Nongonococcal urethritis

Urethritis is a common disease in daily life. Perhaps many people know that urethritis not only causes urinary tract pain and discomfort, but also redness, itching and discomfort at the urethral opening, and sometimes there may be odor, which seriously affects life and work. Nongonococcal urethritis is a type of urethritis. Perhaps everyone is familiar with it. It is also a common type in clinical practice. Non-gonococcal urethritis has a higher incidence in women.

Unlike urethritis caused by gonococci, non-gonococcal urethritis refers to urethritis that is not caused by gonococcal infection, but is caused by other pathogenic bacteria. It is also a sexually transmitted disease and can also be transmitted through other contact methods. Let’s take a closer look.

Nongonococcal urethritis (NGU) is a sexually transmitted disease in which the patient has clinical symptoms of urethritis but no gonococci can be found in urethral secretion smear or culture. It is a sexually transmitted disease whose pathogen is not clearly identified. Because when women suffer from this disease, they not only have inflammation of the urethra, but also inflammation of the reproductive tract such as cervicitis.

The pathogens of this disease are mainly Chlamydia trachomatis and Mycoplasma, so the current trend is to rename the disease as "Chlamydia trachomatis urogenital tract infection" and "Mycoplasma urogenital tract infection" respectively. The incidence of this disease ranks first among STDs in Western countries.

Most female patients with non-gonococcal urethritis are asymptomatic. When there is urethritis, about 50% of patients experience urinary urgency, frequent urination and difficulty urinating, but no symptoms of urinary pain or only mild urinary pain. The cervix is ​​the main site of infection in women. The main symptoms are hydropurulent endocervicitis, which may include increased leucorrhea, vulvar and vaginal itching, and lower abdominal discomfort.

Non-gonococcal urethritis is mainly transmitted through sexual intercourse, but gonococci cannot be detected in the infection site. Patients with severe symptoms may have purulent secretions, so they need to receive anti-infection treatment. Some patients still have symptoms after treatment, or their symptoms get better and worse, and cannot be completely cured. This may be because the patient has a variation in the urinary tract structure, or drinks a lot of alcohol, etc. At the same time, the sexual partner must also be treated at the same time.