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Urethritis in men: treatment, symptoms, prevention

A burning sensation in the urethra is characteristic of acute urethritis, in which a powerful inflammatory process develops.

Treatment of the acute form should begin immediately to prevent a smooth flow of the disease into the chronic stage. Let's see what it is - acute urethritis in men, and how to treat it.

Description and classification

Urethritis is development of the pathological process inside the urethrain which pain increases during urination and sexual activity.

Classification of acute urethritis:

  1. Infectious type. Inflammation of the urethra occurs under the influence of bacteria and microorganisms. If a pathogenic agent is ingested, the incubation period lasts from two to seven days.
  2. Non-infectious variety. The appearance of uncomfortable conditions occurs due to individual reactions of the body, injuries and congestion. Unpleasant sensations can occur immediately or after a few hours.

Complications of urethritis are considered to be diseases such as orchitis, vesiculitis, prostatitis and balanitis.

The main differences between urethritis and cystitis are described here.

Causes

Venereal diseasesassociated with infection (gonococcus, trichomonas, gonorrhea), lead to the development of acute urethritis.

Conditionally pathogenic microflora - Escherichia coli, staphylococcus, enterobacter - also prone to provoke the appearance of urethral inflammation, but more often with this type of urethritis, moderate or weak inflammation is observed.

An acute burning sensation in the inguinal region can occur after hypothermia, as well as ingestion of irritating elements - chemically aggressive substances - into the urethra.

Mechanical damage to the urethra is possible due to poorly performed medical services, primarily catheterization.

Almost always, inflammation of the urethra occurs with the development of malignant tumors in the tubular organ.

Symptoms and signs

Given the physiological differences in the structure of the male reproductive system and the female (the length of the urethra is longer), doctors distinguish some differences in the symptoms of urethritis in a strong half of humanity.

Symptoms of acute urethritis:

  • severe pain in the penis,
  • the release of purulent and mucous clots from the urethra,
  • redness of the end of the urethra,
  • irradiation of pain in the pubic region.

With a strong inflammatory process, redness can seize both the glans penis and the foreskin. The appearance of secretions (usually blue-green with a fetid odor) leads to smearing and sticking of the channel exit, leading to fractional urination.

Drug treatment of acute urethritis in men

Medicines that help eliminate inflammation of the urethra include not only antibiotics and antiseptics, but also immunomodulators and vitamins.

Doxycycline.

The drug, specially created for the treatment of gonococcal urethritis, involves taking twice the tablets of 100 mg per week.

Restrictions on admission: individual intolerance, leukopenia, age up to 8 years.

Levofloxacin.

A strong antibiotic taken for 7 days at 150 mg twice a day.

The tool is intended to eliminate microorganisms - chlamydia, ureaplasma, mycoplasma.

The remedy for acute urethritis should not be taken by people under 18 years of age, epileptics and people who have previously been treated with quinols.

Erythromycin.

The course of treatment involves a similar regimen, as with Levofloxacin, but not only two, but four times a day.

Taboo on reception: a history of jaundice, functional disorders of the liver and hypersensitivity to macrolides.

It is used to treat urological infections resistant to streptomycin and tetracycline.

Metronidazole.

With trichomonas urethritis, Metronidazole, produced in the form of tablets, is often prescribed.

It can not be taken with liver failure, leukopenia and hypersensitivity.

A 10-day course of treatment of urethritis includes 0.25 g. twice a day.

If necessary, a repeated course is carried out after 3-6 weeks.

Miramistin.

The liquid antiseptic, actively used in dermatovenereology, has a convenient tip that is inserted into the urethra for internal injection of the solution.

Miramistin is used as the main therapy in the treatment of non-infectious inflammations and as an additional treatment for infectious urethritis (including syphilis, gonorrhea, trichomoniasis).

2-3 ml are introduced into the canal three times a day, the maximum duration of treatment is 10 days. You can not urinate for an hour.

Prohibition of use - intolerance.

Tavegil.

The treatment of acute allergic urethritis is carried out with the help of an antihistamine that effectively eliminates genital allergies, including epidermal necrolysis, balanoposthitis and associated unpleasant sensations - itching, redness, swelling.

Treatment lasts up to 10 days, tablets are taken in the morning and in the evening, Tavegil is contraindicated while taking MAO inhibitors and bronchial diseases.

Polyoxidonium.

Known immunomodulator, which is produced by the manufacturer in the form of tablets and ampoules.

Polyoxidonium allows you to quickly deal with inflammation by activating the so-called immune response.

In acute urethritis, injection therapy is most often performed for 5–10 days, 6 mg daily (on the fourth day, a break is made, then the course of treatment of urethritis continues).

It has no contraindications except hypersensitivity.

Acyclovir.

The antiviral ointment used to eliminate herpes urethritis is applied from 5 to 10 days to the lesion site (up to five times a day).

The only limitation is intolerance to the active substance.

Everything about the treatment of the disease at home is in this publication.

Surgical and minimally invasive procedures

In preparation for treatment in a clinic, patients often undergo an important diagnostic study using a cystoscope. After studying the urethra, a specific treatment tactic is chosen.

  1. Smear fence. The method allows you to identify the pathogen in order to prescribe the appropriate medication.
  2. Uroflowmetry. The study is designed to measure the speed of excretion of urine, uroflometry is effective for detecting sticky.
  3. Operation. Surgical intervention is necessary in rare cases in which the structure of the urethra changes. The stricture - a significant narrowing of the lumen of the canal in a separate area - is not eliminated by conservative methods. The disease develops with prolonged inflammation of the genitourinary system and in patients suffering from atherosclerosis and diabetes.

Installations. A severe urethral lesion requires flushing using antiseptics - methylene blue 0.02% and hydrocortisone, as well as antibiotics.

The presence of granulation in the channel requires a change in composition to a solution of silver and collargol. A noticeable narrowing of the lumen is also treated by cauterization of foreign elements with a 10–20% solution of silver nitrate.

  • Laser therapy. Special irradiation of blood in the bladder zone allows you to quickly remove inflammation (used as adjuvant therapy).
  • Lifestyle during therapy

    Sex. Long erotic contacts should be excluded to prevent a strong blood flow to the pelvic organs, due to which painful sensations can intensify.Proximity is possible only in a condom, but some doctors may prohibit any contact if the urethritis is of an infectious nature.

    Sport. Active exercise should be ruled out, especially with increased abdominal pressure. After treatment, you can engage in sports without restrictions.

    Alcohol and smoking. The combination of these components with therapeutic therapy is completely contraindicated: many drugs give a negative reaction in the presence of alcohol in the blood of the patient.

    Walks. Acute urethritis can occur due to hypothermia, so the patient should be kept warm for a maximum time. It is appropriate to use heating pads and thermal compresses, long walks in the fresh air should be excluded. If it is not possible to observe such a regime, it is necessary to wear warm underwear (for example, pants made of camel wool).

    Diet

    Inflammation of the tubular organ of the urinary system is intensified by the influence of too spicy, salty or acidic foods. Aggressive effect on the mucosa has nicotine and alcohol, strong tea and coffee. For this reason, it is rational to refuse the use of certain foods.

    Taboo on the reception of products:

    Have a positive effect on the urethra sour-milk products (cottage cheese, unsalted cheese), fruit juices (especially from cranberries and cranberries, blueberries, mountain ash), honey, low-fat varieties of fish and meat, pine nuts.

    The patient during urethral attacks experiences very unpleasant conditions, the elimination of which helps to get rid of the disease with the least discomfort. Dietary therapy is important in the treatment of the acute stage of urethritis., which eliminates additional irritation of the urethra, as well as lifestyle correction.

    Subject to the requirements of the doctor, medication can prevent the chronic course of the disease and permanently relieve unpleasant sensations in the groin.

    Causes of the disease

    Acute urethritis in men and women occurs for various reasons. As a rule, inflammatory processes develop due to infection. This form of the disease is considered the most common. It is provoked by pathogenic microorganisms. However, in some cases, a non-infectious form of the disease occurs.

    The reasons for the non-infectious form of urethritis are as follows:

    1. Urolithiasis. In this case, sand and small calculi move together with urine from the kidneys through the ureters to the bladder, and from there to the urinary canal. Small stones damage the integrity of the mucous membranes of the passage, as they have sharp edges.
    2. Injuries to the urinary tract. Usually this happens with cystoscopy - this is an endoscopic study. Catheterization should also be considered. Masturbation with the introduction of various objects into the canal can still be the cause of urethritis in men and women.
    3. Allergy.
    4. Stagnation of blood in the veins in the pelvic area.
    5. Narrowing the lumen of the urethra. This is due to prostatitis, tumors, neoplasms, prostatic hyperplasia. Because of this, the lumen of the canal is narrowed, and the urine stagnates.

    Usually, urethritis, which is non-infectious in nature, is characterized by a non-inflammatory course, but only in the early stages. Then the infection also joins. Specific and non-specific urethritis are distinguished, depending on the causative agents of inflammatory processes.

    Non-specific is the standard inflammation with the release of pus. In this case, the pathogens are E. coli, streptococcal and staphylococcal infections and other microorganisms. As for specific inflammation, it is provoked by infections that are transmitted through sexual contact.

    For example, it is trichonodal, gonorrheal, candidal, chlamydial, mycopausal urethritis. Sometimes the acute form of the disease is provoked by viruses, but, as a rule, this is herpes.

    1. Sexual.Typically, a person becomes infected through sexual contact with a previously infected partner. So infections of a specific type are transmitted.
    2. Lymphatic and hematogenous. In this case, the infectious agent passes to the urinary tract through the blood and lymph from other foci of inflammation. for example, this may be due to inflammation of the tonsils or even caries.

    In addition, there are such factors that contribute to the development of acute urethritis:

    • non-observance of the rules of intimate hygiene,
    • the presence of foci with chronic inflammation,
    • weakened immunity due to lack of vitamins, starvation, experienced severe illnesses and other reasons,
    • hypothermia
    • pelvic injuries
    • concomitant diseases and pathologies of the urinary organs and reproductive system,
    • alcohol abuse
    • frequent stresses.

    All these factors only increase the likelihood of developing an acute form of urethritis.

    What are the symptoms

    Symptoms of acute urethritis do not occur immediately after a person is infected. First, the incubation period passes. It lasts from a few minutes to a couple of months. This is characteristic of nonspecific pathogens, and as for specific infectious agents, there is a certain period for each of them.

    By the way, in half of all cases, urethritis proceeds without visible symptoms. The patient does not go to the hospital with complaints, but this form of the disease leads to serious complications.

    These general symptoms of urethritis are distinguished:

    • itchy sensation
    • discomfort when emptying the bladder,
    • pains in the pubic zone - they can be aching and occur only periodically,
    • in men, urination is impaired, there are difficulties with the outflow of urine, there may even be an acute form of delay,
    • there are blood clots in the urine - it can be either micro- or macrohematuria,
    • pus is secreted from the urethra, and in the morning, the external passage is as if glued together.

