The importance of combining laser therapy with bacterial therapy in the treatment of urethritis
Urethritis is an infection-induced inflammation in the urethra, the tract in which urine travels from the bladder to the outside. Essentially, the inflammation happens in the urethra´s internal mucosal lining. It´s source is normally infectious and caused by microorganism´s that are sexually contagious.
Besides its infectious nature, urethritis can also have a traumatic origin, resulting from catheterization processes, manipulation or the insertion of strange objects. The majority of common urethritis has a sexually transmitted infectious nature.
With the increment of incidences regarding sexual transmitted diseases, we are obliged to search for new solutions. The specific and specialized literature regarding this issue informs us of how these pathologies are caused by chlamydiosis, mycoplasmosis, ureaplasmosis and gardnerelosis. For instance more than 50 million people around the world suffer from urogenital chlamydosis, a disease with an incidence rate of 2 to 5 times higher than gonorrhea.
The population´s high rate of infection forces us to elaborate new and more efficient methods for the treatment, diagnosis and also the patient´s rehabilitation from this pathology. The incidence´s rate regarding urethritis and cervicitis is situated between 60% to 70%.
Chlamydosis is also frequently combined with ureamycoplasmosis. However, its manifestation is very subtle which in turn will hinder the attempt to elaborate a prompt diagnosis or treatment. The outcome of a mixed urogenital flora infection is the development of chronic diseases, many of them leading to infertility.
Presently, the treatment of chronic urinary infections represents a problem of the utmost concern. Literature points out to various therapeutic methods but the higher rate of efficacy was demonstrated by the integral method proposed by S.N. Djumaliev et al (2000), in which patients with chlamydial and mycoplasmic infections were submitted to specific anti-bacterial therapy and the subjective sensibility to antibiotics(ciprofloxacin, azithromycin, spiramycin), together with laser therapy (mixed protocol).
Significant improvements were observed in the patient´s general state after the 5th and 6th sessions, particularly in diminishing pain and inflammatory infiltrations due to the augmentation of local irrigation and normalization of body temperature.
After treatment, the cortex activation of the supra-renal gland increased. The 17-ketosterioids content was raised to a percentage between 7% and 9%, which resulted from a considerable activation of the hormonal system. The presence of the follicle-stimulating hormone was raised 2 to 5 %, the luteinizing hormone raised 3% to 6% and finally, there was also a raise in the prolactin levels between 5% to 7%. In truth, the reality of these number surely contributed to the restoration of the testicle´s reproductive function.
Also, the sperm count revealed significant improvements: 17 patients recovered the sperm´s pH, the number of active spermatozoon’s raised, the agglutination of sperm was reduced and the number of pathologic spermatozoon´s decreased.