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Urethral syndrome is defined as symptoms suggestive of a lower urinary tract infection but in the absence of significant bacteriuria with a conventional pathogen. [1] It is a diagnosis of exclusion in patients with dysuria and frequency without demonstrable infection. [2] In women, vaginitis should also be ruled out. [3]
The symptoms of urethritis can include pain or a burning sensation upon urination , a white/cloudy discharge and a feeling that one needs to pass urine frequently. For men, the signs and symptoms are discharge from the penis, burning or pain when urinating, itching, irritation, or tenderness.
In women, urethritis can be diagnosed with a number of tests including: urine test, blood test, vaginal culture, cytoscopy, or a nucleic acid test. [18] Women will also have abdominal and pelvic exams to check for urethral discharge, and tenderness of the lower abdomen or urethra. [6]
Estimates of the percentage of female adolescents and women of reproductive age affected are between 50% and 90%. [4] [6] It is the most common menstrual disorder. [2] Typically, it starts within a year of the first menstrual period. [1] When there is no underlying cause, often the pain improves with age or following having a child. [2]
A urethral stricture is a narrowing of the urethra, the tube connected to the bladder that allows urination. The narrowing reduces the flow of urine and makes it more difficult or even painful to empty the bladder. [1] Urethral stricture is caused by injury, instrumentation, infection, and certain non-infectious forms of urethritis. The ...
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As a result, there's a higher risk of getting vaginal and urinary tract infections. [15] Normal menopause and treatments such as chemotherapy or medications may result in loss of estrogen. Those with or had a history of breast cancer may be at a higher risk of developing atrophic vaginitis due to chemotherapy and other endocrine treatments. [ 4 ]
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