Therapeutics of Non-Gonococcal Urethritis

Primary non-gonococcal urethritis of venereal origin is usually abacterial.This is also the case when the disease follows rectal coitus (Harkness, 1950).When organisms are present in the secretions in untreated cases the disease is more likely to have been caused by infections descending from a urethral stricture, the prostate, or lesions of the upper urinary tract.It can also be caused mechanically through the insertion of foreign bodies into the urethra.A diagnosis of bacterial (non-gonococcal) urethritis of venereal origin is, however, rarely made when thorough cleansing of the meatus to remove saprophytic organisms has preceded the taking of specimens for bacteriological examination.It should be noted that in women a bacterial urethral discharge is more frequently observed.Treatment has changed completely since the introduction of the antibiotics derived from lower- grade fungi.Before this there was no specific therapy: we had to rely solely on urethro-vesical irrigations, which, when efficiently carried out * Read at a meeting of the M.S.S.V.D. on