Patient's question:
I used to have urethritis, which was treated and then recently recurred. Can urethritis be treated surgically?Doctor's answer:
If a patient has urinary tract irritation symptoms that do not respond to routine antibiotic treatment and no complex factors are present, it should be considered as mycoplasma, chlamydia, or viral infection. Tetracycline can be used first. If there is resistance to tetracycline, erythromycin, methylerythromycin, or azithromycin can be used instead. The above medications are effective against mycoplasma and chlamydia. If the above treatments remain ineffective, it may be acute urethritis syndrome.Acute urethritis in male patients is primarily characterized by 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 leading to urethral spasms. Urinalysis shows pus cells and red blood cells.
In chronic urethritis, urethral discharge gradually decreases, or only a small amount of serous discharge may be observed 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 properly treated, it may lead to paravaginal abscesses, which can rupture through the penis skin to form a urethral fistula. During the healing process of urethral inflammation, fibrosis may cause urethral stricture.