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Urethritis in men: symptoms and treatment

Image 127 Urethritis is an inflammatory process on the urethral mucosa( urinary canal), which causes a number of bacterial, viral and fungal agents.It is considered the most common pathology of the genitourinary system in men who have an active sex life without the use of barrier contraceptives and have more than one partner.Most often he bakes on the background of other inflammatory diseases of the genitals.

Table of contents: Causes of urethritis Symptoms of urethritis in men Causes and symptoms of chronic urethritis Diagnosis of urethritis in men Treatment of urethritis in men

Given the characteristics of the anatomical structure in men, urethritis is more severe than in women.

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The pathogenic microflora enters the urethra in such ways:

  • is lymphogenic;
  • genital;
  • is hematogenous.

Causes of urethritis

Doctors identify a certain list of factors that provoke the development of urethritis.

These include :

  • chronic stress;
  • supercooling;
  • local injuries;
  • non-observance of personal hygiene;
  • alcoholism;
  • vitamin deficiency;
  • fasting;
  • poor nutrition;
  • severe systemic pathology;
  • chronic diseases;
  • Concomitant diseases of the genitourinary system.

Directly urethritis can cause 2 groups of causes of :

  1. Non-infectious:
  • tumor;
  • cystoscopy;
  • prostatitis;
  • blood congestion in the venous pelvic network;
  • allergy;
  • urolithiasis;
  • trauma to the urethra;
  • hyperplasia of the prostate;
  1. Infectious:
  2. Nonspecific:
  • Escherichia coli;
  • Staphylococcus aureus;
  • streptococci;
  1. specific:
  • herpes;
  • Trichomonas;
  • gonorrhea;
  • candidiasis;
  • Chlamydia;
  • mycoplasma.

Given the pathological mechanism of urethritis, there is :

  • primary, when inflammation is formed directly in the urethra;
  • secondary, in which the infectious agent enters the urethra from a pathological focus in another organ.

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Regarding the localization of inflammation on the urethral wall, the urethritis is distinguished:

  • total;
  • front;
  • rear .

Symptoms of urethritis in men

In developing this disease, a man presents the following complaints:

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  • , purulent discharge from the urethra, which can have a color from yellow to green, and will be released in large numbers at the onset of the inflammatoryProcess;
  • subfebrile;
  • urge to urinate;
  • the swelling of the urethra;
  • itching;
  • at the end of urination there may be spotting in small amounts;
  • pain in the process of urination;
  • burning;
  • sharp pain in the urethra.

Such a clinic develops regardless of what urethritis: nonspecific or specific.The only difference is that nonspecific urethritis is confirmed when the smears for other infections do not give a positive analysis.

Causes and symptoms of chronic urethritis

Chronization of the process is quite rare and it happens against the background of such situations :

  • weak patient's immune system;
  • prevalence of pathological agent on other organs;
  • improper or inadequate treatment of urethritis in a structured form.

Note: when the disease passes into the chronic stage, the puffiness of the urethra passes, and the discharge decreases.Often a man thinks that the illness has passed, but in fact the disease has passed into a latent phase.If you do not do therapy, then the strains of bacteria that have settled in the prostate gland and seminal vesicles will eventually provoke prostatitis, epididymitis, vesiculitis.

Diagnosis of urethritis in men

Confirmation of the diagnosis is based on the patient's examination, which includes such moments :

  • 553852 Urologist consultation.The doctor finds out the complaints of a man, conducts an objective examination of the genitals.Also take into account the presence of chronic diseases, urethritis in the anamnesis.
  • Laboratory diagnostics:
    • Back-shot from the urethra.It allows to identify and determine the type of pathogenic microorganisms and establish their sensitivity to antibiotics.
    • PCR.Allows you to quickly and accurately identify the pathogen in a urological smear.
    • Urinalysis.With its help determine the level of urinary tract damage.
    • Smear microscopy.Its task is to focus the material at the cellular level.
  • Instrumental methods:
    • Urethroscopy.It is carried out after the abatement of an acute period for the purpose of examining the walls of the urethra under optical magnification.
    • Ultrasound diagnosis.It makes it possible to visualize the bladder, prostate, kidneys and evaluate any changes in them.
    • Urethrography.This is the x-ray diagnosis of the urethra, after the preliminary introduction of radiopaque substance into it.In acute stage is not carried out.

Treatment of urethritis in men

2fc0f0a149a8adcc958b2d45c8da14f3 Treatment of this pathology in most cases can be carried out at home, when the patient visits a medical institution for therapeutic procedures.Hospitalization of the patient is required only in severe cases.

Important : , before treating urethritis, it is necessary to correctly identify the causative agent, as this directly affects the effectiveness of the therapy, the risk of the process transition to chronic is excluded.

Treatment of urethritis includes such items:

  • rejection of sexual activity during therapy;
  • compliance with drinking regimen;
  • refusal of alcohol;
  • antibiotic therapy;
  • refusal from spicy and spicy food;
  • means of immunotherapy( if necessary);
  • topical treatment( performed after the acute symptomatology subsides in the form of instillation of medicines in liquid form into the urethra itself).

Drugs and medications for urethritis

The choice of antibiotic is the right to be performed only by the attending physician after bacteriological examination.This is justified by the fact that improper selection of a medicine can cause complications and inefficiency of therapy.Antibiotics can be used in any form( tablets, injections, suppositories).

In case of nonspecific urethritis, the following preparations are indicated:

  • Doxycycline;
  • Erythromycin;
  • fluoroquinolones;
  • Ceftriaxone;
  • Clarithromycin;
  • Tetracycline;
  • sulfonamides.

Drugs for the treatment of specific urethritis:

  • Oletletrin;
  • Cefodizim;
  • Erythromycin;
  • Cefotaxime;
  • Spectinomycin;
  • Rifampicin;
  • Cefoxytin;
  • Ceftriaxone;
  • Doxycycline;
  • Spiramycin.

Urethritis in men, caused by gonorrhea, is treated with the following drugs:

  • Miramistin;
  • Nitazole;
  • Tinidazole;
  • Chlorhexidine;
  • Natamycin;
  • Furazolildone;
  • Metronidazole;
  • Cydipol.

Candid urethritis requires the administration of such medications:

  • Amphotericin;
  • Nystatin;
  • Natamycin;
  • Clotrimazole;
  • LEVORIN.

Urethritis caused by chlamydia is treated by the administration of Doxycycline, Levomycetin, and fluoroquinolones.When a mycoplasma is detected in a smear, a man is appointed from the Tetracycline group.Herpesvirus urethritis involves treatment with Acyclovir, Ribavirin, Ganciclovir, Penciclovir.

With effective methods of treatment of urethritis at home, you can see by reviewing this video review:

Prevention of urethritis

To minimize the risk of developing urethritis, men should adhere to the following rules:

  • Avoid injury to the penis;
  • drink enough fluids;
  • avoid frequent changes in sexual partners;
  • in time to treat any diseases;
  • Avoid overcooling.

Viktorova Julia, obstetrician-gynecologist


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