1, the harm of gonorrhea to men's health
Gonorrheic prostatitis: acute and chronic;
Acute prostatitis is one of the complications of urethritis after gonorrhea. It mostly occurs in the third week of gonorrhea, with frequent urination and painful urination, especially after urination, which causes dull pain in female private parts and near anus and pain during defecation. Anal diagnosis of prostate enlargement, uneven surface, tenderness, urethral secretions are often purulent.
Chronic prostatitis and acute prostatitis are easily converted into chronic prostatitis if the treatment is not thorough. It is characterized by falling sensation, tenderness, frequent urination and low back pain in female private parts. Anal diagnosis of prostatic hypertrophy, multiple induration, tenderness when touched, mucus secretion when massaged, and elevated white blood cells.
Gonorrheic epididymitis: This disease is caused by gonorrhea invading epididymis through ejaculatory duct, and it is the most common complication of acute posterior urethral gonorrhea. It is characterized by epididymal swelling, hard nodules on the surface and often radial pain. In the acute phase, the body temperature rises to about 39 degrees Celsius.
Gonorrheic seminal vesiculitis, gonococcal invasion through ejaculatory duct, vas deferens or lymphatic vessels. Women's private parts will feel full, which will be aggravated when they urinate. Hernia will radiate to the vas deferens and testicles, and the urine will be clear.
Gonorrheic balanitis: caused by the purulent secretion of gonorrhea irritating the glans and the inner leaves of the foreskin. Local burning sensation, itching, slight pain, foreskin edema and inner leaf erosion began. The glans penis is flushed and slightly eroded. The patient's foreskin is obviously swollen and cannot be turned up. The glans penis is swollen and can be followed by inflammatory phimosis.
Gonococcal urethritis: most of the accessory urethra is open around the external urethral orifice, or at the frenulum, or at the skin of Tintin's back along the midline. If gonorrhea patients have such accessory urethra, they are easily affected and have obvious inflammation. Neisseria gonorrhoeae can be detected in purulent secretion, which is one of the sources of gonorrhea infection.
Gonorrheic urethral stricture: Chronic gonorrhea is easy to cause urethral stricture after several months or years. At first, the patient didn't feel anything, and gradually appeared dysuria, frequent urination, weakness of urine silk, and inability to directly orient until it could not be discharged or just dripped out. Progressive urethral stricture, if not treated early, has extremely bad consequences, sometimes even life-threatening.
2. How to check sexual dysfunction?
1, medical history: ① Past history focuses on whether there is a history of masturbation and sexual life, whether the first sexual life is successful, how is the relationship between husband and wife, and whether there is a history of trauma and family inheritance. ② The current medical history focuses on the onset time, whether there is obvious inducement, the duration of the disease and the aggravation time. The hardness, duration and length of erection, and whether there is erectile ejaculation at night.
2. Physical examination: In addition to the general physical examination, focus on the development of external genitalia, such as Tintin, testicular size, presence or absence of deformity, Tintin cavernous body with or without nodules, urethral stricture, testicular and epididymal size, tenderness and nodules. Body development, hair distribution, male secondary sexual characteristics, etc.
3. Reproductive endocrine examination: the level of male sex hormones is obviously related to male sexual dysfunction, so clinical measurement is very necessary.
4. Tintin cavernous test: it is one of the means to distinguish functional impotence from organic impotence, and it is also a necessary test for Tintin cavernous radiography.
5. Tintin cavernography: As a diagnostic method of venous leakage impotence, cavernography was reported abroad in the mid-1980s, but there is no classification and diagnostic standard.
6. Nocturnal Erection Test: The penis hardness test ring is one of the simple and effective means to detect the degree of nocturnal erection of male Tintin and distinguish functional impotence from physiological impotence.