Treatment of the Urethral Syndrome
The patients to be considered for treatment in this section fall conveniently into pyuric (persistent or intermittent) and apyuric groups according to the definition of the urethral syndrome described above (p. 91). Those patients in whom significant pyuria occurs will be the subject of intensive microbiological investigation in an attempt to isolate the suspected organism and it is recognised that longitudinal studies will be required to obtain positive results in the ‘between infections’ patients (O’Grady et al. 1973). Additionally, Chlamydia trachomatis will be isolated from a number of cases (Stamm et al. 1980) but there will remain a significant minority whose urethral syndrome is associated with a pyuria for which no cause can be found. Patients whose urine never contains white cells constitute the ‘hard core’ of the urethral syndrome and it would appear that infection is unlikely to be implicated as the factor responsible for the symptom complex in these cases (O’Grady et al. 1973).
KeywordsIrritable Bowel Syndrome Chlamydia Trachomatis Urethral Closure Pressure Bladder Training Urethral Dilatation
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