    Signs of an acute form of urethritis may vary depending on the causative agent of the disease:

    1. Gonorrhea urethritis. This form of urethritis in women is characterized by severe pain and pain when urinating. If the disease turns into a chronic form, then the signs of the disease will be absent. In men, in acute form, urethritis differs little from a non-specific ailment. Itching, burning, pus appears, and these signs only intensify in the morning, after sexual intercourse or drinking alcohol.
    2. Trichomoniasis urethritis. In this case, the incubation period lasts approximately 10 days. In some people, it decreases to 5 days, while in others, on the contrary, it stretches for a month or even a couple. Signs of urethritis in women are burning and itching in the urinary tract and on the external genitalia. In 30% of cases, carriage of the infection is diagnosed, but it is asymptomatic. In men, itching and burning also appear, tingling in the urethra, discharge of a serous or whitish hue. Bloody clots will be visible in semen. If you do not treat the disease for a month, then its symptoms will begin to subside on their own, but in fact, the disease will go into the chronic stage.
    3. Candidiasis urethritis. In this case, the incubation period stretches for 10-20 days. The disease is caused by a fungal infection. Both women and men will have similar symptoms. At first there is a slight discomfort, then pain and burning. Usually this is characteristic only of the act of emptying the bladder. Discharges of a whitish color appear, sometimes it also acquires a pink hue. By consistency, as a rule, thick and viscous, curdled - this is the main symptom. In men, additional fasting and balanoposthitis develops. The signs of the disease themselves are poorly expressed.
    4. Mycoplasmosis urethritis. Such an ailment rarely develops in acute form - only in 5% of cases. Usually this is either a chronic or subacute phase right away.Signs of the disease are very mild. It feels mild itching, discomfort when emptying the bladder. There are discharge from the urethra, but not abundant. They pass quickly. As a rule, the patient does not even go to the hospital.
    5. Chlamydial urethritis. The incubation period lasts from 1 to 3 weeks. Chlamydial acute urethritis in women and men almost do not differ from other forms of urethritis, but they are less pronounced. Usually, for some time, the patient is only worried about itching and mild discomfort, which many people do not pay attention to. Usually they visit the hospital only because of the discharge that appeared much later. After 2-3 weeks, the disease resolves on its own, even without therapy, but a relapse is highly likely.

    Applied Treatment

    Treatment of acute urethritis consists of complex therapy. Firstly, it is necessary to fight the infection itself. Secondly, the treatment is aimed at eliminating unpleasant symptoms:

    1. Antibiotic therapy. Antibiotic therapy is carried out only after the permission of the doctor. First, a thorough diagnosis is carried out to determine not only the causative agent of urethritis, but also to identify its susceptibility to antibiotics. Thanks to this, the most effective tool is chosen. If you choose the wrong medicine, then the treatment will drag on for a long time, and the disease will turn into a chronic form. Usually, medications are used in the form of tablets, suppositories, injectable solutions. With non-specific urethritis, antibiotics are prescribed that have a wide range of effects. For example, these are Tetracycline, Doxycycline, cephalosporin preparations, macrolides, fluoroquinolones. With the gonorrheal form, Spectinomycin, Erythromycin is used. Trichomonas urethritis should be treated with Metronidazole, Chlorhexidine. Chlamydia is treated with tetracycline drugs, like mycoplasma urethritis.
    2. Antifungal drugs. They are prescribed if the patient has a candidal form of acute urethritis. For example, Levorin, Nystatin, Amfortericin, Natamycin, Amfoglucamine, Clotrimazole are suitable.
    3. Antiviral agents. Such medications are prescribed if the patient's urethritis is caused by a herpes virus infection. For example, Ganciclovir, Valaciclovir, Famciclovir, Acyclovir, Penciclovir, Ribavirin are used.
    4. Organizational moments. It is imperative to follow a diet. You can not eat spicy, fatty, excessively salty and sour. You need to drink at least 1.5 liters of fluid per day. Excessive physical exertion, stress, hypothermia should be avoided. It is necessary to refuse sexual contacts during treatment. Always observe good hygiene.

    Conclusion

    If the patient has an acute form of urethritis, then usually symptoms appear only a few days or weeks after infection. As a rule, the disease is caused by bacteria, but sometimes a fungus or viruses can provoke it. Necessarily required drug therapy, as well as compliance with personal hygiene and diet.

    Urethritis is usually called the inflammatory process, which is localized in the urethra. The disease is quite common, regardless of gender and age. To clearly understand what urethritis is in men, the treatment and symptoms of this pathology, you should have an idea about the anatomy of the male urethra.

    Anatomical features of the male urethra

    The outlet of the bladder serves as the beginning of the urinary canal, which in the medical language is called the urethra. It is a thin hollow tube with a length of 16 to 24 cm. By the way, the female urethra is much shorter - only 4 cm. Such comparative characteristics explain the features of the manifestations of urethritis in people of different sexes: if women may not notice pathological symptoms, then men are more likely In all, they feel the signs of the disease very intensely and soon after infection and the onset of the inflammatory process.

    The male urethra consists of the following departments:

    • Prostatic department. This is the name of the part of the urethra located in the prostate gland. Its length is about 4 cm. The second name of the prostatic section is the prostate.
    • Membranous department. The second name is webbed.The length of this department is about 2 cm. It begins behind the prostate gland and ends at the base of the penis. This part of the male urethra is the narrowest.
    • Religious department . The second name is spongy. The longest section of the urethra located inside the trunk of the penis. Unlike the prostatic and membranous, the spongy section is mobile. It ends with a hole called meatus.

    Classification of urethritis

    Symptoms and treatment of urethritis in men depend on the infectious agent (pathogen), on provoking factors or concomitant diseases, on the intensity, on the stage of neglect of the inflammatory process, therefore, to prescribe an adequate, effective treatment, the doctor must determine the nature of the pathology:

    Classification by etiological indicators

    Infectious urethritis Non-Infectious Urethritis
    From the list of names it can be seen that each type of infectious urethritis is caused by a certain type of pathogen, and only mixed urethritis is caused by the simultaneous exposure to several infections:
    • Gonorrheal
    • Mycoplasmal
    • Viral
    • Trichomonas
    • Bacterial
    • Mycotic
    • Ureaplasmic
    • Chlamydial
    • Gardnerella
    • Mixed
    • Tuberculous
    Among the diseases of non-infectious nature can be distinguished:
    • Allergic urethritis, which occurs when exposed to allergens
    • Traumatic urethritis caused by tears or ruptures of the urethra, as well as occurring after various medical interventions (cystoscopy, catheterization)
    • Congestive urethritis. Venous congestion in the pelvis can lead to it.

    Causes of urethritis in men and risk factors

    The vast majority of cases of inflammation of the urethra are caused by infection, non-infectious urethritis is much less common, and the non-infectious form of urethritis can become infectious.

    In most cases, infectious urethritis in men is caused by STIs (sexually transmitted infections). In addition to them, opportunistic microorganisms (staphylococci, Escherichia coli, etc.) that are activated when the body's defenses are reduced can serve as causative agents of infectious urethritis.

    The most common cause of urethritis in men is infection with gonococcus (Neisseria gonorrhoeae), in this case they speak of gonococcal urethritis. The causative agents of non-gonococcal infectious urethritis in most cases are chlamydia (Chlamydia trachomatis) and Trichomonas (Trichomonas vaginalis). In addition, viruses (herpes simplex virus, adenoviruses, etc.), fungi (Candida ablicans) and opportunistic microorganisms (Escherichia coli, mycoplasmas, etc.) can be infectious agents. In about 30% of cases, the cause of non-gonococcal urethritis cannot be determined.

    Predisposing factors for inflammation of the urethra are:

    • unprotected sex with carriers of infection,
    • non-observance of personal hygiene rules,
    • trauma to the urethra (including during medical procedures),
    • urolithiasis disease,
    • congestion in the pelvic organs,
    • metabolic disorders
    • body hypothermia,
    • hypovitaminosis,
    • poor nutrition,
    • allergic reactions
    • urethral irritation with chemicals in body care products, spermicides, condoms, etc.

    Untimely or incorrect treatment of urethritis in men is dangerous by the appearance of serious complications: pyelonephritis, cystitis, orchitis, balanoposthitis, as well as prostatitis.

    Forms of the disease

    Depending on the cause, urethritis in men is divided into infectious and non-infectious, and infectious, in turn, into gonococcal and non-gonococcal.

    Non-neococcal urethritis is divided into types depending on the pathogen:

    • bacterial (caused by opportunistic microflora),
    • chlamydial
    • Trichomonas
    • mycotic (candida, fungal),
    • viral,
    • tuberculous
    • ureaplasma
    • mycoplasmal
    • gardnerellosis,
    • mixed.

    Non-infectious urethritis in men is of the following types:

    • allergic,
    • traumatic,
    • congestive (congestive).

    By the duration of the course of the disease, fresh (acute, subacute and torpid) and chronic urethritis are isolated.

    Depending on the localization of the pathological process:

    • front urethritis - in the front of the urethra, i.e. located closer to the outlet on the glans penis,
    • posterior - in the posterior urethra, i.e. localized closer to the bladder.

    Stages of the disease

    Fresh (acute) urethritis proceeds in three stages:

    1. The incubation period is the time from the moment of infection to the onset of the disease, lasting from 1-2 days to 2 weeks.
    2. The period of severe symptoms.
    3. The period of convalescence - complete recovery under favorable conditions (treatment) or chronicity of the process, i.e., the transition of the disease into a chronic form in an unfavorable way.

    The consequence of gonococcal urethritis in men can be stricture (narrowing) of the urethra. Chlamydial urethritis can cause Reiter's syndrome.

    In the clinical picture of chronic urethritis, three alternating periods are also distinguished:

    1. Exacerbation (symptoms are pronounced).
    2. Remission (asymptomatic, however, the inflammatory process is not allowed, it continues in an implicit form).
    3. Unstable remission (scant clinical manifestations).

    Symptoms of urethritis in men

    In about half the cases, urethritis in men has a latent (latent) course, when the symptoms are either completely absent or are so unexpressed that they do not attract the attention of the patient. The first expressed signs of the disease can in this case appear after several months (in some cases - years) from the moment of infection.

    Symptoms of urethritis in men are pain, burning and itching when urinating, redness and clumping of the external opening of the urethra due to discharge, which may be mucous or purulent in nature, as well as swelling of the glans penis. The nature of the discharge depends on the pathogen: gonorrhea urethritis occurs, as a rule, with a large number of purulent or purulent-mucous secretions, candida urethritis is characterized by mucous discharge of a whitish color, with other forms of urethritis, the discharge is more scarce, in some cases it may be absent (for example with inflammation of the urethra of a viral nature). Urination is frequent, pain is often noted during ejaculation, sometimes traces of blood are found in the urine and ejaculate. In the case of the acute course of the disease, the general condition also suffers, weakness, fatigue, aches in joints and muscles appear, and body temperature rises.

    In the absence of treatment, after 1-2 weeks from the moment of debut, the symptoms of urethritis subside, and the disease becomes chronic. Chronic urethritis in men is characterized by a wave-like course - periods of remission are replaced by exacerbations. During remission, there are no manifestations of the disease, with exacerbations there are mild pain along the urethra, slight discharge, as well as pain during urination and / or after it, ejaculation can be painful.

    Diagnostics

    Complaints and medical history are collected, as well as a physical examination of the patient. In order to clarify the diagnosis, a laboratory examination is prescribed, which includes:

    • general blood analysis,
    • general urine analysis,
    • bacterioscopic examination of a smear of the contents of the urethra stained by Gram,
    • bacteriological culture of urogenital secretions,
    • antibioticogram
    • polymerase chain reaction
    • linked immunosorbent assay,
    • direct immunofluorescence method, etc.

    In most cases, infectious urethritis in men is caused by STIs (sexually transmitted infections).

    Treatment of urethritis in men

    Treatment of urethritis in men is carried out on an outpatient basis. During treatment, patients are shown a diet. It is necessary to exclude from the diet spicy, smoked, pickled products, limit the use of salt, and also refuse to drink alcohol. At the time of treatment, sexual intercourse is excluded or, at least, barrier methods of contraception are used.

    Medications for the treatment of urethritis in men are selected depending on the type of disease. Infectious urethritis requires antibiotic therapy (except for viral - in this case, antibiotics can be prescribed only when a secondary bacterial infection is attached). For the treatment of fresh urethritis, antibiotics of a wide spectrum of action are used, as a rule, antibiotic therapy of chronic urethritis is carried out taking into account the sensitivity of the pathogen (antibiogram data are used).

    Regardless of the results of analyzes of the sexual partners of a patient suffering from infectious urethritis, he is also shown antibiotic therapy.

    With the mycotic form of urethritis, systemic antifungal drugs are used.

    With non-infectious urethritis of an allergic nature, antihistamines are used. With a congestive form of urethritis, it is necessary to identify and eliminate the cause of congestion in the pelvis, against which the disease developed. With a traumatic form of urethritis, surgical intervention may be required.

