Vulvar burning, itching, or pain when urinating

Introduction Acute vulvitis can be seen swelling, congestion, erosion, sometimes forming ulcers or pieces of eczema. The patient feels burning, itching or pain in the genital area, especially during urination. Severe inguinal lymph nodes, tenderness, body temperature can be slightly elevated, leukocytosis. Diabetic vulvitis, the vulva skin is red, thick, often brown, with scratches. Because urine sugar is conducive to mold growth and reproduction, it is often associated with Candida albicans infection. In the case of chronic inflammation, the vulva is itchy and mossy.

Cause

Common causes of acute vulvar inflammation include: vaginal discharge stimulation (including increased vaginal discharge to vulvar stimulation, menstrual or menstrual pads, underwear, etc.); other stimulating factors (a. diabetes in humans; b. urinary fistula The patient is affected by urine for a long time; c. patients with intestinal cancer are sometimes stimulated by feces; d. intestinal worms; mixed infections (common pathogens are Staphylococcus aureus and Escherichia coli).

an examination

Related inspection

Urine pathogen examination urine routine vaginal secretion examination

It was found that the vulva skin itching, burning sensation and pain, increased after active sexual intercourse and urination, acute redness, congestion, scratches and other symptoms can be suspected of vulvitis.

Differential diagnosis

According to the symptoms and signs, it is easy to distinguish from trichomonas vaginitis fungal vaginitis.

There are several common vulvitis in women:

(1) Non-specific vulvitis: stimulating physical and chemical factors in life, not paying attention to hygiene, physical weakness, can cause women's genital area to be infested by bacteria, causing vulvitis, such as cervicovaginal inflammation; or wearing breathable nylon underwear to make vaginal secretion Excessive stimulation of the vulva; urine impregnation of the vulva; use of dirty sanitary napkins, toilet paper to cause infection of the vulva, etc., these factors will create conditions for the growth and reproduction of bacteria in the genital area. However, because this vulvitis is not caused by a specific pathogen, but mostly Staphylococcus aureus, Escherichia coli and other mixed infections, it is called non-specific vulvitis.

(2) fungal vulvitis: vulvitis caused by a yeast-like infection, often coexisting with fungal vaginitis.

(3) acute vulvar ulcer: caused by vulvitis of various reasons, generally a manifestation of vulvitis lesions.

It was found that the vulva skin itching, burning sensation and pain, increased after active sexual intercourse and urination, acute redness, congestion, scratches and other symptoms can be suspected of vulvitis.

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