Urethritis, bacterialN34.1

Author:Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 13.11.2023

Dieser Artikel auf Deutsch

Synonym(s)

mimic urethritis; Urethritis Coliurethritis; Urethritis Staphylococcal urethritis; Urethritis Streptococcus urethritis; Urinary tract infection

Requires free registration (medical professionals only)

Please login to access all articles, images, and functions.

Our content is available exclusively to medical professionals. If you have already registered, please login. If you haven't, you can register for free (medical professionals only).


Requires free registration (medical professionals only)

Please complete your registration to access all articles and images.

To gain access, you must complete your registration. You either haven't confirmed your e-mail address or we still need proof that you are a member of the medical profession.

Finish your registration now

DefinitionThis section has been translated automatically.

Urethritis caused by various pathogens, especially pseudogonococcus, mimeae, coliform bacteria (coliurethritis), staphylococci (staphylococcus urethritis), streptococci (streptococcus urethritis), Proteus species, Pseudomonas aeruginosa and Klebsielles. It belongs to the non-specific urethritides.

General therapyThis section has been translated automatically.

Cooperation with urologists. If possible, 2-3 liters of fluid intake daily, especially mildly disinfecting teas (e.g. mixed teas from bearberry, Hauhechel root, birch leaves, etc.)

External therapyThis section has been translated automatically.

Not necessary. Local antibiotics, glucocorticoid-containing styli or insertions are not indicated, they carry the risk of grafted traumatic urethritis.

Internal therapyThis section has been translated automatically.

  • Antibiosis according to antibiogram. Primary treatment with cotrimoxazole (e.g. Eusaprim) dosage: 80/400 mg.
  • Alternative: Gyrase inhibitors such as ciprofloxacin (e.g. Ciprobay) 2 times/day 0.25-0.5 g p.o. for 7-10 days, ofloxacin (e.g. Tavanic) 2 times/day 200-400 mg p.o. or i.v. or norfloxacin (Barazan) 400 mg every 12 hrs p.o. for 7-10 days.
  • Alternative: Doxycycline (e.g. Doxy-Wolff) 100 mg p.o. 2 times/day for 1 week or azithromycin (e.g. Zitromax) 1 g p.o. as a single dose.
  • D-mannose orally - binds the pili of enterococci so that they can no longer attach to the urothelia. Preparation: Femannose® N Dosage in acute bladder infections: 1st-3rd day 3 sachets, 4th and 5th day 2 sachets/day. Prophylactic: 1 sachet/day.

Phytotherapy internalThis section has been translated automatically.

see also under Urinary tract infection, internal phytotherapy. With the increase in resistance to antibiotics, herbal remedies are increasingly coming to the fore. A distinction should be made here between aquaretics (plant-based diuretics), urinary tract disinfectants, micturition-influencing agents and agents against urinary stone formation.

Aquaretics and disinfectants are suitable for the treatment and prophylaxis of urethritis.

Aquaretics promote the blood circulation of the glomeruli of the kidney with an increase in the amount of primary urine. see under: Birch - Betulae folium, Goldenrod - Solidaginis herba, Hauhechel - Ononidis radix, Parsley - Petroselini herba, Juniper - Juniperi fructus and Cat's Bit - Orthosiphonis folium.

Urinary tract disinfectants act against microorganisms: see under bearberry - Uvae ursi folium, nasturtium - Tropaeoli maji herba, horseradish - Armoraciaerusticanae radix, cranberry - Vitisidaeae folium.

LiteratureThis section has been translated automatically.

  1. Kranjčec B et al. (2014) D-mannose powder for prophylaxis of recurrent urinary tract infections in women: a randomized clinical trial. World Journal of Urology 32: 79-84.
  2. Zisser LA (2016) The power of medicinal plants specifically for the therapy of acute and chronic infections of the genitourinary tract. https://unipub.uni-graz.at/obvugrhs/content/titleinfo/1392005/full.pdf.

Authors

Last updated on: 13.11.2023

Author: Prof. Dr. med. Peter Altmeyer