    The main treatment can be supplemented with herbal remedies that have anti-inflammatory and diuretic effects.

    In the chronic form of urethritis in men, physiotherapy is widely used (magnetotherapy, laser therapy, UHF therapy, electrophoresis).

    In order to strengthen immunity, vitamin preparations and immunomodulating agents of plant origin are prescribed (drugs based on echinacea, lemongrass, ginseng, prickly eleutherococcus, etc.).

    The duration of treatment for urethritis in men can vary from one to several weeks, depending on the form and severity of the disease.

    After the treatment, in order to assess the effectiveness of therapy, a second diagnostic examination should be performed.

    Possible complications and consequences

    Untimely or improper treatment of urethritis in men is dangerous by the appearance of serious complications. The infectious and inflammatory process can spread to other pelvic organs, leading to the development of pyelonephritis, cystitis, orchitis, balanoposthitis, as well as prostatitis, which, in turn, can cause infertility and sexual dysfunctions.

    In about half the cases, urethritis in men has a latent (latent) course, when the symptoms are either completely absent or are so unexpressed.

    The consequence of gonococcal urethritis in men can be stricture (narrowing) of the urethra. Chlamydial urethritis can cause Reiter's syndrome, which manifests itself as a combined lesion of the joints, organs of the urinary system and conjunctiva.

    Classification according to the severity of painful manifestations

    Fresh urethritis, which in turn is divided into:
    • acute
    • subacute
    • torpid
    Chronic urethritis. It is divided into the acute stage and periods without exacerbation.
    • High degree of disease activity
    • Moderate urethritis activity
    • Urethritis weakly active

    Why does urethritis develop?

    Urethritis of non-infectious etiology can develop as a result of the exit of small calculi from the bladder, which damage the walls of the urethra with sharp edges. The main causes of the disease include:

    • Sexually transmitted infections
    • Cystoscopy and catheterization, which led to trauma to the urethra,
    • Allergic reactions
    • Gynecological pathology,
    • Circulatory disorders in the pelvic organs,
    • Defloration,
    • Penile Injury.

    Infectious acute urethritis in men and women is specific and. The latter species develops after penetrating the urethra:

    • E. coli
    • Streptococcus
    • Staphylococcus.

    The clinical picture of nonspecific urethritis does not depend on the species of the pathogen. In women and men, common signs of inflammation in the genitourinary system develop. Specific acute urethritis is diagnosed in patients with sexually transmitted diseases:

    The causative agents of acute urethritis are human papillomaviruses and herpes. A specific inflammation of the mucous membrane of the urethra is accompanied by signs that are characteristic of venereal pathology.

    It is possible to become infected with acute urethritis in one of the following ways:

    Sexual.

    Transmission of pathogens occurs during sexual contact with an infected person.

    Pathogens are washed out of the infectious foci and are carried by the blood stream to the urethra, starting a new inflammatory process.

    Pathological factors include:

    • Non-observance of the rules of intimate hygiene,
    • Any chronic infectious diseases,
    • Diseases of the genitourinary system: cystitis, prostatitis,
    • Genital damage due to bruising or injury
    • Hypothermia.

    Acute urethritis can develop amid a decrease in the body's resistance to viral and bacterial infections. Common causes of this condition are: abuse of alcoholic beverages, frequent stress, irrational and unbalanced nutrition.

    Specificity Classification

    • Primary - pathology arises as an isolated independent disease
    • Secondary - develops as a result of other diseases
    • Nonspecific - pathogens are microorganisms that are constantly present in the body, with which a healthy immune system is able to fight
    • Specific is STI (gonorrhea, trichomoniasis, chlamydia, etc.), as well as tuberculosis

    Most often, gonorrhea and chlamydia are the causative agents of urethritis; in 50% of cases, these infectious agents cannot be detected in the test material.

    Symptoms of acute urethritis

    Symptoms of acute urethritis in men are similar to the clinical picture of this disease in women. How is inflammation of the urethra manifested:

    • Drawing and sharp pains during every urination,
    • Pain in the suprapubic region,
    • Hyperthermia, worsening of general health,
    • Itching and burning in the urethra.

    For acute urethritis, the entire set of symptoms is characteristic, which distinguishes it from a chronic disease. During the incubation period, which can last 1-2 months, a person rarely experiences discomfort. Only after this period expires, a clinic of acute urethritis develops in women and men.

    But there are exceptions. An insignificant part of patients of urologists and venereologists complain only of pain and burning at the end of urination - the main symptoms of cystitis. Secondary symptoms of urethra inflammation help to suspect acute urethritis:

    • Add blood in urine
    • Cottage cheese and (or) mucous yellowish discharge from the urethra,
    • Unpleasant odor from the genitals.

    For men with acute urethritis, redness of the skin located near the mouth of the urethra on the glans penis is characteristic.

    Treatment features

    During the treatment of acute urethritis, women and men should be excluded from the diet fatty, spicy, acidic and excessively salty foods. Doctors recommend that patients review their drinking regimen and drink at least 2.5 liters of still water daily.

    This helps to wash out germs and viruses from the urethra and eliminate symptoms of general intoxication. Until complete recovery, it is necessary to refrain from sexual intercourse.

    Acute urethritis in women and men is treated with antibiotics if pathogenic fungi and viruses have not become the cause of the pathology. When conducting laboratory tests, it is very important to establish the possible resistance of bacteria to pharmacological drugs. This allows for quick and effective therapy.

    In acute urethritis, the doctor always prescribes antibiotics with a wide spectrum of action, since the duration of the study can take several days. This approach to treatment avoids the transition of pathology into a subacute form.

    Depending on the stage and severity of the disease, antibacterial drugs are used for oral administration, parenteral administration, as well as in the form of installations and vaginal suppositories. The most effective drugs are:

    Urethritis, unspecified genesis

    Pathology of non-gonococcal origin

    Azithromycin (Hemomycin, Sumamed, Zitrolide)

    Azithromycin (Hemomycin, Sumamed, Zitrolide)

    Ceftriaxone (Ceftriabol, Cefson, Cefaxon)

    Azithromycin (Hemomycin, Sumamed, Zitrolide)

    Doxycycline (Doxipan, Doxilin, Dovitsil)

    Fluconazole (Mikomaks, Flukostat, Diflucan)

    Ornidazole (Orgil, Meratin)

    Tinidazole (Fazizhin, Tinidazole-Acre)

    Doxycycline (Doxipan, Doxilin, Dovitsil)

    Nimorazol (Naxojin, Ornigil Meradazole Orgil)

    Doxycycline (Doxipan, Doxilin, Dovitsil)

    Ornidazole (Orgil, Meratin)

    Josamycin (Wilprafen, Wilprafen Solutab)

    Azithromycin (Hemomycin, Sumamed, Zitrolide)

    Josamycin (Wilprafen, Wilprafen Solutab)

    Ofloxacin (Zanocin, Zoflox, Ofloxin)

    Doxycycline (Doxipan, Doxilin, Dovitsil)

    Doxycycline (Doxipan, Doxilin, Dovitsil)

    Secnidazole (Secnidox, Tagera)

    Fluconazole (Mikomaks, Flukostat, Diflucan)

    Clarithromycin (Klabaks, Klacid)

    Ciprofloxacin (Cifran, Procipro)

    Ceftriaxone (Ceftriabol, Cefson, Cefaxon)

    Secnidazole (Secnidox, Tagera)

    Traditional medicine is ineffective in treating inflammation of the mucous membrane of the bladder. They are used only after antibiotic therapy to strengthen the general state of human health.

    A patient with acute uncomplicated urethritis does not need hospitalization. Strict compliance with medical recommendations will help accelerate recovery. Women and men should visit the hospital regularly during antibiotic therapy. This will allow the doctor to monitor the course of treatment and, if necessary, make adjustments to it.

    Urethritis is an inflammation process that can occur on the walls of the urethra. The disease is diagnosed quite often and can be detected in any person, regardless of age and gender. The causes of its occurrence are very different: from non-observance of personal hygiene to the defeat of the urethra by various pathogens. How to treat urethritis in men?

    In men and women, the disease has different manifestations, which is associated with the features of their genitourinary system. And if female urethritis passes almost without symptoms, then inflammation of the urethra in men is accompanied by various unpleasant sensations.

    Therapist Elena Vasilyevna Malysheva and cardiologist German Shaevich Gandelman will talk about the features and symptoms of the disease:

    The reason for the activation of the inflammatory process, according to doctors, is mainly genital infections. The first manifestation of the disease is the weakness of the body. Her man can already feel a few hours after entering the body of a pathogen. There are non-infectious causes of the development of the disease (trauma, allergic reaction, malnutrition or personal hygiene, etc.d.), but they are quite rare.

    It is very important to begin treatment of inflammation at the initial stage of its development, since urethritis can lead to the development of pathologies of the genitourinary system and impaired reproductive function.

    Infectious urethritis

    Gonorrhea urethritisAcute pain during urination, the presence of gray - yellow discharge from the urethra. Urine becomes cloudy due to the pus contained in it. In urine, in semen - blood impurities. MycoplasmalRarely occurs on its own. Usually, mycoplasma urethritis is combined with trichomonas or gonorrhea. Viral (adenovirus, herpetic)Symptoms are mild. The course of the disease is sluggish. May be accompanied by inflammation of the joints and conjunctivitis. TrichomonasThe predominant symptom is an almost constant itching in the head area. Difficulty with urination and the presence of grayish-white discharge from the urethra are characteristic. BacterialSymptoms erased. The incubation period can reach several months. Purulent discharge from the urethra. MycoticAllocations are mucous, watery, sometimes have a pale pink color. The mucous membrane of the urethra is covered with a white curd coating. The incubation period is up to 20 days. Itching and burning are present. UreaplasmicIt rarely proceeds apart. Often accompanied by gonorrheal urethritis and trichomoniasis. The incubation period is up to a month. Urethral discharge is white or green. Itching, burning, discomfort during urination. Exacerbated after drinking alcohol or having sex. ChlamydialBurning, no pains, scanty discharge. It often proceeds chronically, without symptoms. GardnerellaThere are no distinctive symptoms, usually gardnerellosis is a participant in mixed processes. Incubation - from 7 days to several months. TuberculousIt usually occurs against the background of kidney tuberculosis, sometimes in combination with genital tuberculosis. Mycobacterium tuberculosis with the flow of urine penetrate into the underlying urinary tract. Often proceeds with little symptom (subfebrile temperature, increased fatigue, sweating).

    Classification of urethritis

    According to the primary development of inflammation, a disease is:

    1. Primary - the infection develops directly in the urethra.
    2. Secondary - other organs become the focus of infection. Along with the bloodstream, pathogens can penetrate the urethra.

