lisa E.
Sexually transmitted organisms such as Chlamydia trachomatis and Neisseria gonorrhoeae are urethritis producing agents.
In this study cohort, 3 or more procedures were performed in a greater proportion of men with strictures caused by iatrogenic (58%) or external trauma (50%) than urethritis (31%).