What is female urethral pus?

A woman's vagina and urethra are separate, with the vaginal opening being relatively large and the urethral opening being relatively narrow. However, since the urethra and vagina are adjacent to each other, many women who develop gynecological diseases also develop urinary tract infections at the same time. Moreover, some women find that their urethra opening is very painful and even has pus discharge when urinating. So what disease causes pus discharge from the female urethra?

1. What is the disease of pus discharge from the female urethra?

Purulence is the most common urethritis. Clinical examination during the acute phase of urethritis may reveal redness and swelling of the urethral orifice, mucous or purulent secretions, and urethral tenderness and hardening.

Urethritis can be divided into two types: specific and nonspecific. Specific urethritis, including gonococcal urethritis and non-gonococcal urethritis. Other types of specific urethritis include urethritis caused by tuberculosis, Trichomonas, fungi, viruses, etc.; non-specific urethritis is infection caused by Staphylococcus aureus or Escherichia coli. This type of urethritis occurs without sexual contact.

The three-cup urine test shows that: the first cup is turbid and contains a large number of pus cells and white blood cells; the second and third cups are clear. In case of posterior urethritis, the first and third cups are cloudy; the second cup is clear. Men/patients with no urethral discharge should perform the three-cup test. The first cup of urine from anterior urethritis is turbid with a large number of pus cells and white blood cells, while the second and third cups are clear. In posterior urethritis, the first and third cups are turbid, with a large number of pus cells and white blood cells, while the second cup is clear.

Avoid using instruments when examining acute urethritis. Chronic urethritis requires urethrocystoscopy to clarify the cause of the disease. Sometimes a metal urethral bougie can be used to test for stenosis in the urethra, and urethrography can be performed if necessary.

In addition, a small number of patients with urethral pus discharge suffer from symptoms caused by sexually transmitted diseases or infections. Pus discharge from the urethra may also be caused by gonorrhea. If you have unclean sexual behavior and have sexual contact with a gonorrhea patient, a large amount of purulent secretions will appear in the urethra 2 to 10 days later. The secretions are dark yellow and sticky, and often form pus scabs on the underwear.

What are the symptoms of urethritis?

1. Low back pain. Kidney and perirenal diseases are one of the common causes of low back pain. When the renal capsule, renal pelvis, or ureter are irritated or the tension increases, it can cause pain in the lower back. Inflammation of the kidney and surrounding areas, such as renal abscess, perinephritis, perirenal abscess, and acute pyelonephritis, often causes persistent and severe pain in the lower back. The low back pain caused by chronic pyelonephritis is often soreness.

2. Acute cystitis, with an acute onset, very obvious urinary frequency and urgency, urinating 1-2 times per hour, or even 5 times or more, a burning sensation in the urethra during urination, and a small amount of urine each time. There may be lower abdominal pain at the end of urination, and sometimes hematuria. There are often no obvious systemic infection symptoms, but a very small number of patients may have low back pain and low fever.

3. Abnormal urine. Urinary tract infection can cause abnormal changes in urine, the most common of which are bacteriuria, pyuria, hematuria and pneumaturia.

4. Abnormal urination. Typical symptoms are urgency, pain, and frequency of urination. Urinary incontinence or urinary retention are rare.

5. Polyuria. Chronic renal failure caused by chronic pyelonephritis may have polyuria in the early stage, and oliguria or anuria in the later stage.