    Table 1. Classification of urethritis by type of pathogen

    Type of urethritisFeatures
    NonspecificIt is associated with the penetration into the urethra of fungi, Escherichia coli, staphylococci or other microorganisms considered conditionally pathogenic (those that can occur in completely healthy people and require certain conditions for their development). Sometimes, the cause may be an allergic reaction. The complexity of the treatment of nonspecific urethritis is that the disease is accompanied by other pathologies and mixed infections.
    CandidiasisAccompanied by damage to the mucous membrane by Candida fungus. It mainly develops after prolonged antibiotic therapy, although it can get into the candida urethra as a result of unprotected sexual contact with an infected partner. Its manifestations: a burning sensation and significant itching of the genitals.
    Bacterial urethritisIt is associated with the presence of bacterial microflora. Most often, it develops as a result of trauma to the urethra during medical procedures (cystoscopy, catheterization, etc.). The development of germs in the urethra can provoke sand or stone leaving the kidneys.
    TrichomonasCalled by Trichomonas. The insidiousness of this type of disease is that its first signs appear only after 1-2 weeks after the pathogen enters the body of a man. Diagnose the disease with the help of characteristic light, foamy discharge.Since Trichomonas has exclusively sexual transmission, both partners are subject to treatment at once.
    ChronicIt may appear if urethritis therapy was not started on time. The treatment of this type of disease is the most difficult and requires strict compliance with all the instructions of the attending physician. Often, the disease proceeds against the background of prostatitis or other pathologies of the genitourinary system. Related to this is the need for complex treatment using traditional and non-traditional methods.
    RearIt is associated with inflammation of the membranes and prostate glands. Its symptoms: acute pain, clouding of urine and the appearance of bloody streaks in it.
    Chlamydial urethritisIt is associated with the chlamydia bacterium, which can develop both inside the cell and outside it. Chlamydia can get on the mucous membrane of the urethra as a result of unprotected sex. Infection is able to have a toxic effect on the body and manifests itself 1-3 weeks after infection.
    Allergic urethritisIt develops as a result of exposure to the walls of the urethra of the allergen from medicines, hygiene products or food. Its manifestations include swelling of the mucous and submucosal layers. In severe cases, as a result of edema, the urethra is completely blocked.
    Gonococcal urethritis (gonorrhea)It arises as a result of infection with trichomonads, gonococci, mycoplasma or chlamydia. Gonorrhea urethritis is considered a sexually transmitted disease. As a result of its development, epithelial tissue is destroyed.
    Non-neococcal or non-chronic urethritisIt is associated with the multiplication of viruses or protozoa, with the exception of gonococci. It can be transmitted sexually from an infected partner. The incubation period is 1-3 weeks, after which the first signs appear in a man.
    Acute urethritis in menIt is characterized by pronounced signs of infection. The urethral opening becomes bright red, the head of the penis becomes denser and becomes painful. The patient has a burning sensation and severe itching of the genitals.
    MycoplasmalIt is associated with mycoplasma infection. These microorganisms are also found in the body of a perfectly healthy person, but some of them can be pathogenic and cause various diseases, including urethritis. To provoke pathology, mycoplasma is capable in men with reduced immunity. If treatment is started at the initial stage, then mycoplasma lends itself well to antibiotic therapy.
    Herpetic or viral urethritisCaused by the herpes virus, which is transmitted sexually.
    GardnerellaIt is characterized by an asymptomatic course. They, as in most other cases, can be infected sexually with a woman with a pathology such as bacterial vaginitis. In most cases, this form of urethritis does not have symptoms, but can cause complications, such as prostatitis, epididymitis, etc.

    Non-Infectious Urethritis

    CongestiveVarious sexual dysfunctions prevail. Classical symptoms are rare. AllergicA distinctive feature is allergic edema. It is accompanied by itching and burning. TraumaticSymptoms directly depend on the degree of traumatic effect. Symptoms - pain, burning when urinating.

    Therapy for urethritis in men

    As with any other disease, the choice of treatment for urethritis in men is based on diagnosis. Of paramount importance is the results of laboratory studies. The parameters of general analyzes of urine and blood, bacteriological culture of urine, studies of smears from the urethra, and urethroscopy data are taken into account.

    It is clear that for a medical treatment of urethritis in men, the doctor selects the drugs, the patient himself must follow certain rules for the entire period: exclude sexual activity, avoid alcoholic beverages, spices, spices, smoked products and pickled foods, drink plenty of fluids and observe hygienic rules.

    Medicines are selected strictly individually. Any infectious urethritis in men is treated with antibiotics. The best effect is achieved when prescribing an antibacterial drug after sensitivity analysis.It is this study that allows the doctor to choose the most effective drug.

    Treatment of gonorrheal, bacterial urethritis

    A good effect with gonorrhea urethritis is achieved with the use of antibiotics of the cephalosporin group. Tetracycline, erythromycin, oletetrine, kanamycin can also be prescribed. As for the latter, it should be used very carefully, given the high toxicity of the drug. Long-acting drugs, such as bicillin-3, bicillin-5, are prescribed in short courses. Sometimes, with the complication of gonorrhea urethritis by other infections, several antibacterial drugs can be used simultaneously, best of all, Azithromycin and Gentamicin (see). Azithromycin is Sumamed, Zi-factor, Azicide, Azitrox, Hemomycin, Ekomed.

    For the prevention of candidiasis with prolonged use of antibiotics, Pimafucin, Nystatin, Fluconazole, Levorin and others are prescribed.

    A very important aspect is the individual choice of drugs for therapy. Often, men suffering from gonorrhea urethritis, turn to friends with a request to "give injections", use antibiotics without consulting and monitoring a doctor. This is not permissible, self-medication with strong broad-spectrum antibiotics without a clear treatment regimen, cure control can lead to the development of drug resistance of the pathogen and the transition of the disease into a chronic form.

    In addition to antibiotics, the patient is prescribed vitamin preparations, as well as drugs that stimulate the immune system. In order to verify the complete absence of gonococcus in the patient's body, after complete cure, he must pass control smears three times. Only with negative results can a man be considered healthy.

    Chlamydial urethritis

    True infection with chlamydia in the Russian Federation is unknown. Statistics show that it is progressively decreasing and in 2015 amounted to 41 cases per 100,000 population. At the same time, European data give a figure of 184 cases per 100,000. Such discrepancies most likely do not indicate the best sanitary-epidemiological climate in our country, but difficulties and inadequacies in diagnosis. The absence of clinical manifestations of urethritis (discharge, pain or discomfort during urination) or complicating orchoepididymitis does not speak in favor of the absence of infection in the genital tract. Often, without complaints of urethritis, men turn for secondary manifestations of chlamydial infection: orchitis, arthritis. Thus, the indication for examination for this pathogen should not be the presence of a clinic for lesions of the urinary tract or genitals, but the fact of unprotected sex or the presence of more than one sexual partner during the year. The only reliable method for detecting chlamydia is PCR diagnostics, with which neither culture, nor microscopy, nor serological analyzes are comparable.

    Therapy involves the course use of Doxycycline, Erythromycin, Levofloxacin, Ofloxacin, Josamycin or a single dose of Azithromycin. In this case, doxycycline is preferable to macrolides. A course of Josamycin is more effective than a single treatment with Azithromycin (see).

    Viral urethritis

    This is the same story that a man receives during oral sex. The cause may be adenoviruses or herpes simplex viruses of type 1 or 2. About a third of men will have mucous, mild discharge and dysuric disorders (cramps, burning when urinating). That is, the clinical manifestations with the viral origin of urethritis are much less bright than with the bacterial process. In addition, bacteria cannot be detected in the culture, and a significant number of mononuclear cells will be noted with a microcopy of the smears. In scrapings from the urethra, the virus will be detected.

    Herpetic infection is treated according to classic short or complete regimens with Acyclovir, Valaciclovir or Famciclovir.

    Other bacterial urethritis

    Urethritis can be caused by almost any bacterial flora, including meningococci and hemophilic bacillus. But today the problem of urethritis associated with bacterial vaginosis in the sexual partners of patients is more interesting. In general, bacterial vaginosis is considered to be a variant of dysbiosis, which is treated in women and does not threaten men. However, a connection was found between inflammatory changes in the male urethra and the main groups of bacteria present in the microflora of the vagina with vaginosis. This is not only gradnerella, but also clostridia, leptotrichia, megasphere. It is proved that these microorganisms facilitate infection with other genital infections. Most often, type 4 gardnerella vaginalis and clostridia are associated with male urethritis. With the exception of the main pathogens (chlamydia, mycoplasmas, trichomonads, ureaplasmas) and the impossibility of further verification of the infection, the course of doxycycline is traditionally prescribed.

    Antibiotics can be prescribed in the form of:

    • oral administration (tablets) in 81% of cases of acute urethritis
    • intramuscular injection in 18%
    • intravenous infusion 0.2%
    • drug installations - are inserted into the urethra using a catheter
    • use of only 1 antibiotic - monotherapy 41%
    • 2 drugs 41%
    • 3 medicines 13%
    • 4 antibiotics in 5% of cases

    The most commonly used antibiotics for acute urethritis in men, which are prescribed by a doctor depending on the pathogen:

    Treatment of candida urethritis

    Candidiasis urethritis in men requires treatment in many ways different from the methods described above. The main drugs that actively destroy candida are systemic antifungal drugs, such as Fluconazole, Clotrimazole, Nystatin, Pimafucin (see). Great importance is attached to the competent treatment of the underlying disease, which provoked the occurrence of candidal urethritis.

    Additional treatments

    In addition to the basic course of antibacterial drugs that act to suppress the acute symptoms of the disease, other methods of therapy, such as local and physiotherapeutic procedures, are widely used.

    Local procedures involve the administration of drugs directly into the urethra. For urethral instillations, dioxidine, as well as hydrocortisone preparations, are used. Local medical procedures give good results, being a component of the complex treatment of urethritis.

    Physiotherapeutic treatment is used only for chronic urethritis, in acute inflammatory processes they are contraindicated. Assign, UHF, magnetotherapy. But all these methods require systematic and competent medical supervision.

    Why urethritis occurs in men - the causes of the disease

    Urethritis appears for a number of reasons, in addition to infection with sexually transmitted infections, the multiplication of pathogens is facilitated by certain conditions that provoke factors, we consider all possible causes:

    1. Sexual infections are a high risk of developing urethritis in men who have an active sexual life (unprotected sexual intercourse). At the same time, STIs easily penetrate the urethra, causing rapid or sluggish inflammation.
    2. Urolithiasis (more often affects men than women. This disease leads to traumatic urethritis, since calculi when leaving out easily injure the walls of the urethra, provoking irritation and activation of opportunistic microorganisms.
    3. Any injury to the penis, as well as debilitating physical labor, can be the trigger in the development of urethritis.
    4. Hypothermia is the most important provocateur of any exacerbation of chronic diseases (including latent infections, viruses, extrapulmonary tuberculosis), since the body's defenses are reduced.
    5. A general decrease in immunity - malnutrition, lack of sleep, overwork, alcohol abuse, smoking lead to depletion of the body's natural defense.
    6. Medical manipulations (smear, urinary catheterization) can injure the mucous membrane, and infection can be caused if the disinfection rules are not followed.
    7. Nutrition - an abundance of salty, spicy, acidic foods cause irritation of the mucous membranes, contributing to the attachment of other infections. Inadequate fluid intake leads to rare urination and does not allow for the natural cleansing (washing) of microorganisms that accidentally fall into the urethra.

    Urethritis and cystitis

    These two diseases very often accompany each other, so patients often confuse them, taking them one after the other. But, it turns out, they have significant differences.

    Firstly, this is the place in which the inflammatory process occurs. With urethritis, the mucous membrane of the urethra becomes inflamed, and during cystitis, the walls of the bladder are exposed to this.

    Differences in urethritis and cystitis are also in the symptoms of diseases. With cystitis, urine has an unpleasant odor and becomes cloudy. In contrast, in patients with urethritis of men, there is no general weakness of the body.

    How to avoid complications

    According to statistics, every second man after 50 years suffers from prostatitis. And we do not think that the representatives of the stronger sex associate this pathology with once transferred urethritis. However, prostatitis often occurs against the background of an existing urinary tract infection. Urethritis can contribute to the development of vesiculitis, orchitis, balanoposthitis, colliculitis, leading to impaired sexual function, infertility and Reiter's syndrome. In order to avoid complications of urethritis, a man should:

    • Refuse promiscuity, observe the hygiene of intimate life
    • Timely treat any chronic pathology
    • Avoid hypothermia
    • Empty the bladder with any urge to urinate, do not “endure”
    • Do not get involved in alcohol, fatty, spicy, salty foods
    • Eliminate intense, excessive exercise

    Urethritis in males, according to statistics of urologists, is more often manifested at the age of over 50 years. However, in young men in recent years, this disease is also diagnosed more and more often. If the patient fails to pay attention to alarming symptoms or the treatment of acute urethritis is poorly performed, the risk of the disease becoming chronic is increased.

