Urethral syndrome is defined as 'symptoms suggestive of a lower tract urinary infection but in the absence of significant bacteruria with a conventional pathogen. There are other non-infective causes that should be considered such as trauma, allergies, and anatomical features like diverticula and post surgical scarring. Most women will give a history of chronic recurrent UTIs but the cultures seem to not show any conventional bacterial growth. There may also be a history of these episodes often being related to sexual intercourse.
It is not fair to say that urethral syndrome is not due to infection because many physicians believe that it is due to a low grade infection of the Skene's glands on the sides and bottom of the urethra. At least symptoms often respond to antibiotics. The Skene's glands are embryologically related to the prostate gland in the male, thus urethral syndrome may almost be a type of chronic prostatitis in a woman. Treatment of acute urethral syndrome is antibiotics just the same as treatment for a UTI. For chronic urethral syndrome a long term, low dose antibiotic treatment is given on a continuous basis or after intercourse each time if that seems to be prominent in relationship to symptoms occurring.
The unique structure of the urethral suppository facilitates retention of the urethral suppository in the uretha such that medicament may be topically applied to the urethra, the urethral meatus, the bladder trigone, the bladder itself, and the ureters in an effort to cure urethralsyndrome, trigonitis and posterior urethritis.
Urethralsyndrome is a complex of persistent, irritative lower urinary tract symptoms without evidence of bacteriologic infection or obvious bladder or urethral abnormality.
Past treatment of urethralsyndrome has relied on the administration of oral medication, since effective topical application was impractical due to the remoteness of the affected tissues and the ineffectiveness of past attempts to employ urethral suppositories.
Urethralsyndrome is defined as 'symptoms suggestive of a lower tract urinary infection but in the absence of significant bacteruria with a conventional pathogen' (3).
It is not fair to say that urethralsyndrome is not due to infection because many physicians believe that it is due to a low grade infection of the Skene's glands on the sides and bottom of the urethra.
The Skene's glands are embryologically related to the prostate gland in the male, thus urethralsyndrome may almost be a type of chronic prostatitis in a woman (5).
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