Etiology

This symptom may come from many causes--possibly abscess in the kidney, abscess in the pelvic region emptying into the bladder, ulceration of the urethra, or chronic specific inflammation of the bladder. Pus may burrow into the bladder and may force internal abscess. The common cause of chronic urethritis is gonorrhea. I had one case of post-gonorrheal infection where there was as much as two ounces of pus passed with the urine each twenty-four hours. The case had been diagnosed abscess of the kidney, and an operation for the removal of a kidney recommended; but my diagnosis was gonorrheal infection of the spermatic vessels. It was my opinion that the patient would get well if he would take the proper care of himself--which he did. Five years afterward he was free of the symptom of pus in the urine.

Treatment

The treatment for such cases must, of course, be in keeping with the diagnosis. An abscess located contiguous to, and emptying into, the bladder must be located and drained properly. Chronic urethritis must be treated by sounds, diet, etc. The dieting must be governed by the condition of the individual. If he is stout and rather full-blooded, he should be fasted. If only in medium flesh, he should eat fruit morning, noon, and night. He may gradually increase the amount of food by taking starch and meat until a full diet is taken on. It may take one, two, or three months to get to a full diet. If there is chronic inflammation of the bladder, it must be treated by irrigation.