Treatment of the Acute Urethral Syndrome

Abstract

ACUTE dysuria and frequent urination in young women results most commonly from three conditions: vaginitis, cystitis, and the acute urethral syndrome.^{1 2 3} In a recent study of women with the urethral syndrome, we found that 71 per cent had abnormal pyuria, defined as ≥8 leukocytes per cubic millimeter of midstream urine. Furthermore, 88 per cent of women with pyuria were found to have lower-urinary-tract infection with less than 10⁵ coliforms or staphylococci per milliliter of urine or with Chlamydia trachomatis.³ Since all these agents should respond to antimicrobial therapy, treatment of women with the acute urethral syndrome has been recommended, . . .