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Atrophic Urethritis

Atrophic Urethritis – General Information

Atrophic Urethritis is a disease which affects the urological system and causes an intense feeling of discomfort. It generally causes abnormalities such as the appearance of sterile urine or the necessity to urinate more frequently during the night than during the day time. Some sufferers also experience difficulties when starting to urinate and a sensation of partial emptying of the bladder. Atrophic Urethritis usually affects women, aged between 20 and 55 years. However, the good part is the fact that this disease does not affect the vagina and any problems or lesions must not be taken into consideration. Some possible causes of the appearance of this disease are the inflammation of the skene and paraurethral glands associated with some hormonal imbalances, an allergy to certain products, foods or chemicals (soap, douches, contraceptive gels, bubble bath, condoms) or, in some cases, some trauma caused by a sexual act. Although the causes which can lead to the appearance of Atrophic Urethritis seem easy to recognize, the disease is usually not diagnosed after a long period of time, this is also the reason why a plausible report about the number of sufferers is not available. This disease is not a severe one and in no situation can it lead to death; however, the problems which appear can result in a feeling of anxiety and frustration. On the other hand, these symptoms can determine the patient to abuse of some substances, such as alcohol or narcotics.
The disease is more likely to develop in westernized areas and it affects mostly white women.

Atrophic Urethritis – Symptoms

The most common signs and symptoms which appear in the case of the women who suffer from Atrophic Urethritis are:

  • Urinary complaints: if such problems appear, the patient must be evaluated in order to find out if he suffers from a bladder tumor
  • Frequency: patients feel the need to urinate at every 20 to 50 minutes all during the day time.
  •  Dysuria: is a feeling of urethral irritation; it usually appears in the case of those who suffer from an infection of the lower urinary tract.
  • Suprapubic pain: this is the only symptom which is neither severe nor even constant; during the night it can even disappear completely.
  • Other pelvic problems: these can appear in some cases during the menstrual period, but they can also predict a pregnancy or other gynecologic disorders. 
  • Involuntary spasms and tightening of the muscles in the pelvic area

When a patient develops one or more of these symptoms, the doctor should inform about the habits of the patients, such as:

  • Sexual history: in some cases, the abuse of contraceptive substances and drugs, as well as an intense sexual activity or the interaction with some products can be the reason for developing Atrophic Urethritis.
  • Everyday habits: such as horseback ridding, using the bus or the train regularly or driving for a long period of time can have negative results. 
  • Medical history: the abuse of diuretics can increase the risk of suffering from this disease.
  • Frequent limping or falls.

Atrophic Urethritis – Treatment

The treatment is administrated in order to decrease the symptoms and to improve the general condition of the patient. In the case of Atrophic Urethritis, the treatment is a combination of medical care and surgery, diet, therapy and a behavioral change in the case of the sufferer. In what concerns the surgical care, in the past it consisted of urethral dilatation, a technique which proved to be quite useful, but nowadays doctors prefer mild electrical stimulation performed in the sacral area. These impulses provide somatic nerve supply in the gastrointestinal tract and the pelvic floor. In what concerns the first measures which must be taken, the women who think they suffer from Atrophic Urethritis should firstly visit a gynecologist and then an urologist, in order to determine exactly the cause of the symptoms. After that, she may be advised to consult a pain-control specialist or a psychiatrist for helping her to learn how to deal with the pain. The next doctor she must visit is a neurologist, who will answer any question about a previous neurological problem.  The next step of the treatment in the case of Atrophic Urethritis is the diet which the doctor will prescribe you, considering the evolution of your problem. The sufferer will be advised to avoid the liquids and foods which act as irritants. In order to do this, the patient must avoid the following products:

  • Acidic foods: these can produce either severe reactions or no reactions at all, but this depends from patient to patient. The best way to deal with this advise, is to strictly follow a diet at first and exclude all these products and then reintroduce them slowly, noticing the effects. This way, the sufferer will know which products have a negative impact on him and which not. In this category are included the following:
  • Alcohol: champagne, wine, beer, liquor
  • Beverages: soda, regular or decaffeinated coffee, regular, iced or decaffeinated tea
  • Condiments: capers, cocktail sauce, barbecue sauce, cranberry sauce, hot pepper sauce, mustard, relishes, pickles, ketchup, salsa, tartar sauce, roasted peppers, vinegar
  • Fruits: bananas, grapes, apples, lemons, nectarines, star fruits, mangos, cantaloupe, pineapple, peaches, pears, tomatoes, oranges, plums, limes
  • Juices: cranberry juice, apple juice, mixed fruit juice, pineapple juice, tamarind juice, pear juice, prune juice, mango juice, tomato juice, papaya juice, guava juice, lemonade
  • Salad dressings: Caesar, Italian, vinaigrette, ranch, bleu cheese, honey mustard, French, poppy seed, thousand island
  • Snacks: chocolate, spicy nachos, spicy chips, applesauce, gelatin, spicy crackers
  • Vegetables: cabbage, peppers, beets, artichokes.
  • Miscellaneous foods: pizza sauce, tomato sauce, olive oil, marinara sauce, chili.

The patient who is diagnosed with Atrophic Urethritis is also advised to increase the quantity of fluids intake, as he may experience dehydration. The sufferer should also focus on a diet with plenty of vegetables and fruits.
In order to minimize the symptoms and the pain associated with Atrophic Urethritis, the sufferer should try to organize his schedule in order to have time to exercise and to attend massage programs, which have a great influence on the further evolution of the disease.


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