Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Nongonococcal urethritis ++ 590.9 Infection of kidney, unspecifiedAssociated ICD-9-CM PT diagnoses/treatment diagnosis that may be directly related to urogenital (UG) disorders or consequences from bed rest, surgery, or inactivity or directly related to UG disorders specifically315.4 Developmental coordination disorder718.45 Contracture of joint; pelvic region and thigh719.70 Difficulty in walking728.2 Muscular wasting and disuse atrophy728.89 Other disorders of muscle, ligament, and fascia729.9 Other and unspecified disorders of soft tissue780.7 Malaise and fatigue781.2 Abnormality of gait782.3 Edema786.0 Dyspnea and respiratory abnormalities786.05 Shortness of breath ++ N15.9 Renal tubulointerstitial disease, unspecified ++ As of January 2013, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated. +++ Description ++ Swelling and Inflammation of the urethraMales and females frequently asymptomatic1Females present with symptoms of urinary tract infection: burning with urinationMales present with a clear or purulent discharge1If spread to kidneys, symptoms more severe and pain is located in the low back with possible tenderness to palpation of the kidneys +++ Essentials of Diagnosis ++ Difficulty urinatingPainful urinationMalodorous urinePelvic pain in womenChange in color of urinePositive cultures +++ General Considerations ++ Most infections of the urethra are sexually transmittedMost common bacterial causes in males1N gonorrhoeaeC trachomatisColiforms in males practicing insertive anal intercourseMay refer pain to back, pelvic regionMay result in secondary problems such asReiter syndromeEpididymitis or ProstatitisAerobic capacity and muscle endurance impairmentSarcopeniaWeakness/impaired muscle performanceNeuromuscular problemsWeight loss or weight gain indicating the need for PT intervention depending on severityMay mimic colon cancer or tumors, irritable bowel, colitis, or gynecological problems in females such as endometriosis, uterine fibroids, or ectopic pregnanciesThere are specific UG pathologies that may be appropriate for PT, but PT usually does not have a role specifically in the treatment +++ Demographics ++ Women more susceptible to cystitis, secondary to the anatomical proximity of the urethra to the anus and the urethra to the bladderFrequently associated with sexual intercourseE. coli is common bacterial causeWomen more susceptible to urethritis because of anatomical proximity of urethra to vagina and can be caused by sexually transmitted diseases such as herpes, gonorrhea, and chlamydia +++ Signs and Symptoms ++ Symptoms are frequently referred to the back and abdominal area; it may be more common than previously identified for patients to be inappropriately referred to PTUrethra (urethritis) main symptomSevere pain with or without attempts at urination in males and females, or no pain at all, especially in the elderly and childrenBurning with urinationDischarge from ... Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth