Patient's question:
I used to have urethritis, which was cured, but it has recurred recently. Can urethritis be treated surgically?Doctor's answer:
If a patient has urinary tract symptoms and does not respond to routine antibiotic treatment, and there are no complex factors present, it should be considered as mycoplasma, chlamydia, or viral infection. Tetracycline can be used first. If there is resistance to tetracycline, erythromycin, clarithromycin, or azithromycin can be used instead. The above drugs are effective against mycoplasma and chlamydia. If the above treatment is still ineffective, it may be acute urethritis syndrome.In male patients, the main symptoms of acute urethritis are a significant amount of urethral discharge, which starts as mucoid and gradually becomes purulent. In female patients, urethral discharge is less common. Regardless of gender, there is a burning sensation during urination, urinary frequency, and urinary urgency, with severe cases potentially causing urethral spasm. Urinalysis shows pus cells and red blood cells.
In chronic urethritis, urethral discharge gradually decreases, or only a small amount of serous discharge is visible at the urethral meatus during the first urination in the morning. The urinary irritation symptoms are no longer as prominent as in the acute phase, and some patients may be asymptomatic. Urethritis can directly spread to the bladder or prostate, causing cystitis or prostatitis. If acute urethritis is not treated properly, it may lead to paravaginal abscess, which can break through the penis skin to form a urethral fistula. During the healing process of urethral inflammation, fibrosis can cause urethral stricture.