What symptoms does urethritis usually have? Can urinary routine examination diagnose urethritis

There are many male patients with acute urethritis. Many patients do not know how to diagnose this disease due to lack of disease common sense. In order to avoid the invasion of the disease, we should first learn more about the common sense of acute urethritis. Let's take a look at the diagnosis of acute urethritis.

The diagnosis basis of male urethritis?

1. The patient has a history of decreased resistance and unclean sexual life such as fatigue and cold;

2. In the acute stage, the urethral orifice is red and swollen, and there is urethral secretion, which begins to be mucinous, and then becomes purulent. The urethral mucosa is diffuse hyperemia, edema and sometimes ulceration.

3. The patient has burning pain in the urethra during urination, frequent urination, urgency of urination, pain in the suprapubic region and perineum, and pressure pain in the urethra.

4. There are red blood cells and white blood cells in urine examination, and a few have the hyperbolic cosine value of hematuria visible to the naked eye. The hyperbolic cosine value of. The hyperbolic cosine value of.

5. After the urethritis enters the chronic stage, the symptoms are relieved, the urinary secretion is reduced, and the urine is pale, but the urethra has a tingling sensation or urination discomfort.

6. The urine is dissolved into three cups at a time. The first cup is turbid, and the second and third cups are clear, indicating anterior urethritis; The third cup of urine is turbid, and the first and second cups are clear, which indicates posterior urethritis.

7. Urinary secretion was positive, and pathogenic bacteria were found after feeding.

8. There is a history of sexual contact outside marriage and a history of infection in spouse, and the incubation period is 1 week to 3 weeks.

9. The clinical manifestations are itching, burning sensation, pricking pain, urgency of urination, and dysuria in male urethra, but the symptoms are generally lighter than gonorrhea. The urethral orifice is congested or red and swollen, with serous, mucopurulent or white thin secretion, and there is life phenomenon when getting up in the morning.

Examination and diagnosis of urethritis

The routine urine examination found that leucocytosis or pyuria, accompanied by erythrocytosis, a few of them showed gross hematuria, and the urine three-cup test showed that there were a large number of pus cells in the first cup, red blood cells were present, and the second and third cups were basically normal. The number of bacteria cultured in the initial urine cells was significantly higher than that in the middle urine, and the coating of urinary or vaginal secretions was examined. Intracellular or extracellular gonococci were found in gonococcal urethritis, Non-specific urethritis can be cultured with secretions or anterior urethral wipes. A large number of bacteria grow. No bacteria are found in the secretions coating and culture. That is, PR with mycoplasma infection can be subject to special examination.