OVERVIEW
OVERVIEW
Post-gonorrhea syndrome is a condition in which a patient with gonorrhea feels discomfort in the urethra or lower abdomen even though urethral swab microscopy and culture for gonorrhea are negative after effective treatment. The vast majority of post-gonorrhea syndrome occurs in men. The prognosis is generally good after active treatment.
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Yes
Department
Urology
Clinical symptoms
Perineal discomfort, lower abdominal pain; burning sensation, discomfort and urethral pain during urination; redness and swelling of the urethral opening, little discharge from the urethra, and pain in the lower back.
Harm
Due to the patient’s fear of STDs and lack of knowledge about STD prevention and treatment, psychological disorders may arise.
Examination
Urine routine, prostate fluid examination, urethral swab smear examination, mid-stream urine culture, prostate fluid culture, etc.
Diagnosis
Diagnosis is based on medical history, perineal discomfort, lower abdominal pain and other manifestations, combined with prostate fluid examination and urethral swab smear examination.
Treatment principle
Most of the cases are treated by etiologic factors.
Curability
Symptoms can be improved by active treatment.
Dietary advice
Eat a light diet, avoid alcohol and eat less spicy food.
Etiology
Etiology
Related to infection, dysbiosis, post-inflammatory fibrosis or hyperplasia, mental trauma and other factors.
Symptoms and Diagnosis
Typical symptoms
Mostly manifested as local discomfort, as perineal discomfort, lower abdominal pain; burning sensation, discomfort, urethral pain during urination; redness and swelling of the urethral opening, some patients have a little secretion in the urethra, and white secretion dripping from the urethral opening when straining to stool or at the end of urination; soreness and pain in the waist and back, and in some patients, premature ejaculation, loss of libido, loss of pleasure during ejaculation, and even impotence; a small number of patients have systemic symptoms, such as dizziness, headache, insomnia, and dreaminess, fatigue and weakness, etc.
Diagnostic basis
1. history of acute gonorrhea. 2. after treatment, urethral swab or prostate fluid microscopy, nucleic acid and culture, gonorrhea are negative results. 3. patients with more self-conscious symptoms and fewer physical signs.
Treatment
Treatment guidelines
Mostly use the etiologic treatment.
Drug treatment
1. For patients with this disease caused by mycoplasma or chlamydia infection, antibiotics are given to control the infection, commonly used drugs include erythromycin, azithromycin, doxycycline, etc. 2. For chronic aseptic prostatitis or prostate pain, phenylbenzylamine can be used, which can improve the urinary flow. 3. For those who still have edema or connective tissue hyperplasia under mucous membranes, prednisone can be given. 4. For those patients who have psychological disorders, Valium and chlorpromazine can be given. 5. Other treatments
Other treatments
Hot water sitz bath, physiotherapy, psychotherapy.
Prognosis
The prognosis is generally good after active treatment.
Nursing care
Daily care
1. Pay attention to the combination of work and rest, sexual life should be restrained. 2. Maintain a comfortable mood, enhance the confidence of overcoming the disease. 3.
Diet
Eat a light diet, avoid alcohol, and eat less spicy food.