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KMID : 0438219750120030639
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Korea University Medical Journal
1975 Volume.12 No. 3 p.639 ~ p.647
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A Clinical Study on Female Urethritis
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Abstract
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Female urethritis is common disease in women, and its symptoms usually consist of urinary frequency, tenesmus, urgency, painful urination and suprapubic discomfort. Although these symptoms are those of the lower urinary tract, corroborative physical and laboratory findings are minimal. Allergic and psychic factors, senile atrophy, obstruction, chronic infection of urethral glands, and stress reactions have been accorded as the etiological significance. Numerous , forms of treatment have been advocated, including ingestion of craneberry juice, use of suppositories, electrofulguration of polyps and polypoids of bladder neck, or resection, and avulsion of the urethral glands. This fact suggests that no single therapy has been consistently successful.
During the period from March 1972 to December 1974, 180 cases of female urethritis encompassed the age range of adult womanhood from 21 to 58 years were studied and the following results were obtained.
1) Female urethritis were observed most frequently in the group of 31^40 years of age.
2) Common urinary symptoms were frequency, 70.6%; tenesmus, 54.4%; urgency, 30%; and painful urination, 29.4%. Non-urinary symtoms were suprapubic discomfort, 21.1%; lumbago, 20.6%; and headache, 18.9%.
3) In 135 out of 180 cases, urine examinations were within normal limits.
4) Endoscopic results in bladder except bladder neck were considered to be essentially normal in 81 of 180 instances, trigonitis were found in 40.6% and trabeculations were noted in 30%.
5) The endoscopic findings of urethra and bladder neck were as follows; 153 cases (85%) had polys and polypoids, 143 cases (79.4%) had hyperemia, and 135 cases (75%) showed irregular and narrow bladder neck.
6) All patients received medical and local treatment consists of urethral dilatation and electrofulguration. The better results were obtained inpatients treated with urethral dilatation up to 1.3-1.5 cm (39-45F) in diameter than those of 1.0-1.2 cm (30-36F) in diameter, while the best results were obtained in patients treated with electrofulguration and urethral dilatationt than urethral dilatation alone.
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