hi, very happy to answer you
You have a disease called
urethral pain syndrome, characterized by the presence of pain most often in the form of burns in the urethra the canal by which the urine is externalized from the bladder , reproduced by palpation. These pains that can be very intense are sometimes aggravated by bladder filling and urination. Diagnosis is not easy and usually represents a diagnosis of presumption in a woman with recurrent symptoms of cystitis, while urine cultures are systematically negative. Sometimes, a history of erythritis with chlamydiae can evoke the diagnosis. The examination of the urine sediment makes it possible to find most often a mixed flora, sometimes a microscopic haematuria alone or a discrete leukocyturie.
The urine examinations are supplemented by a
cystoscopy which shows a spasticity of the urethra with inflammation, a metaplasia of the bladder trigone without any suspicious lesion of malignancy. Urodynamic examination, when practiced, may reveal a high-pressure urethra with instability of the urethro-vesical junction and pseudo-obstruction when measuring the micturition snapshot (pressure / flow curve).
The treatment and management long and tedious, in particular because of the more or less marked presence of a psychosomatic component. The prescription of repeated antibiotics is of no use except when a germ has been identified. Medium, even long-term treatment includes anticholinergics such as Detrusitol®, antispasmodics (Urispas®), alpha-blockers (mechanism of dilatation action of the
smooth muscle of the urethra, like
Benign prostatic hypertrophy in men) alone or in combination. It is sometimes necessary to perform iterative dilations of the urethra with local or general
anesthesia. A multidisciplinary approach (
urologist,
psychologist, family physician, neural and pain therapist) is very useful to you.
may this information help you
best wishes