Modern therapeutic aspects of urogenital tract inflammatory diseases in men

Abstract

Aim. To study the efficiency and safety of the combined method of treatment of uncomplicated, combined infectious diseases of the urogenital tract in men.
Materials and methods. 48 men aged 20 to 50 (average 32,4±2,1) with acute and subacute inflammation processes of lower parts of the genitourinary system were observed.
The diagnosis of the combined infectious disease of the urogenital system was made according to clinical picture and laboratory test results. Diagnostics of pathogenic and opportunistic flora was carried out microscopically using the following methods: direct immunofluorescence (DIF); enzyme-linked immunosorbent assay (ELISA); polymerase chain reaction (PCR).
Combined treatment approach was developed considering the basic principles of therapy of the combined urogenital infections in men.
Results. Of all 48 examined patients, 33,4 % had an excretion from a genital tract, hyperemia, and edema of an external opening of the urethra; 31,2 % had itchiness, burning, and painful urination; 35,4 % had a combination of listed symptoms. Clinical signs of balanitis and balanoposthitis were registered in 14 (29,2%) patients. Urethritis was found in 16 (33.4%) and the combination of those in 18 (37,5%) patients. It is necessary to notice that in 29,2% of patients the combination of Ch. trachomatis, M. genitalium, Ur. urealyticum was registered more often. In 6.3% of patients the combinations of Ur. urealyticum, C. albicans and T. vaginalis were quite rare.
The efficiency of the offered method of treatment was reached in 47 cases, only one patient observed to have clinical improvements.
Conclusion. The offered therapy method of uncomplicated combined infectious diseases of the urogenital tract in men is highly effective. The efficiency of combined therapy method was observed clinically in 97.9% and microbiologically in 95.8% of cases. That gives an evidence to recommend developed method in practical health care.