    Cystitis and urethritis in men: a photo, the main characteristics of the disease

    Male urethritis is a disease associated with the development of inflammation in the urethra. The mechanism of the development of pathology is activated if the genitourinary system is infected with viral or venereal diseases, as well as as a result of injuries of the external genital organs. Numerous studies in the field of urology have proved that pathology negatively affects not only the state of the urethra, but also leads to problems with the reproductive functions of the body. In order to prevent the development of serious complications and infertility, a man should pay attention to the primary signs of the disease in time, consult a urologist and take the necessary therapeutic measures.

    The incubation period of male urethritis lasts from several hours to 3 weeks. Its duration depends on the type of pathogen that provoked the inflammatory process.

    Urethritis: reviews of men and classification of the disease

    Urethritis in men is classified into different categories. For example, there is a non-infectious and infectious type of inflammation of the urethra.In addition, the disease is divided into types depending on the source of infection. Each item in this classification is characterized by an individual incubation period and a set of features.

    Traumatic. As a result of injuries of the penis, severe pain during urination appears. Such urethritis proceeds without discharge, in men there are only complaints of pain in the genital organ.

    Allergic. The genital organ hurts and swells after prolonged wearing of tight underwear, the use of poor washing powder or intimate hygiene products with chemical additives.

    Gardnerellezny. The disease has no distinguishing features and is most often accompanied by a combination of symptoms characteristic of various types of pathology. Infection occurs sexually when gardnerella sticks penetrate the genitourinary system.

    Congestive Signs of the disease are weak, the disease develops as a result of stagnation of blood in the pelvic organs.

    Purulent (bacterial). The pathological condition is caused by pathogenic fungi, viruses and bacteria. Symptoms are blurry, but there is a hallmark - the presence of purulent discharge.

    Ureaplasmic. The disease is accompanied by mucopurulent discharge of green or white. The causative agent of the disease are ureaplasma bacteria, which penetrate the genitourinary tract through the sexual route, due to unprotected intercourse. Ureaplasma urethritis often occurs simultaneously with the gonorrheal form of the disease.

    Gonorrheal. The causative agent of the disease are sexually transmitted gonococci. The patient complains of pain during urination, blood appears in his sperm and urine. There are also gray-yellow discharge.

    Viral. The disease is caused by near-genital chlamydia. Symptoms of the disease are mild. This type of pathology is often accompanied by conjunctivitis and inflammatory processes in the joints.

    Mycotic. The causative agent of the pathology is fungi of the genus Candida. The disease is accompanied by mucous, watery discharge of a pale pink color. Around the outlet of the urethral canal sometimes accumulated discharge cheesy consistency.

    Specific (tuberculous). General signs of the disease are poorly expressed, but a sick man complains of increased fatigue, sweating, and high fever. Urethritis of this type develops against the background of kidney tuberculosis when the pathogen of the same name, tuberculosis bacillus, enters the urethra.

    Trichomonas. Doctors characterize trichomonas urethritis in men on forums as a disease with severe itching in the area of ​​the glans penis. The patient has complaints of difficulty urinating, gray mucus is released from the penis. The causative agent of the disease is Trichomonas, living in the seminal vesicles and prostate. The incubation period of trichomonas urethritis is 1-2 weeks. The disease alternates with periods of exacerbations and remissions. Often trichomonas urethritis and prostatitis in men develop simultaneously.

    Mixed. The disease develops as a result of exposure to several different infections.

    Urethritis in men is divided into categories depending on its onset. The disease happens:

    Urethritis in males is also classified by degree of spread.

    Total. The urethra is inflamed along its entire length.

    Front. Anterior urethritis in men is accompanied by inflammation, which develops on the hanging section of the urethra.

    Rear. Most often, urologists diagnose posterior urethritis in men after acute prostatitis. Inflammation is localized in the posterior areas of the urethra, sometimes affecting the neck of the bladder.

    Separation of urethritis into species also occurs according to the clinical course of the disease. In this direction there are:

    If inflammation in the urethra in a man does not go away for more than 2 months, doctors say the process is chronic. It alternates with stages of exacerbation and remissions.

    Another type of classification of male urethritis is associated with the specificity of the disease. Ailment happens:

    According to the severity of clinical manifestations of urethritis in male patients, it happens:

    • subclinical
    • clinical
    • without any clinical signs.

    The activity of inflammation in urethritis is:

    The most common causative agents of urethritis in men are chlamydia and gonorrhea. According to statistics, in 50% of cases of diagnosis of urethritis in the studied materials infectious agents and pathogens are not detected. Tests for urethritis in men facilitate the diagnosis of the disease. Urologists recommend a patient with such an ailment to take the following biomaterials for laboratory research:

    • general urine analysis,
    • general blood analysis,
    • microbiological analysis of urine for flora and sensitivity to antibiotics,
    • research on pathogenic microorganisms (mycoplasma, ureaplasma), sexually transmitted infections,
    • smear from the urethral canal.

    A set of tests helps to determine the nature of the disease and determine whether there is a likelihood of sexual transmission of the infection.

    Is urethritis transmitted from man to woman?

    When contacting a urologist for help with symptoms of urethritis, men ask a logical question - is it possible to transmit the infection to a partner with unprotected sexual contact. Doctors say that only infectious forms of the disease can be transmitted during sex. Non-infectious urethritis does not pass from one sexual partner to another. The risk of infection with this disease exists not only with unprotected sex, but also with the use of common hygiene items (towels, underwear, washcloths, soap). If infection occurs during sexual intercourse, both partners must undergo urethritis treatment.

    Complications of urethritis in men

    Urethritis in men requires mandatory drug treatment. If therapeutic measures are not taken, the symptoms of the disease may temporarily stop, but subsequently the disease will make itself felt again. Prolonged urethritis in males often leads to serious complications. For instance:

    • narrowing of the urethral canal,
    • balanoposthitis, balanitis (inflammation of the foreskin or head of the penis),
    • inflammatory process in the seminal vesicles (vesiculitis),
    • testicular inflammation (orchitis),
    • bladder inflammation (cystitis),
    • inflammation of the prostate (prostatitis),
    • inflammation of the epididymis (epididymitis),
    • inflammatory process in the kidneys.

    If the diagnosis of male urethritis is timely and correct, the disease does not give complications. Otherwise, the disease can worsen, provoke irreversible changes in the structure of the urethra and infertility. For the correct diagnosis of urethritis in men, the causes that cause the disease develop.

    Urethritis in men: causes

    Urologists identify several predisposing factors that contribute to the development of inflammation in the male urethra:

    • infection from one's sexual partner (intermittent sexual intercourse, unprotected sexual intercourse),
    • body hypothermia,
    • constant urine retention when there is a urge to urinate (a habit of rarely going to the toilet, lack of time for timely emptying of the bladder),
    • allergies
    • infectious and inflammatory diseases that have already disrupted the activity of the organs of the genitourinary system (for example, prostatitis, cystitis),
    • congenital and acquired abnormalities in the structure of the genitourinary system,
    • emotional and physical overload, which are permanent,
    • permanent deficiency of fluid in the patient’s body,
    • lack of necessary hygiene of the external genital organs,
    • the constant use by a man of spicy food, carbonated and alcoholic beverages (they lead to irritation of the mucous membranes of the urinary tract).

    Depending on the causes of urethritis in men and symptoms, treatment is directed to the destruction of pathogenic bacilli, strengthening immunity, dieting, and giving up bad habits (smoking).

    If non-specific urethritis develops in men, the causes of the disease can be associated with such unfavorable factors:

    • autoimmune failures
    • decreased activity of the immune system,
    • chronic forms of prostatitis,
    • diabetes,
    • obesity, developing on the background of a sedentary lifestyle,
    • a long course of antibiotic therapy or regular use of alcoholic beverages, against which chronic intoxication of the body develops,
    • stagnation of venous blood in the pelvic organs.

    The immediate causes of the occurrence of nonspecific male urethritis include:

    • failure to comply with the basic rules of intimate hygiene,
    • active sex life, frequent change of sexual partners, sexual acts without a condom with women carriers of pathogenic microflora,
    • rough studies of the urethral canal or improperly performed operations on the bladder can lead to infection and the appearance of non-specific forms of urethritis,
    • impaired outflow of venous blood from the urethra,
    • allergy to components of cosmetics for intimate hygiene, food, medicine.

    Nonspecific urethritis is often diagnosed simultaneously with chronic prostatitis. Symptoms of the latter often precede urethritis in almost 50% of adult men with an inflamed prostate gland.

    Acute urethritis in men: causes

    Acute urethritis in male patients is provoked by factors from the following list.

    Sexually transmitted diseases caused by gonococci, trichomonads, mycoplasmas, ureaplasmas.

    The development of opportunistic microflora (staphylococci, energy bacteria, E. coli). Inflammation in the urethra in this case is mild or moderate.

    Irritating elements, aggressive chemicals, and severe hypothermia can also cause acute burning in the groin (a symptom characteristic of urethritis).

    Poorly performed bladder catheterization.

    The development of malignant neoplasms in the tubular organ.

    Urolithiasis disease. Hard stones move along the urethra, injure the mucous membranes and provoke the attachment of infectious agents.

    General decrease in immunity. If a man abuses alcohol or cigarettes, does not get enough sleep, overwork, his body’s defenses are depleted and this opens the way for pathogenic microorganisms to enter the genitourinary system.

    Urethritis in men, symptoms, causes and treatment of the disease are determined by the attending physician. If the pathology develops due to pathogenic bacteria that have entered the body, the specialist prescribes antibiotics and develops a therapeutic diet for the patient. The treatment regimen for the disease is developed by a specialist taking into account its characteristic symptoms.

    Characterization of urethritis in men

    Urethritis is an inflammatory process in the urethra, which is activated as a result of the entry of pathogens into the body.

    Etymology can be infectious (specific), bacterial (streptococci, gardnerella, E. coli, enterobacteria), or the disease is caused by external (mechanical) intervention in the genitourinary system.

    Trichomonas urethritis in men: symptoms

    With trichomonas urethritis in men, external manifestations do not occur immediately, but after 5-15 days. Symptoms characteristic of this form of the disease:

    • foam whitish discharge from the urethral canal,
    • slight itching in the external genitalia.

    Sometimes an infected patient has no signs of the disease at all. A man becomes a source of infection for his sexual partners (because trichomonas urethritis is transmitted mainly during sex).

    Nonspecific urethritis in men and disease symptoms

    Nonspecific urethritis in men is accompanied by such signs:

    • unpleasant sensations when the bladder is empty, which disappear immediately after the urination process,
    • burning in the urethra, which does not disappear during and after urination, persists for a long period of time,
    • itching appears in the internal genital organs and in the urethra,
    • discharge from the penis, which is especially abundant after sex and in the morning (the discharge has a mucous consistency, an admixture of pus or blood appears in them, a characteristic unpleasant odor, cottage cheese, a greenish or dirty yellow hue after drying),
    • severe pain, swelling and redness of the glans penis are observed (even contact of underwear with the skin causes severe discomfort in the patient).

    The primary signs of nonspecific urethritis appear during different time periods. Sometimes a man can detect the characteristic symptoms of pathology only 1 month after infection.

    Candidiasis urethritis in men, symptoms and photos

    Candidiasis urethritis occurs due to the penetration of yeast into the male urethra. The patient complains of burning and mild itching in the external genitalia. Sometimes from the urethral opening appear cheesy whitish discharge. Infection of men with this kind of ailment most often occurs due to the long-term use of antibacterial drugs. Sometimes the infection enters the urethral canal through sexual contact with a woman with candidiasis vulvovaginitis.

    Signs of different types of urethritis

    Urethritis in men is acute already at the initial stage. Often, various symptoms make themselves felt 3-20 days after infection. Representatives of the "stronger" sex are beginning to worry about the following problems:

    • sharp, burning pain during urination,
    • redness and swelling of the external genital organs,
    • gluing a hole in the urinary canal,
    • frequent urge to the toilet “little by little”,
    • discomfort during intercourse,
    • abnormal discharge from the urethra,
    • the inability to completely empty the bladder,
    • pain in the perineum and in the anterior region of the lower abdomen,
    • blood in semen and urine.

