Urethritis, urethral around, cystitis and prostatitis

Urethritis, urethral around pancreatitis and urethral cystitis etiology, clinical manifestations similar here to be discussed. Female urethral gland in the embryo of the prostate and male identity. Urethral gland in the urethral mucosa around, enveloping all urethra, a branch-shaped gland or blind pocket, Xianguan pooled into several groups, about 0.7-1.2 cm, in the opening third of the distal urethral one of the Department. In the vicinity of the urethra gland called urethral gland next to (or Skene gland), one pair of Xianguan, urethral opening in the end of the posterior wall of the urethra or both sides. When urethral infection, these glands can become pathogenic potential lesions, the infection difficult to cure. [Causes] More acute for gonococcal urethritis, non-specific urethritis and more secondary to acute cystitis or vaginitis, in the primary urethral rare, chronic urethritis were more common, mainly E. coli bacteria, streptococcus or such as Staphylococcus aureus. Because the anatomical characteristics of female urethra, it is easy to vaginal secretions and faeces pollution, urethral gland in normal circumstances there is often bacteria, reduce local resistance, infection can occur. Xianguan edema due to urethral stricture, or scar, poor drainage, secretions stranded, the therapeutic effect of anti-bacterial drugs often dissatisfied with the infection can be recurrent and prolonged Fuyu. [Clinical] Acute cystitis stimulate the bladder symptoms very obvious, the main frequency, urgency, Niaotong and hematuria, but no fever and other systemic symptoms. Nitong and hematuria more in the urine at the end of the case, can involve pain to the abdomen and perineum, to the Unit or the Ministry of lumbosacral radiotherapy. Urethritis, urethral pancreatitis around to a certain extent also stimulate the voiding symptoms, urethral irritation, can be found in a vaginal examination urethral thickening, urethral pressure on both sides, the obvious tenderness. Urethral gland infection side showed both sides of the posterior wall of the urethra openings Xianguan congestion and edema, a purulent secretions by the overflow. [Treatment] Acute phase of infection control antimicrobial agents required (see urinary tract infection). In addition to chronic antibiotic therapy, urethral expansion and viable local massage to improve the blood supply of lesions, and expand Xianguan openings, which will help drainage. Urethral gland around empyema should incision can be no tooth tweezers open urethra to the lacrimal probe inserted lesions Xianguan confirming its position after using iris Xianguan shear and surface will be covered by mucosa cut, the gland full physical drainage. Urethral gland next to empyema, its location can be found Xianguan superficial and be open incision, excision of the wall and can be covered by mucosa, the cysts can be fully open drainage.