One of the causes of urethritis is gonorrhea bacteria. Gonorrhea in general and gonorrhea urethritis in particular are diseases of urinary tract infections caused by a bacterium called gonorrhea and are capable of sexual transmission.
1. Gonorrhea
Gonorrhea is a urinary tract infection caused by gonorrhea. Gonorrhoeae, whose scientific name is Neisseria Gonorrhoeae, is shaped like a coffee beans, is a gram-negative bacterium, found in polycythemia, which can be combined in pairs, is destroyed when exposed to antiseptic chemicals. For patients with acute gonorrhea, the image of this bacterium will be very clear, on the contrary, when chronic gonorrhea infection is required, cultured under CO2 conditions to identify bacteria.
Gonorrhea can be seen in both men and women and at any age, may be infants. Sexually transmitted gonorrhea bacteria, namely the adhesion to the urethra carel after sexual contact with a person infected with gonorrhea bacteria, or can be transmitted indirectly through a number of examination instruments containing gonorrhea bacteria and have not been properly sterilized. In addition, during labor and childbirth, if the mother is infected with gonorrhea bacteria that have not been detected before, it can be transmitted to the child causing conjunctivitis caused by gonorrhea bacteria in babies.
For men, gonorrhea will usually be acute urethritis, while for women, gonorrhea bacteria often penetrate and cause disease in the cervical with very poor symptoms. Some other parts that may be infected with gonorrhea are the anus, rectum … When gonorrhea is often accompanied by a number of other diseases such as arthritis, dermatitis … Gonorrhea, if detected and treated in a timely manner, can cause dangerous complications including infertility, extrapynanal pregnancy for pregnant women, Littre gland inflammation, inflammation of the udder, inflammation of the testesthematitis, inflammation of the testicle sac for men …
2. Inflammation of the urethra and gonorrhea
Gonorrhea urethritis is an inflammation of the urethra that occurs due to the penetration of gonorrhea bacteria. The main cause of this condition is that men have unsymed sex with someone who has been infected with gonorrhea bacteria. Often gonorrhea urethritis will be acute with symptoms such as urination, urination, urinary in pus, flute mouth in men with edema, redness, the edge of the mouth of the flute is ulcerative.
The most characteristic symptom in gonorrhea urethritis in men is the appearance of pus, pus of yellow or blue color, in large quantities. The incubation period of gonorrhea bacteria in men is 3-5 days, some patients have typical manifestations of gonorrhea urethritis, which is easily confused with non-gonorrhea urethritis, which leads to the misuse of the treatment regimen, which causes the disease to worsen, causing total urethritis. Manifestations of gonorrhea urethritis at this stage are dangerous such as difficulty urinating, hematuria at the end of the paddock, more purulent discharge, appearance of inguinal lymph nodes, swelling, pain, erectile dysfunction, pain when the penis is erect. If gonorrhea urethritis is not treated properly after 1 month, it becomes a perennial gonorrhea, also known as chronic gonorrhea that is dangerous to the body.
In order to diagnose gonorrhea in general and gonorrhea urethritis in men in particular, it is necessary to combine the question of the disease, clinical examination with urethritis syndrome, the appearance of pus in the urethra … and perform some tests necessary for testing. Some tests used to diagnose gonorrhea urethritis are as follows:
- Direct testing by staining and screening specimens under a microscope.
- Cultured and isolated in environments with CO2, temperature 35°C- 36°C, Thayer- Martin contains Vancomycin …
- PCR is a new technique that is being applied more and more, has a very high sensitivity in diagnosing gonorrhea.
3. Urethritis in men and how to treat it
Gonorrhea urethritis is a complex urinary tract infection, so both doctors and patients need to follow such principles as:
- Treatment according to the susceptibility to antibiotics of these types of bacteria.
- Treatment for both subjects who have had sex.
- Avoid sex during treatment, if it is mandatory to use a condom safety measure.
- Patients should rest during treatment, avoid participating in activities that cause genital damage.
- Treatment of gonorrhea is accompanied by treatment of post-gonorrhea infections such as Chlamydia Trachomatis infection, sysentosis or bactericidal infections.
- Check periodically after treatment and perform tests.
With treatment of urethritis in men due to gonorrhea that has not caused complications, the treatment regimen includes:
- Spectinomycin 2 grams, intramuscularly, single dose, or can take Ceftriaxone 250mg, intramuscularly, single dose.
- Doxycyclin 100mg, 2 capsules/day for 7 days.
If gonorrhea urethritis has caused complications, the treatment regimen is as follows:
- Ceftriaxone 1 gram /1 day, intramuscularly for 3-7 days.
- Doxycyclin 100mg/2 capsules/day for 7 days.
- Some serious complications of meningitis, endocarditis should prolong the duration of the above drugs within 4 weeks.
Gonorrhea urethritis is a type of gonorrhea, which occurs mainly with men and causes adverse effects on the health of men, which if not detected and treated early will leave some serious complications. Therefore, it is necessary to promote education and propaganda about safe sex, more importantly when there are suspected manifestations of gonorrhea urethritis, immediately go to a medical facility for timely examination and diagnosis.
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