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NON-SPECIFIC URETHRITIS (NSU) – DIAGNOSTIC
The complications follow the spread of the causative organism to the man’s bladder or prostate gland. If the bladder becomes infected, the man complains of severe pain, especially when he passes urine, which he wants to do all too often, and is often unable to do because of the pain. If the organism spreads into the prostate gland, it causes discomfort deep in the pelvis. Sometimes the spread is without symptoms, but from the warm security of the prostate gland, the disease may affect distant organs. In fact, a peculiar group of symptoms seem to follow untreated NSU. These are conjunctivitis, urethritis, and painful swellings of several of the bigger joints, a form of acute arthritis. The conjunctivitis and urethritis start days, or weeks, after exposure to infection, and settle quite quickly. The arthritis starts rather more slowly and persists. There may be associated fever and a feeling of being vaguely ill. There is reason to believe that the group of symptoms – called a syndrome – are due to an allergic reaction to persistence of the organism in the body, probably in the prostate gland. The syndrome settles after a few months, and the joints usually recover, but further attacks are usual, and these may lead to permanent damage and deformities of the affected joints.
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