    These are the main symptoms characteristic of urethritis in men. An increase in body temperature is not always observed with genitourinary infection.

    In addition to the general signs, there are specific features corresponding to a certain kind of disease.

    This table reflects a list of the main manifestations:

    Type of urethritis Symptoms
    GonorrhealMucous dark discharge (greenish or grayish-yellow), acute pain during urination. Purulent or bloody impurities in urine.
    ChlamydialMild signs: a scanty amount of urine, minor pain.
    TrichomonasDifficult urination, the appearance of discharge of light or grayish shades. Permanent itching in the area of ​​the head of the penis.
    CandidiasisThe appearance of white curd-like plaque on the mucous membranes of the urethra. Constant itching in the genital area.
    UreaplasmicDischarges milky or green. Burning sensation during bladder emptying. Exacerbation occurs after an intimate act or taking alcoholic beverages.
    Urethritis resulting from circulatory disordersLoss of sexual function. Pain in the anterior organs of the pelvis.

    Manifestations of acute and chronic forms

    Urethritis usually has two forms: acute and chronic.Consider the characteristic features of each individual species.

    Only with timely adequate treatment of the initial stage, the disease will not go into a protracted form. From the first days, the attending physician will select the optimal complex of therapy.

    Advice! If you follow all the instructions, then the disease will quickly pass. It is much worse if within two weeks the pathology is not cured. In this case, we can talk about transformation into a chronic form.

    There are factors that cause a protracted process:

    • The presence in the body of a weakened virus, its "hidden" development.
    • The defeat of the inflammatory process of the vast areas of adjacent tissues.
    • Ignoring the recommendations of the attending doctor.
    • Late referral for qualified help to a medical facility.

    Sluggish pathology is usually asymptomatic. But the infection is in the body and worsens when there are “favorable” factors: after hypothermia, as a result of weakened immunity.

    Hazards of an advanced stage

    The disease must be treated at an early stage, because then you have to deal with chronic inflammation. If you do not take decisive actions for a long time, urethritis can result in a number of complications:

    • balanoposthitis, balanitis,
    • prostatitis,
    • Calliculitis
    • reactive arthritis (Reiter syndrome),
    • epididymitis and orchitis,
    • vesiculitis
    • cystitis and pyelonephritis,
    • crayfish,
    • colliculitis.

    Complex treatment

    Treatment of urethritis in men consists of several types of exposure: drug, surgical, physiotherapy. Depending on the cause, stage of the disease, the attending physician prescribes a special correction complex. If the pathology has arisen as a result of an injury to the genital organs, surgery is usually used (bougieurage).

    Bacterial urethritis in men: symptoms, treatment, photo

    Bacterial urethritis in male patients develops as a result of the entry of pathogenic bacteria into the urethra. Common symptoms of pathology are as follows:

    • soreness, burning in the urethra,
    • genital itching,
    • swelling and swelling of the penis,
    • touching the penis becomes very painful, and sexual intercourse is accompanied by severe discomfort,
    • there are discharge from the urethral canal (they become especially plentiful in the morning, have an unpleasant odor, purulent or mucous texture, white or gray, after drying they get a yellowish tint),
    • the skin around the urethral opening is very red.

    With bacterial urethritis, the urethra sometimes sticks together due to the large number of pathological secretions. In the urine and sperm of a man with this disease, blood impurities may be present. the disease is divided into primary and secondary.

    Primary bacterial urethritis is accompanied by burning and itching in the urethra, painful urination, purulent discharge. If untreated, bacterial urethritis takes on a chronic form, which is very difficult to treat. There is also secondary male urethritis, which forms against the background of infectious diseases (pneumonia, tonsillitis) or in the presence of inflammation in neighboring organs of the genitourinary system (for example, in the prostate gland). It is also accompanied by pain during urination, purulent discharge (their intensity increases in the morning).

    Medicines and selection criteria

    How to treat urethritis in a man, the doctor will tell. Independent actions without specialist supervision are not acceptable and can only do harm. Drug therapy includes several groups of drugs that have their own "sphere of influence."

    The class of drugs, their names are reflected in this scheme:

    Specific group Names of medicines Indications for use
    Macrolides, lincosamides, fluoroquinols.Clarithromycin, Dalacin.Applied with gardnerellosis, non-gonococcal, ureaplasma urethritis.
    Broad-spectrum antibacterial agents.Norfloxacin, Amoxiclav, Ciprinol.Infectious, non-specific type (ICD classifier code No. 34. 1.)
    Antibiotic groupsGentamicin, Azithromycin, Sumamed.Gonorrheal or chlamydial species with complications.
    Antiviral agents"Acyclovir", "Riboverin."Viral (non-bacterial) urethritis.
    AntihistaminesTavegil, SuprastinAllergic reaction.
    Vitamin ComplexesRepresentatives of group B, C, E, PP.General strengthening of the body.
    ImmunomodulatorsRibomunil, Timanil, Aloe extract.Maintaining defenses.
    Antifungal ointments and pills“Pimafucin”, “Levorin”, “Clotrimazole”, “Nystatin”, “Fluconazole”.Candidiasis urethritis.

    Chronic urethritis in men: symptoms and treatment, medications with the best effect

    Chronic urethritis in men develops against the background of an untreated acute illness or its improper therapy. The chronic form of the disease is characterized by a prolonged course and the presence of complications. For example, the urethra narrows and deforms, and concomitant pathologies arise (epididymitis, prostatitis). The symptomatology of the disease is mild, often chronic urethritis in men proceeds without any signs at all. In this regard, it is more difficult to cure an ailment of this type. Signs of chronic urethritis are detected by laboratory tests. The test results give the doctor information about the pathogen that triggered the inflammatory process. In individual cases, chronic urethritis in men is accompanied by the following symptoms:

    • persistent itching in the area of ​​the urethral opening,
    • urine is excreted in small quantities, the patient constantly has the urge to urinate,
    • in some cases, oozing from the opening of the urethral canal,
    • with ejaculation, a patient with urethritis experiences discomfort.

    Male urethritis often occurs with complications. In men older than 50 years, the disease is almost always a consequence of prostatitis, but patients younger than 40 years are infected with urethritis through sexual contact. The disease in them is infectious. Urethritis treatment is being developed by a urologist. The specialist takes into account the form of the disease, the severity of symptoms, the general state of health of the patient.

    The treatment regimen for urethritis in men

    When a doctor develops a treatment for urethritis in men, the drugs and treatment regimen are selected by him after the patient has passed all the necessary tests. The urologist takes into account the individual characteristics of the male body, the degree and complexity of the inflammatory process. Throughout the course of taking medications, the patient is advised to follow a diet, refuse salty and spicy foods, as well as exclude alcoholic beverages from the menu. The diet plan is developed by the attending physician.

    Important! After starting treatment for male urethritis, the symptoms of the disease may disappear. In this situation, you can not interrupt the course of therapy, otherwise the disease can go into the chronic phase.

    Complex treatment of urethritis in men is associated with the use of the following groups of drugs:

    • antibiotics
    • probiotics
    • vitamins
    • immunomodulators
    • antihistamines
    • diuretic drugs.

    Therapy with medicines is supplemented with folk preparations (lotions, infusions, decoctions from medicinal herbs). During treatment, a man should refuse sex. If this is not possible, barrier contraceptives should be used during intercourse. Tests for the identification of the causative agent of urethritis should also be submitted to the sexual partner of the diseased man. If a woman has an infection, the urologist recommends that she undergo a course of treatment.

    How to treat urethritis in men - drugs, medicines, techniques

    In the treatment of urethritis in men, drugs are selected individually, depending on the type of disease.

    Gonorrhea urethritis in acute form is treated with antibiotics from the group of cephalosporins, penicillins, macrolides and fluoroquinolones. If the inflammatory process proceeds with complications, the therapeutic course is carried out only in stationary conditions. The doctor monitors the patient’s health status over time. During the first 2 days, the patient is given intramuscular and intravenous injections. If improvement occurs, the patient is transferred to tablets (Suprax, Cefixime).

    Chlamydial urethritis is caused by special pathogenic microorganisms that settle inside the cells. The treatment of the disease is complicated because it is impossible to “get” the causative agents of the disease using antibacterial drugs. However, there are separate groups of drugs that effectively affect intracellular bacilli. These include, for example:

    • Levofloxacin,
    • Azithromycin
    • Doxycycline
    • Josamycin
    • Ofloxacin.

    Sometimes antibiotic therapy does not help get rid of chlamydial urethritis. In this case, urologists use a special technique, artificially increasing the patient's body temperature with the help of the Pyrogenal drug. Fever helps to eliminate chlamydia from the epithelial cells of the urethra. In parallel with this, a course of antibiotics is prescribed to help destroy the causative agents of the disease (pathogenic microbes become vulnerable as a result of the action of Pyrogenal).

    Therapy of trichomonas urethritis is based on the use of antibacterial drugs from the category of nitroimidazoles:

    Medicines from this group adversely affect the liver. If a man has liver failure and serious liver diseases (hepatitis, cirrhosis), he can not use the above funds for the treatment of trichomonas urethritis. Before applying the medicinal formulations, the patient needs to study the recommendations of the instructions, which indicate dangerous interactions with other antiviral medicines. Nitroimidazoles with uncontrolled use provoke the following undesirable manifestations:

    • headache,
    • allergies
    • Depression
    • the appearance of bad breath
    • nausea

    Treatment of mycoplasma urethritis in men is carried out only in the presence of severe symptoms of the disease. Solving the problem of how to treat urethritis in men, the drugs are selected so that they most effectively affect the pathogen of inflammation. The best way to fight mycoplasmas is doxycycline. If the patient shows intolerance to the components of the drug, Ofloxacin is prescribed instead of Doxycycline. Doxycycline cannot be used in the following situations:

    • hypersensitivity to the components of the drug,
    • impaired liver function.

    The combination of doxycycline with calcium and iron preparations impairs the absorption of the first agent into the blood from the stomach.

    Fungal urethritis is treated with appropriate, antifungal medications. Basically, the treatment of male candidiasis is carried out with the use of such drugs:

    • Itraconazole (Irunin),
    • Fluconazole (Mikosist, Flucostat).

    The listed drugs belong to the group of triazole antifungal. Their metabolism in the liver occurs with the participation of microsomal enzymes. In this regard, the simultaneous use of such drugs may adversely affect the pharmacological effect of certain groups of antibiotics, diuretics, other antifungal medications and antidepressants. The main contraindications for the use of drugs against fungal urethritis are severe liver diseases, heart block, hypersensitivity to the active components of the drug. With candidal urethritis in men, treatment with drugs of certain groups can provoke the following side effects:

    • vomiting and nausea
    • dizziness and headaches
    • an increase in the number of liver enzymes in a biochemical blood test,
    • low blood potassium
    • allergy,
    • reduction in the number of platelets, red blood cells and white blood cells.

    Treatment of viral urethritis, provoked by herpes, is carried out with the use of antiviral medications:

    The intake of such drugs is carried out strictly according to the scheme developed by the doctor. You can’t interrupt the course, otherwise the desired effect cannot be achieved. Treatment of viral forms of urethritis in men is associated with the use of an integrated approach. The therapeutic course includes vitamin complexes and immunomodulatory drugs. Urologists often prescribe Groprinosin (an antiviral immunomodulator) for patients with viral urethritis. Its use accelerates recovery and prevents the occurrence of exacerbations of the disease. However, this drug is not recommended for use with gout, because it increases the amount of lactic acid in the patient’s blood. The following side effects are likely to occur:

    • loss of appetite,
    • high fatigue
    • sleep disturbances
    • allergic reactions
    • constipation
    • exacerbation of gout attacks,
    • severe joint pain.

    If you do not treat any form of urethritis, the disease will go into a chronic stage. In addition, male urethritis sometimes has a non-specific nature.

