Non-rheumatic urethritis – symptoms, methods of diagnosis and treatment

Urethritis refers to inflammation of the inner wall of the urethra. Without competent and timely treatment, the disease can have complications. You need to know the factors of occurrence and symptoms of this pathology in order to consult a doctor in time.

Non-rheumatic urethritis – what is it

Non-gonorrheal urethritis occurs not only in men, but also in women. It can be acute or chronic. Also, the disease is divided into infectious and non-infectious. The causative agents of the first type are bacteria and viruses. With a weakened immune system, the risk of infection increases.

Non-gonorrheal urethritis is understood as an inflammatory process that affects the entire length of the urethral canal. The causative agent of the disease is not gonococcus, as is the case with the gonorrheal type of the disease. The danger of pathology is that it can quickly turn into a chronic form.

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The main reason for the appearance of non-gonorrheal urethritis is infection through sexual contact with an infected person. Since at the initial stage the symptoms are blurred, it is better, after a dubious sexual relationship, to be tested to identify pathology. There are also known cases of urethritis due to an allergic reaction to chemicals (bath foam, washing powder). Disturbed metabolism, weak immunity contribute to the development of the disease.

Infection with non-gonorrheal urethritis is possible when certain microbes, fungi and viruses enter the human body:

  • Escherichia coli.
  • Staphylococci.
  • Gram-positive diplococci.
  • Streptococci.
  • Pneumococci.

In addition to sexual intercourse, the infection can penetrate during a medical examination of the urethra through contaminated instruments. A man is more likely to become infected if he has intercourse with a woman who has recently given birth or who is menstruating.


In men, pathology is manifested by the following symptoms:

  • Discharge of a mucopurulent character from the urethra.
  • Burning and itching in the urethral area during urination.
  • A stabbing pain at the beginning of urination.
  • Dysuria.
  • The appearance of whitish filaments in the first portion of urine.
  • False urge to go to the toilet.
  • Puffiness and adhesion of the outer hole.

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The disease in women manifests itself as follows:

  • Purulent discharge from the vagina and urethra.
  • Temperature increase.
  • Cramping pain.
  • Violation of the menstrual cycle.
  • Itching and burning in the genital area.
  • Endometritis (if inflammation affects the uterus).

Similar signs are observed on the fifth day after infection. They can be against the background of prostatitis, tonsillitis, vesiculitis, flu and other infectious diseases. In the acute form of urethritis, the clinical picture is more pronounced. The disease of the chronic type is capable of running latently, manifesting itself only during periods of exacerbation.


Timely diagnosis of non-gonorrheal urethritis is the key to a quick and successful cure. At the reception, the doctor interviews the patient about the presence of unpleasant symptoms, the time of their appearance and the severity. Also performs examination of the patient. To confirm the diagnosis, the doctor prescribes a series of tests:

  • Microscopy of a smear from the urinary canal (shows the presence of urethritis, its type),
  • Urethrography (performed only for chronic urethritis)
  • Ureteroscopy with a microscope (not performed in the acute course of the disease)
  • Bacterial smear culture (determines the sensitivity of the pathogen to an antibacterial agent)
  • General analysis of urine (identifies impurities that are observed with urethritis)
  • Ultrasound (displays changes in the structure of the urinary organs),
  • PCR (shows the presence of chlamydia).

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    Treatment of urethritis of a non-gonorrhea type is carried out with medication and folk methods. As a rule, the methods are combined. Since the prescriptions of alternative medicine give a weak effect without the parallel administration of pharmaceutical preparations. The disease is treated quickly with broad-spectrum antibiotics. Sometimes the pills do not give the desired result. Then, solutions prepared on the basis of dioxidine, silver or collargol are injected into the urethra.

    In the acute course of the pathology, hospitalization is sometimes required. During the treatment of chronic urethritis, immunotherapy is usually added to the main treatment. Traditional methods are represented by different decoctions and infusions of medicinal herbs. At the initial stage of the disease, they are shown only after consulting a doctor. At the end of the treatment course, the urologist prescribes the delivery of repeated tests.

    Consequences and complications

    If you start correct treatment on time, urethritis will not entail any negative consequences. With a negligent attitude to health, a relapse and the transition of pathology to a chronic form are possible. Then the healing process can take years.

    Women can develop scars that increase the chance of miscarriage and ectopic pregnancy. In the stronger sex, a complication of untreated non-gonorrheal urethritis is epididymitis, swelling, and infertility.


    Prevention consists in strengthening the immune system. It is important to avoid accidental sexual intercourse, use personal protective equipment. To prevent complications, you need to monitor your health and, if you suspect a disease, undergo examination and treatment on time.

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    Svetlana Borszavich

    General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
    Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
    The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
    The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.