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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.
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]
Urethritis is the inflammation of the urethra. The most common symptoms include painful or difficult urination and urethral discharge. [1] It is a commonly treatable condition usually caused by infection with bacteria. [2] This bacterial infection is often sexually transmitted, but not in every instance; it can be idiopathic, for example. [3]
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic or perineal pain without evidence of urinary tract infection, [8] lasting longer than 3 months, [9] as the key symptom. Symptoms may wax and wane. Pain can range from mild to debilitating. Pain may radiate to the back and rectum, making sitting uncomfortable.
Common causes include infections due to gonorrhea, chlamydia, or trichomoniasis. [3] Other causes include: Non-specific urethritis [2] Acute prostatitis [2] Infection under the foreskin [2] Warts at the opening of the urethra [2] Herpes simplex virus ulcer at the opening of the urethra [2] Object in the urethra [2] or recent surgical procedure. [5]
Other symptoms include pain localized to the urethra or pelvis and frequent urinary tract infection. [3] When urethral diverticulum becomes severe, a painful mass can sometimes be felt inside the introitus of the vagina, which can discharge pus. If the mass is hard or bleeds, complications like cancer or kidney stones may be present. [3]
Treatment, depending on cause, may require prompt drainage of the bladder via catheterization, medical instrumentation, surgery (e.g., endoscopy, lithotripsy), hormonal therapy, or a combination of these modalities.
Asymptomatic inflammatory prostatitis is a painless inflammation of the prostate gland where there is no evidence of infection. [1] It should be distinguished from the other categories of prostatitis characterised by either pelvic pain or evidence of infection, such as chronic bacterial prostatitis, acute bacterial prostatitis and chronic pelvic pain syndrome (CPPS). [2]