    Nonspecific urethritis in men: treatment and its features

    Nonspecific male urethritis is formed when opportunistic microorganisms (enterobacteria, Escherichia coli, staphylococci) enter the body. The infection enters the urethra if the catheter in the bladder is improperly placed or immunity is reduced. For the treatment of the disease, antibacterial medicines from the group of fluoroquinolones are used:

    • Ciprofloxacin,
    • Levofloxacin,
    • Norfloxacin.

    The drugs have a wide spectrum of action and accumulate in the desired concentration in the urine. True, fluoroquinolones have several serious side effects:

    • they disrupt the perception of color,
    • provoke ventricular arrhythmia,
    • lead to cramps, increased anxiety and fatigue,
    • cause allergic reactions,
    • disturb sleep, provoke delusional hallucinations and the appearance of nightmares in dreams,
    • reduce the number of shaped cells in the blood (white blood cells, red blood cells, platelets).

    Amikacin and Gentamicin are used as an alternative treatment for non-specific urethritis in males. The drugs are in the form of injections and are administered exclusively in a hospital, under the strict supervision of a physician. The components of these drugs are toxic, adversely affect the functioning of the hearing and kidney organs.

    Chronic urethritis in men: treatment (photo) and the main nuances of eliminating the disease

    Chronic urethritis is characterized by a prolonged course, is often accompanied by complications and is difficult to treat. The disease is accompanied by a narrowing of the urethra, inflammation of the epididymis or prostatitis. Treatment of chronic urethritis is associated with certain difficulties. Doctors use an integrated approach, selecting medicines in such a way as to eliminate both the underlying disease and associated pathologies. The effectiveness of therapy for chronic urethritis in men depends on how well the causative agent of the disease is determined and whether the medications are prescribed correctly.

    If a male patient is diagnosed with chronic urethritis, treatment is carried out using the same drugs as in the acute stage of the disease. The doctor prescribes broad-spectrum antibiotics, antifungal and antiviral drugs, folk formulations based on medicinal herbs.Medicinal compositions of various forms are used (in tablets, injections, solutions for infusion). A person with chronic urethritis must tune in to long-term treatment and undergo a therapeutic course to the end in order to achieve the desired therapeutic effect.

    In chronic urethritis, the urethra is also washed with antiseptics. To increase and strengthen the patient’s immunity, he is prescribed immunomodulating medications, it is recommended to attend physiotherapeutic procedures (electrophoresis, UHF) and take a complex of vitamins and minerals. To strengthen the effect of drug therapy, alternative drugs help.

    Urethritis: treatment in men with folk remedies

    Traditional medicine has a large arsenal of tools to combat male urethritis. This disease can be treated with decoctions from plants, as well as fresh products from the beds, which have a powerful anti-inflammatory effect (celery root, parsley, beets, carrots, cranberries and lingonberries). These same plants kill microbes, have a diuretic and antispasmodic effect.

    Herbal decoctions and infusions for urethritis in men should be drunk for at least 1 month (if the ailment is acute). Chronic urethritis is treated according to another scheme. Therapeutic herbal decoctions and a diet with the use of healthy products are observed for 8 weeks. Then a 2-week break is made, and after it the course of therapy is continued. The total course of treatment is 6 months. It is recommended to alternate herbal infusions with decoctions prepared from only one component.

    You can prepare a medicine for treating male urethritis at home according to the following recipes.

    Cornflower blue color. Cornflower flowers have anti-inflammatory properties, and help to cope with acute symptoms of urethritis. To prepare the infusion, take 1 tsp. flowers of cornflower, fill them with boiling water (1 glass) and then wrap the container with the product so that the infusion cools down more slowly. When the liquid reaches room temperature, it is filtered, and then 2 tablespoons are drunk three times a day.

    Decoction of linden. Linden infusion or decoction helps to get rid of the cuts and burning sensations that occur during urination. Linden flowers (2 tablespoons with a slide) are poured with cold water (2 glasses), put on fire and brought to a boil. The liquid must be boiled for 10 minutes, then removed from the heat, cool, strain and drink 1 glass before bedtime, daily.

    Wheatgrass. Well treats male urethritis creeping wheatgrass. Preparation of the drug is carried out in several stages, all the recommended proportions must be strictly observed. The chopped wheatgrass root (4 tsp) is stirred in cold water (1 cup) and insisted for 12 hours. The resulting liquid is considered ready, it does not need to be boiled or heated on fire. After the designated time has passed, the infusion is filtered, and the remaining wheatgrass roots are poured with boiling water (this time for 10 minutes). New liquid is insisted in a container under the lid. Next, 2 prepared infusions are mixed with each other and the finished liquid is drunk daily 4 times in 0.5 l.

    Herbal collection No. 1. To prepare an infusion against male urethritis, a herbal collection consisting of the following components is brewed:

    • steel root
    • juniper fruit
    • anise fruits
    • parsley,
    • dandelion root.

    The listed ingredients are taken in equal proportions, crushed well and mixed with each other. Raw materials prepared in this way (1 tbsp. L.) Are poured with 1 cup boiling water. The finished composition is insisted for 30 minutes, then - filtered. To achieve the best treatment effect, you need to drink 2 glasses of the drug per day (1 morning and evening, before going to bed).

    Herbal collection number 2. The complex of medicinal herbs for male urethritis often helps no worse than pharmaceuticals.The best result of male urethritis therapy at home is demonstrated by an infusion prepared from the following plant components:

    • elderberry color
    • horsetail
    • dog-rose fruit,
    • juniper fruit.

    The ingredients are taken in equal proportions, mix well. Two tablespoons of herbal healing mixture is poured with boiling water (2 cups), insisted under the lid for 60 minutes. When the specified time is up, the infusion is filtered and drunk twice a day in the 1st glass. It is better to prepare this product every day so that it is fresh and gives the best therapeutic result.

    Herbal collection number 3. To restore the health of the male genitourinary system will help healing infusion prepared from such ingredients:

    • corn silk,
    • St. John's wort
    • currant leaves
    • peppermint,
    • shoot thuja
    • lingonberry leaves,
    • dog-rose fruit,
    • parsley
    • wheatgrass root
    • horsetail.

    The listed components are mixed with each other in equal quantities. Then the dry mixture (2 tbsp. L.) Is poured with water, put on fire, brought to a boil and allowed to cool. The cool liquid is filtered and drunk throughout the day.

    Herbal collection No. 4. Infusion for the treatment of male urethritis is prepared from the following ingredients:

    • peppermint,
    • dioica nettle,
    • calamus roots
    • elderberry flowers,
    • juniper,
    • dogrose.

    The transferred funds are taken in equal amounts and mixed with each other. The dry mixture is taken in the amount of 2 tablespoons, poured with boiling water (0.5 l), insist 30 minutes. The finished infusion is drunk 2 times a day (morning and evening). Dosage - 1 glass at a time.

    Cranberry. Men with urethritis need to drink a glass of fresh cranberry berry juice daily. This drink has a lot of useful properties and helps to quickly get rid of inflammation.

    Black currant. Blackcurrant berries are considered a powerful natural antioxidant, endowed with anti-inflammatory properties. If you eat blackcurrant regularly, you can quickly remove the inflammation and swelling in the organs of the genital and urinary system. The leaves of the berry shrub also have healing properties. An infusion is prepared from them, previously grinded, and then filled with boiling water (0.5 l). The drug is drunk instead of tea in the presence of urethritis, and also daily - in order to prevent the disease.

    Yellow Zelenchuk. The crushed plant (1 tbsp. L.) Is brewed with boiling water and insisted for several hours. The finished medicinal fluid is drunk 3 times a day.

    Oak bark. To prepare an infusion of oak bark, you need to take only 1 tbsp. l ingredient and pour boiling water (1 cup). The tool is infused for 2-3 hours. The finished drug is used to create lotions or take baths. To remove the inflammatory process, it is enough to carry out 3 procedures using infusion of oak bark.

    Bearberry. The leaves of this plant contain anti-inflammatory, astringent, antimicrobial, diuretic and disinfectant components. This set of qualities makes bearberry one of the best drugs to combat male urethritis. To prepare an effective infusion, you need to take 1 g of chopped bearberry, pour 250 ml of boiling water and insist on a water bath for 15 minutes. Then the infusion is cooled, filtered and adjusted to its original volume. The drug is taken no more than 5 times a day, 50-70 ml.

    Leech treatment (hirudotherapy). Leech therapy for urethritis in men is aimed at increasing the effectiveness of medications. Such treatment contributes to the speedy removal of the inflammatory process, relieves swelling and helps to cope with pain.

    Treatment of urethritis in men with folk remedies well complements standard drug therapy. There are practically no contraindications to it.Recipes from the people's piggy bank can be used to prevent inflammation of the urethra and other diseases of the genitourinary system. Urologists advise combining them with taking antibiotics.

    Antibiotics for urethritis in men

    The choice of antibiotics for urethritis in men, their dosage and duration of use depend on the following factors:

    • duration of illness
    • infection rate
    • type of pathogen
    • individual characteristics of the patient’s body (for example, the presence of individual intolerance to drugs or diseases associated with urethritis).

    If a man is diagnosed with urethritis, broad-spectrum antibiotics are most often prescribed to treat the disease.

    Urethritis in men: symptoms and treatment

    Urethritis is a disease in which the inflammatory process affects the mucous membrane of the urethra (urethra). Many are convinced that urethritis occurs only in sexually transmitted diseases, but this is not so. The disease can be both infectious and non-infectious in nature.

    In the vast majority of cases, infectious urethritis in men occurs as a result of infection with sexually transmitted infections (gonorrhea, chlamydia, etc.).

    Often the inflammatory process in the urethra is caused by a conditionally pathogenic flora (E. coli, staphylococcus, etc.

    ) if hygiene rules are not followed, bacteria may enter the urethra from foci of inflammation in other organs.

    Also, the doctor can diagnose non-infectious urethritis that has arisen as a result of trauma to the urethra during medical procedures, while passing the stone through the urinary tract.

    Cases of the disease in men suffering from metabolic disorders are also described, in which the concentration of uric and oxalic acids in the urine, which irritate the mucous membrane of the urinary tract, increases. In rare cases, urethritis develops against the background of an allergic reaction.

    Non-infectious urethritis can quickly become infectious when bacterial flora is attached.

    What antibiotics to take with urethritis in men?

    Therapy for male urethritis is carried out using the following categories of antibacterial drugs:

    • Beta-lactam (Ampicillin, Amoxicillin, Cefazolin),
    • Fluoroquinolones (Ciprofloxacin, Ofloxacin, Levofloxacin),
    • imidazole components (Flagil, Metronidazole, Tinidazole),
    • antiseptic agents (Nitroxolin, Furadonin, Palin).

    If male urethritis is provoked by simple microorganisms (trichomonads, amoeba, giardia), its treatment is carried out using imidazole derivatives. Taking this complex of drugs, the patient should consider that changing the duration of the course of administration or reducing the dosage leads to the development of resistance in pathogenic microbes. As a result of this, the ailment becomes chronic.

    Antibiotics used to treat urethritis may take the form of capsules or tablets, powders or injectable solutions, vaginal suppositories or ointments. In individual cases, the urethral canal is washed with antiseptic solutions. Work is performed using a catheter.

    Which doctor to contact

    If you have symptoms of urethritis in men, it is recommended to consult a urologist. If this is not possible, the therapist or family doctor can treat this disease.

    If urethritis is caused by sexually transmitted diseases, the patient is examined by a venereologist. If urolithiasis has become the cause of inflammation, a nephrologist consultation is necessary.

    In case of recurrence of urethritis, it is recommended to visit an immunologist to exclude immunodeficiency conditions.

    What is urethritis in men - symptoms, treatment, causes, types of disease

    Urethritis is an inflammatory process that affects the mucous membrane of the urethra. This pathology is one of the most common inflammatory diseases of the genitourinary system.

    Depending on the etiology of the development of inflammation, all urethritis is usually divided into infectious and non-infectious. The vast majority of inflammation of the urethra is associated with the action of an infectious agent (usually bacterial urethritis), less often the disease is caused by injuries, allergic reactions, exposure to chemical factors, etc.

