Cystoscopy
Cystoscopy (cystouresthroscopy) is a diagnostic procedure of viewing a person's urinary passage and the urinary bladder, collecting urine samples and examining the prostrate gland through an instrument. The cystoscope is as thin as a pencil and has a light at the tip. Many cystoscopes have extra tubes to guide other instruments for procedures to treat urinary problems. Through a cystoscope, the urologist can focus on the inner surfaces of the urinary tract. Some cystoscopes use optical fibers that carry an image from the tip of the instrument to a viewing piece at the other end.
Ridid cystoscope: This is a solid straight telescope that is used along with a high intensity light source and a separate channel to allow other instruments to be attached.
Flexible cystoscope: This is used particularly for diagnosis and follow-up of most bladder tumors. It is a fibre optic instrument that can bend easily and has manoeuvarable tip that makes it easy to pass along the curves of the urethra.
Cystoscopy is also done to evaluate problems that cannot be seen on x ray. Cystoscopy is used to further investigate the problems detected by ultrasound or intravenous pyelography. In women, cystoscopy helps to reveal uterine prolapse. A common and temporary side effect of this test is swelling in the urethra. A urinary catheter may be left in the patient's bladder to help drain the urine until the swelling in the urethra subsides.
Gonorrhea
Gonorrhea is a sexually transmitted bacterial disease caused by neisseria gonorrhea bacteria. Any sexually active person can be infected with gonorrhea. The infection can affect any gender of sex and any age group but most prevalent among those from 15 to 30 years of age. Gonorrhea transmission can occur through contact with the penis, vagina, mouth, or anus. Ejaculation does not have to occur for gonorrhea to be transmitted. Besides sexual contact, another method of infection is an infected mother who may pass the gonorrhea to her baby at birth. The bacterium thrives in warm, moist areas of the reproductive tract. In women, it’s the cervix, the uterus and the fallopian tubes. Gonorrhea can also breed in the urethra of both women and men, as well as in the mouth, throat, eyes and anus.
Symptoms of Gonorrhea
Not everyone who is infected will have indications. Some may be infected for several months without showing any indications. If any, signs and symptoms of gonorrhea will appear within 2 to 10 days after exposure to an infected partner. Symptoms of gonorrhea in women in the genital tract may include:
- Frequent urination
- Pain or burning sensation when passing urine
- Vaginal discharge that is yellow or bloody in color
- Bleeding between menstrual periods
- Heavy bleeding with periods
- Pain during sex
- Redness and swelling of the genitals
- Burning sensation or itching of the vaginal area
- Irritation and/or discharge from the anus.
Advanced symptoms in women may indicate development of Pelvic inflammatory disease. The symptoms of which are cramps and pain, bleeding between menstrual periods, vomiting and fever.
Symptoms of gonorrhea in men in the genital tract may include:
- A burning sensation when urinating
- A white, yellow or green discharge from the penis
- Painful or swollen testicles
- Inflammation or infection of a duct in the testicles
- Infection or inflammation of the prostate gland.
Besides, genital tract gonorrhea can affect other sites in the body. The symptoms vary depending on the infected site.
Rectum: anal itching, pus-like discharge from the rectum and having difficulty during bowel movements.
Eyes: Eye pain, sensitivity to light, pus-like discharge from one or both eyes.
Throat: Sore throat and swollen lymph nodes in the neck.
Joints: The affected joint or joints may be warm, red, swollen and extremely painful while making movements.
Symptoms usually will develop within 2 weeks after exposure. If you experience a burning sensation while urinating or notice a pus-like discharge from penis, vagina or rectum seek medical attention. Even if you do not experience any of the symptoms but is experienced by your partner or if already diagnosed with gonorrhea, contact family physician or a general practitioner. It is also best to seek medical attention if you have had sex with someone who you suspect of having gonorrhea. Abstain from sex until you see your doctor.
Detecting gonorrhea
Gram stain: Before grain stain test, women are often given a pelvic exam and then sample of discharge from the cervix is collected and is placed on a slide. In men, the sample of fluid is taken from the penis. The sample is stained with a dye. The healthcare provider will use a microscope to look for bacteria on the slide. The test results can be obtained immediately. This test is more accurate for men than women.
Swab of affected area: A swab of your throat, urethra, vagina or rectum may be collected to detect the genes of the bacteria.
Urine test: Helps identify bacteria in your urethra.
Other tests: Other tests to detect sexually transmitted infections are likely to be recommended as gonorrhea increases risk of these infections.
Treating gonorrhea
Gonorrhea is treated with antibiotics (non-penicillin antibiotic such as ceftriaxone). Many people who have gonorrhea also have another sexually transmitted disease (STD) called Chlamydia. Doctors often give a combination of antibiotics to treat both STDs. The affected individual should take the medications as prescribed and completes the course of medication. The medications prescribed by the doctor will stop the infection; it will not repair any permanent damage already done due to the infection. Both the affected individual and the sex partner must be treated for gonorrhea even in the absence of symptoms of gonorrhea.
- Don’t skip medications and do take medications until finished.
- Do notify your sexual contacts.
- Do take sitz baths to relieve discomfort.
- Do wash hands frequently and thoroughly.
- Don’t drink too much of caffeine and alcohol.
- Do use latex condoms during sexual intercourse.
- Don’t resume sexual activity till the infection is cured.
Incontinence
Loss of bladder control is referred to as urinary incontinence. Urinary incontinence occurs if the bladder muscles suddenly contract or muscles surrounding the urethra suddenly relax. Women experience urinary incontinence twice as often as men. Various factors like pregnancy and childbirth, menopause and the structure of the female urinary tract account for this difference.
Causes of urinary incontinence
Drinking a lot of fluid or any other beverages in a short period of time increases the amount of urine in the bladder which results in urinary incontinence. Alcohol causes the bladder to fill quickly and triggers an urgent and uncontrollable urination. Alcohol also temporarily impairs the ability to recognize the need to urinate and act in a timely manner.
Sedatives such as sleeping pills can interfere with your ability to control bladder function. Water pills like diuretics, muscle relaxants and antidepressants can cause an increase in urinary incontinence. High blood pressure drugs, heart medications and cold medicines also affect the urinary bladder function.
Urinary tract infection can cause bladder irritation and even incontinence. Consuming foods and beverages that irritate your bladder like carbonated drinks, tea and coffee may cause episodes of urge incontinence.
Tackling urinary incontinence
Exercises help to strengthen pelvic floor muscles and sphincter muscles. Electrical stimulation is used to reduce stress incontinence and urge incontinence. Hormones such as estrogen cause muscles involves in urination to function normally. Surgery is suggested to alleviate incontinence only after other methods and treatments have failed.
Bibliography / Reference
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