title: [Urethritis syndrome and atypical germ flora of the exterior female genitalia (author's transl)].
abstract: A positive microbiological evidence could be obtained 54 times from the smear of the exterior genitals of 80 women suffering from complaints that were caused by urethritis, criteria of the examinations being sterile catheter specimen, negative cystoscopical findings, and missing indications to anatomical changes in the urethral region. Cytological examinations of these cases with regard to the vaginal epithelium had the following results:Group I:6 times; group II: 37 times; group IIW:8 times; group IIId: once; group IVa:twice. The cytological tests were carried out according to the method of papanicolaou as modified by Soost. Furthermore, we could state the following degrees of purity: Degree I: 8 times; degree II:16 times; degree III: 30 times. The cytological examinations of the urethral epithelium demonstrated, in 52 cases, an increased appearance of "nude" completely exposed epithelial cell nuclei--a fact corresponding to a degenerative autolysis (according to Wied). In the 26 women with missing atypical germ flora within the region of the exterior genitals, exclusively groups I (according to Papanicolaou and Soost) and degrees of purity I were stated. These persons also demonstrated remarkably grave psychical disturbances, especially in the intimate regions. In the cases of positive microbiological evidence, the following measures have proved satisfactory: Vaginal hygienization combined with a directly aimed antibacterial therapy, and the prescription of preparations containing lactic acid. A transitory discontinuation of contraceptives is being discussed. Our examination results are emphasizing the necessity of an analysis of the germ flora in cases of complaints arising from urethritis. Also psychical disturbances must be taken into consideration in cases of missing urological and gynaecological criteria of evidence.
mesh_terms: D002181:Candidiasis, Vulvovaginal / Q000150:complications / Q000188:drug therapy; D002584:Cervix Uteri / Q000382:microbiology; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D009175:Mycoplasma Infections / Q000150:complications / Q000188:drug therapy; D009761:Nystatin / Q000627:therapeutic use; D011602:Psychophysiologic Disorders / Q000150:complications; D013752:Tetracycline / Q000627:therapeutic use; D014247:Trichomonas Vaginitis / Q000150:complications / Q000188:drug therapy; D014521:Urethra / Q000382:microbiology; D014526:Urethritis / Q000209:etiology*; D014621:Vagina / Q000166:cytology / Q000382:microbiology; D014623:Vaginal Diseases / Q000150:complications*
chemical_list: D009761:Nystatin; D008795:Metronidazole; D013752:Tetracycline
vernacular_title: Urethritissyndrom und atypische Keimflora des äusseren weiblichen Genitales