Gonococcal urethritis

　　It is often due to the migration or chronic infection of upper urinary tract acute infection, or it can be induced or secondary to certain lower urinary tract lesions. Such as benign prostatic hyperplasia, chronic prostatitis, urethral stricture, bladder calculi or foreign bodies, hymen fusion at the urethral orifice, hymen prolapse, paraurethral glanditis, etc.

　　1. When gonorrhea in women is complicated with salpingitis, it can lead to infertility. The incidence of infertility caused by gonorrhea in women is about 20%, and the incidence of infertility increases with the increase in the number of infections. For women infected with three or more times of gonorrhea, the incidence of infertility can reach 70%. Cervical gonococcal inflammation can lead to early rupture of the amniotic membrane, intra-amniotic infection, intrauterine infection of the fetus, intrauterine growth retardation of the fetus, premature birth, etc. Neonates have a high incidence and mortality rate of sepsis due to premature birth and low birth weight.

　　2. Postpartum ascending infection with Neisseria gonorrhoeae can cause endometritis, puerperal fever, and in severe cases, postpartum sepsis, neonatal gonococcal conjunctivitis, and vulvovaginitis in women with gonococcal balls.

　　3. The main complications of gonorrhea in women include gonococcal endometritis, such as acute salpingitis, endometritis, secondary salpingo-ovarian abscess and pelvic abscess caused by its rupture, peritonitis, etc. It often suddenly occurs after menstruation, with high fever, chills, headache, nausea, vomiting, lower abdominal pain, and an increase in purulent leukorrhea. Bilateral adnexa thickening and tenderness.

　　Frequent urination, urgency, dysuria, urethral itching, burning pain during urination, urethral discharge of pus, or purulent secretion from the cervix or vaginal orifice, etc. Or with symptoms of gonococcal conjunctivitis, enteritis, pharyngitis, etc., or with disseminated gonococcal symptoms.

　　1. Gonococcal urethritis is a sexually transmitted disease, and the focus of prevention is to avoid unclean sexual contact and promiscuity.

　　2. Once yellow, thick pus is produced in the urethra with symptoms such as dysuria, it should be treated promptly.

　　3. The presence of Gram-negative diplococci in the secretion can be diagnosed.

　　4. Treatment should be adequate in dosage and duration to avoid recurrence and chronicity.

　　6. Treatment for both men and women.

　　This disease is not hereditary and has no immunity, it can be reinfected, and incomplete treatment can lead to recurrence and chronicity. Timely diagnosis and anti-infection treatment can be completely cured.

　　The diagnosis of gonococcal urethritis is based not only on clinical manifestations but also on cystoscopy, which can show purulent urine, purulent plaques, bladder mucosal congestion, edema, or small villi. Pay attention to the presence of diverticula, calculi, foreign bodies, or tumors.

　　In addition to routine treatment, attention should also be paid to the following aspects of diet for gonococcal urethritis: Gonococcal urethritis mainly consumes light food, pay attention to dietary regularity. Avoid spicy food, alcohol, and smoking.

　　First, Treatment Principles

　　1. Early diagnosis and early treatment.

　　2. Take the medicine in a timely and adequate manner.

　　3. Prevent the spread to others.

　　4. Treat the sexual partner at the same time.

　　5. Follow-up examination should be performed after treatment.

　　6. Pay attention to whether there are other sexually transmitted diseases.

　　Second, Treatment Medication

　　1. Ceftriaxone 250mg-1g, intramuscular or intravenous injection, once a day, for a total of 3 days.

　　2. Spectinomycin 2g for men, 4g for women, intramuscular injection, once a day, for a total of 3 days.

　　Continue to take oral antibiotics for another week after the treatment, such as macrolides, cephalosporins, and quinolones.

　　Third, Cure Standard

　　1. All symptoms and signs have disappeared.

　　2. The morning urine routine examination is negative.

　　After the treatment is completed, stop taking the medicine for 3-7 days, and take a smear, staining, and culture from the affected part, all of which are negative.