Chronic urethritis in women is much more common than is generally recognized. The symptoms are not always typical, and may not be referred directly to the urethra; but when a woman complains persistently and consistently of symptoms in the region of the pelvis, the urethra should not be overlooked as a possible source of the trouble, especially if no other pathologic condition can be found.
The pathologic findings in chronic urethritis are variable. The urethra may occasionally be thickened throughout from infiltration, and can then be felt as a more or less firm cord by the vagina. Through the endoscope the mucosa may have a congested appearance and may be puffy and edematous and appear granular. The vessels may be enlarged in places and even exposed, and definite ulcerations found. The congested, puffy, granular picture is the one most frequently seen. It may be diffuse, involving the entire urethra, or
SHALLENBERGER WF. CHRONIC URETHRITIS IN WOMENA NEW METHOD OF DIAGNOSIS AND TREATMENT IN OBSCURE URETHRAL PAIN. JAMA. 1916;LXVI(14):1011-1012. doi:10.1001/jama.1916.02580400017007