gonorrhea comorbid prostatitis
Introduction
Introduction to gonorrhea complication prostatitis Gonorrhea is a purulent infection of the genitourinary system caused by gonorrhea. It is one of the most common sexually transmitted diseases, and its main manifestations are gonococcal urethritis and cervicitis. Neisseria gonorrhoeae can also be locally spread by the urethra or the cervix, causing epididymitis and pelvic inflammatory disease; it can also cause disseminated gonorrhea through blood circulation. In addition, it can also cause infection of the eye, pharynx and rectum; some patients have been infected with gonococcal bacteria, but there is no clinical symptoms, called asymptomatic gonorrhea. basic knowledge The proportion of illness: 0.001% Susceptible people: male Mode of transmission: sexually transmitted blood transmission Complications: urethritis, seminal vesiculitis, epididymitis, orchitis, hematuria, urethral stricture
Cause
Gonorrhea complication prostatitis cause
Neisseria gonorrhoeae infection (95%):
Human being is the sole host of gonococcus. The gonococcal has no pathogenic ability to lower animals. It has repeatedly transplanted pus containing gonococcal bacteria in the human urethra into the eyes of rabbits, trying to cause gonococcal membrane inflammation, which has not been successful. It shows that humans lack the ability to kill gonococcal bacteria, so gonococcus can only invade humans and has no ability to invade lower animals.
Prevention
Gonorrhea complication prostatitis prevention
1. Promote the knowledge of sexually transmitted diseases, promote noble moral sentiments, and strictly prohibit prostitution.
2. The use of condoms can reduce the incidence of gonococcal infections.
3. Prophylactic use of antibiotics can reduce the risk of infection. You can take norfloxacin or amoxicillin before and after sexual intercourse, which can effectively prevent sexually transmitted infections.
4. Sex partners are treated at the same time.
5. Patients pay attention to personal hygiene and isolation, not to bed with family, children, especially girls, and bath.
6. Perform a system of neonatal silver nitrate solution or other antibiotic droplets to prevent gonococcal ophthalmia.
Complication
Gonorrhea complication prostatitis complications Complications urethritis seminal vesiculitis epididymitis orchitis blood urinary tract stenosis
Since the use of antibiotics, the complication of gonorrhea has been greatly reduced, and complications have occurred, mostly due to the lack of timely and effective treatment in the acute phase, or the patient's weakness, low resistance, other visceral diseases, or gestational and menstrual periods. Sexual intercourse during menstruation may promote acute ascending gonococcal infection. In men, gonorrhea is infected by the anterior urethra and spreads to the posterior urethra, causing posterior urethritis, prostatitis, seminal vesiculitis, epididymitis, orchitis, urethral gland Inflammation and foreskin gland inflammation, local redness, heat, pain, tenderness, partial abscessation and perineal bulge, pain and discomfort, frequent urination, urgency, dysuria, hematuria, difficulty urinating, turbid urine, serious There are fever, chills, elevated peripheral blood leukocytes, repeated attacks can lead to urethral stricture, vas deferens or obstruction, secondary infertility, in women, inflammation of the ascending infection, can spread to the endometrium, fallopian tubes, ovaries, pelvic, Liver week, can also affect the vestibular gland, paraurethral gland, causing local inflammation or abscess, clinically appearing lower abdomen pain, bulge, bureau Tenderness, tenderness, back pain, increased vaginal discharge and secretions, severe cases can produce peritoneal irritation and systemic symptoms.
Symptom
Gonorrhea complication prostatitis symptoms common symptoms penile pain nodule chills prostate calcification prostate secretions contain...
Acute prostatitis is the excretory tube of gonococcal bacteria entering the prostate, caused by glands, fever, chills, perineal pain and urinary tract infections such as dysuria. When examined, the prostate is swollen and tender, but gonococcal is not causing acute prostatitis. The common cause, the prostate caused by gonococcal is mainly chronic lesions, its symptoms are mild, there is perineal discomfort, penile pain, morning urethra mouth has a "life" phenomenon, urine is seen in the silk, prostate massage liquid has a pus ball and Reduce lecithin, smear or culture to find gonococcal bacteria, anal examination can touch small nodules on the prostate, and have discomfort or pain, and the formation of scars in the vicinity of the drainage tube to form scar contraction affects ejaculation, resulting in infertility.
Examine
Examination of gonorrhea complication prostatitis
(1) Smear examination:
Take the patient's urethral secretions or cervical secretions for Gram stain, find Gram-negative diplococcus in polymorphonuclear leukocytes, smear for patients with simple gonococcal anterior urethritis with a large amount of purulent secretion, this method The positive rate is about 90%, which can be initially diagnosed. There are many bacteria in the cervical secretions of females, and the sensitivity and specificity are poor. The positive rate is only 50-60%, and there are false positives. Therefore, the World Health Organization recommends the culture method. Checking female patients, chronic gonorrhea due to less gonococcal bacteria in the secretions, the positive rate is low, so take the prostate massage liquid to improve the detection rate.
(2) Training and inspection:
Neisseria gonorrhoeae culture is an important evidence for diagnosis. The culture method is a sensitive method for males with mild or asymptomatic symptoms. As long as the culture is positive, the diagnosis can be confirmed. The positive rate of culture is 80%-95% for males and 80% for females. 90%.
Diagnosis
Diagnosis and diagnosis of gonorrhea complication prostatitis
Differential diagnosis
(1) Non-gonococcal urethritis: longer incubation period, 7-21 days, less or no urethral secretion, serous or mucous secretion, thin, mild symptoms, no systemic symptoms, the main pathogen is trachoma Chlamydia, Ureaplasma urealyticum.
(B) Candida vaginitis: the main clinical symptoms are vulva, vaginal itching, increased vaginal discharge, leucorrhea is white water or gel-like, vaginal mucosa congestion, edema, adhesion of white film, mild erosion of white film Spores and hyphae can be seen by white film microscopy.
(C) Trichomonas vaginitis: The main clinical symptoms are vaginal itching, the secretions are mostly foamy, vaginal mucosa and cervical congestion are obvious, there is a characteristic strawberry-like appearance of bleeding points, vaginal mucosa often bleeding, secretions are bloody, Trichomonas can be detected in secretions.
(D) bacterial vaginitis: increased vaginal discharge, gray, uniform, increased pH, fishy smell, smear showed reduced lactobacilli, Gram-negative bacteria increased.
