gonorrhea complication seminal vesiculitis
Introduction
Introduction to gonorrhea complication Gonorrhea is the abbreviation of gonococcal urethritis. It is a sexually transmitted disease. Males suffer from gonococcal urethritis. If the treatment is not timely, it can cause seminal vesiculitis, which will affect the storage, survival and transportation of sperm, and eventually lead to infertility. basic knowledge The proportion of illness: 0.02% Susceptible people: male Mode of transmission: sexually transmitted blood transmission Complications: urethritis Prostatitis Epididymitis Orchitis Urethral stricture
Cause
Gonorrhea comorbidity
Cause:
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 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 complications of seminal vesiculitis Complications urethritis prostatitis epididymitis orchitis urethral stricture
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, clinical local redness and heat pain, tenderness, part of the formation of abscess and perineal bulge, pain and discomfort, but also frequent urination, urgency, dysuria, hematuria, dysuria, turbid urine, serious There are fever, chills, 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, and increased vaginal secretions, can produce severe peritoneal irritation and systemic symptoms, can cause recurrent stenosis or occlusion of the fallopian tubes, resulting in infertility and ectopic pregnancy.
Symptom
Gonorrhea complication syndrome of seminal vesicle common symptoms testicular pain and low heat testicular tenderness
Generally occurs after acute urethritis, mostly unilateral, with low fever, epididymal swelling and pain, ipsilateral groin and lower abdomen have reflex pain, the beginning and testicular boundaries are clear, gradually unclear, testicular tenderness, swelling, severe It is tender and urine is often cloudy, and there may be prostate and seminal vesiculitis.
Examine
Gonorrhea complication
(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 diagnosed. The pharyngeal smear found that Gram-negative diplococcus cannot diagnose gonorrhea, because other Neisseria species are normal in the pharynx, and the smear is not typical for the symptoms. Further inspection should be carried out.
(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. Before the genetic diagnosis, the culture is recommended by the World Health Organization. The only way to screen for gonorrhea.
Diagnosis
Diagnosis and diagnosis of gona contraction syndrome
Differential diagnosis:
Non-gonococcal urethritis: longer incubation period, 7-21 days, less or no urethral secretion, serous or mucous secretions, thin, mild symptoms, no systemic symptoms, the main pathogen is Chlamydia trachomatis, solution Ureaplasma urealyticum.