    This article discusses what is urethritis in men, symptoms and treatment of the disease, as well as methods for its prevention.

    What is urethritis in men?

    The occurrence of urethritis is accompanied by inflammation of the mucous membranes lining the urethra. Clinical signs of urethritis in men are burning pains, aggravating during urination, false urination, mucous membranes, the appearance of pathological secretions, etc.

    In the absence of timely therapy, acute urethritis in men can take a chronic course, which can be treated much worse, accompanied by frequent relapses and complications such as the development of urethral strictures (its cicatricial narrowing), sexual dysfunction, phimosis, balanitis, balanoposthitis, etc.

    It should also be borne in mind that bacterial urethritis in men can be accompanied by the addition of an ascending infection (prostatitis, inflammation of the kidneys, bladder, etc.).

    Read on: Lifebuoy or accelerated antibiotic elimination of prostatitis

    Viral, fungal and bacterial urethritis in men

    The leading causes of urethritis are infectious agents.

    Non-infectious urethritis is less common and can be associated with allergic reactions, autoimmune pathologies, endocrine diseases, injuries (traumatic urethritis in men often develops after diagnostic or therapeutic medical procedures - cystoscopy, urethral catheterization, etc.), mechanical damage to the urethra (urolithiasis) , oxalaturia).

    In this regard, infectious urethritis in men is divided into specific (gonorrheal urethritis in men, tuberculosis, trichomonas urethritis) and non-specific. Nonspecific urethritis can be:

    • bacterial (ureaplasma urethritis in men, mycoplasma, gardnerellosis, etc.),
    • viral (herpetic urethritis, candidiasis of the urethra),
    • mycotic (candida urethritis),
    • mixed (chlamydial urethritis in men, combined with Trichomonas, etc.),
    • transient (often accompanied by the development of an ascending infection in the form of prostatitis).

    Transient urethritis, as a rule, is accompanied by a fulminant course and is caused by chlamydia, ureaplasmas, mycoplasmas, gardnerella, herpes viruses of the second type (viral urethritis is rare in men of a transient nature).

    It should be noted that urethritis in men can be caused by conditionally pathogenic microflora (bacteria that are normally present in the microflora of the genital tract) and sexually transmitted microorganisms.

    The most common causes of urethritis in men are chlamydia and neisseria of gonorrhea. Moreover, in patients with gonorrhea urethritis, in the vast majority of cases, chlamydia is also detected. In this regard, in the detection of gonorrhea urethritis, it is advisable to prescribe antichlamydia drugs.

    Non-chronic, non-chlamydial urethritis is usually caused by trichomonads or mycoplasmas. Genital mycoplasmas are detected in approximately 30 percent of patients with urethritis and in 10% of patients without symptoms of urethritis (carriage of mycoplasmas).

    Carriage of Trichomonas in men occurs in 25-30% of cases. Trichomonas can live on the mucous membranes of the urethra, prostate and seminal vesicles.

    Other bacterial urethritis is most often caused by Escherichia coli, Klebsiella, Enterobacter, serrations, Proteus, Providence, Staphylococcus aureus, rarely Streptococcus.

    Read further: Symptoms and treatment of mycoplasmosis in men and children, diagnosis and analysis

    Staphylococcal urethritis is often accompanied by a layering of another pathogenic microflora. Such microbial associations lead to protracted recurrent urethritis and are difficult to treat.

    The most common cause of viral urethritis in men is the virus:

    • herpes simplex of the second type,
    • causing genital warts.

    Infection with these viruses occurs with unprotected sex. In this case, infection can occur from a patient without clinical signs of the disease (asymptomatic carriage).

    After the end of the acute phase of the inflammatory process, the virus becomes latent.

    Candidiasis urethritis in men develops much less often than in women, as a rule, against the background of endocrine pathologies (fungal urethritis often develop in patients with diabetes mellitus) or immunodeficiency states.

    The cause of the development of candidal urethritis is a fungus of the genus Candida.

    In contrast to women in whom candidal urethritis can develop during long-term antibiotic therapy, in men candidal urethritis most often occurs after unprotected sexual intercourse.

    Gardnerellosis urethritis in men rarely develops and is usually combined with chlamydial, ureaplasma, mycoplasma, fungal, etc. infection.

    Effective drugs for the treatment of urethritis in men

    The treatment of urethritis is carried out comprehensively and is prescribed by the attending physician. Depending on the cause of the inflammation, etiotropic and pathogenetic therapy is prescribed.

    Medications for urethritis in men are prescribed taking into account the causative agent of the disease, as well as the severity of the patient's condition, the duration of inflammation and the presence of an ascending infection.

    All drug treatment of urethritis in men is carried out only after receiving tests for the pathogen and its sensitivity to the drugs used.

    It is also recommended to eliminate the concomitant factors contributing to the development of urethritis (alcohol abuse, metabolic disorders such as oxaluria, uraturia, phosphaturia, etc.), an increase in the amount of fluid used (2-2.5 liters), multivitamin preparations, immunomodulators and immunostimulants (by indications).

    Antibiotics for urethritis in men are prescribed after receiving tests. For urethritis caused by coccal flora, the use of penicillin preparations and cephalosporins is recommended. In gram-flora, from urethritis, tabletted fluoroquinolones are prescribed. If necessary, preparations of aminoglycosides, macrolides or tetracyclines can be prescribed.

    • Nitrofurans (furazolidone) are often used to treat trichomonas urethritis.
    • In mixed infections, combinations of nitroimidazoles (ornidazole, metronidazole) with fluoroquinolones (ciprofloxacin) may be recommended.
    • For the treatment of staphylococcal urethritis, not only antibiotics can be used, but also staphylococcal toxoids and staphylococcal immunoglobulins.
    • With the development of Reiter's syndrome (chlamydial urethritis), glucocorticoids, non-steroidal anti-inflammatory drugs, and also drugs to improve microcirculation are prescribed.
    • For herpetic urethritis, acyclovir and valaciclovir are prescribed. Ointment with acyclovir for urethritis in men is prescribed only in combination with systemic herpes therapy.
    • With candidal urethritis, antifungal agents are prescribed (nystatin, fluconazole).
    • According to indications, immunomodulating and immunostimulating agents (viferon) are prescribed.
    • In chronic urethritis, extracts of the prostate (prostatilene) can be prescribed.
    • According to indications, symptomatic therapy is carried out and physiotherapeutic treatment is prescribed.

    Symptoms and treatment of urethritis with antibiotics in men

    Urethritis is an inflammatory disease of the urethra. It appears in both sexes.

    In order to understand what is urethritis in men, and what are the symptoms and treatment, it is necessary to understand the characteristics of the disease.

    Features of pathology in men

    The disease is primarily characterized by an inflammatory process occurring in the urethra. The urethra is a hollow tube having a length equal to 16-24 centimeters.

    Compared to the female urethra, which is significantly shorter and has a length of just only four centimeters, the male is much longer and, accordingly, the pain in it is much more distinct. Therefore, men are more likely to seek medical care.

    The disease has several currents. The first includes acute urethritis, the symptoms of which are noticeable to a person, and he most often makes the decision to make an appointment with a doctor.

    If you do not take therapeutic measures for a long time, then urethritis can go into a more serious stage, that is, become chronic.

    This form is more difficult to medication. In addition, the symptoms are dulled and rarely manifested, but with greater pain than with acute urethritis.

    Medical specialists distinguish two types of urethritis: infectious and non-infectious. Infectious arises due to the appearance of pathogenic bacteria in the human body.

    Non-infectious urethritis has other causes: allergic reactions, irritation of the inner membrane of the urethra due to the passage of a stone, trauma or cancer.

    Pathology not life threatening person, but its symptoms interfere with normal life and in many cases disrupt plans, bringing discomfort.

    All currently known types of diseases are listed in the ICD-10 special medical directory. It contains a description of not only diseases, but also statistics on deaths and patient complaints. Doctors all over the world use ICD-10 to determine the type of disease and draw up a competent treatment regimen, based on the experience of colleagues.

    Urethritis in the International Disease Directory code N34.2. in the subsection "other urethritis".

    In order not to be late and start timely treatment, a man needs to contact a urologist. This medical specialist is involved in identifying and eliminating urethritis in a patient.

    Non-infectious variety

    A non-infectious form of the disease implies the appearance of urethritis not through pathogenic microorganisms, but for other reasons. These reasons may include:

    • The ingress of foreign bodies into the urethra.
    • Stones passing through the urethra.
    • The appearance of new growth processes in it.
    • Long delay of feces.
    • The use of flavored bath products and shower gels.
    • Allergic reaction.

    Gonococcal

    Gonococcal urethritis is also called gonorrheal. This type of disease is referred to as venereal. The cause of the inflammatory process is gonococcus.

    At the same time, you need to know that you can become infected not only after sexual contact with an already infected partner, but also through soap or a towel.

    Purulent

    In order for the disease to turn into purulent urethritis, it will take some time after the onset of the inflammatory process. Thus, purulent urethritis occurs as a result of inflammation in the urethra, where pus has already formed.

    This type of disease requires immediate treatment, otherwise the consequences may be irreversible.

    Viral variety

    The cause of this kind of disease is viruseslocated in the seminal vesicles and in the prostate.If the causative agent of the disease enters the urethra, an inflammatory process develops.

    This type of disease is often provoked by ordinary herpes, but viral urethritis develops rapidly, and the patient will feel unwell in the first day. In addition to inflammation in the urethra and genitals, there is an increase in lymph nodes and an increase in body temperature.

    Allergic

    Such urethritis rarely occurs without the development of allergic cystitis. These two diseases are preceded by allergen in the urinewhich, when it leaves the urethra, causes an allergic reaction.

    In this case, it is important for the urologist to recognize this type of disease and prescribe the correct therapy.

    Taking antibiotics in this situation will only worsen the patient's condition.

    Causes of the disease

    In a man’s life, there are a large number of factors that can cause urethritis. The most common include the following:

    1. insufficient personal hygiene,
    2. hypothermia during the winter cold season,
    3. insufficiency of any trace elements in the body (starvation or exclusion of food products useful for the body),
    4. frequent change of sexual partners and having sex with strangers,
    5. inflammatory processes occurring in the pelvic area,
    6. the presence of stressful situations at work and at home,
    7. injuries resulting from gross sexual intercourse or the act of masturbation.

    All probable causes can be divided into infectious and non-infectious. Often infectious acquisition of specific and non-specific pathogens.

    Non-specific include: E. coli, streptococcus, staphylococcus. Specific microorganisms include mycoplasma, trichomonas, chlamydia and fungi of the genus Candida.

    For non-infectious prerequisites for the development of the inflammatory process is characteristic organ trauma or allergic reaction. Another likely cause for the appearance of urethritis may be an oncological process that takes place in close proximity to the urinary organ.

    How to treat with drugs?

    The treatment of this ailment is carried out with antibiotic use. Moreover, if a man has a regular sexual partner, he also needs to carry out a course of treatment. For the treatment of urethritis, on the positive side, the following types of drugs have proven themselves:

    • Metronidazole.
    • Doxycycline.
    • Ornidazole
    • Azithromycin
    • Monural.
    • Miramistin.

    Separately, Monural should be allocated, which is able to help the patient in a short time. The advantage of this drug is the fact that to eliminate the ailment you will need only one sachet of the drug. His take once, and it acts on the pathogen, eliminating it.

    Miramistin treatment is prescribed and prescribed by the doctor. The effectiveness of this antibiotic will depend on the form of the disease and on the type of its occurrence.

    In addition to pills to eliminate the ailment, they produce treatment ointments and candles. The most effective candles are:

    To increase the body's resistance level, it is often used immunomodulatory agents: Timalin and Mielopid. To consolidate the results of treatment, it is recommended to take vitamin complexes.

    If a man has disorders in the intestines, after taking the drugs, the doctor will prescribe special drugs that improve the condition of the microflora in the intestine.

    Urethritis in men and antibiotic treatment - which are better?

    One of the most effective antibiotics against male urethritis is Monural. During the first days after the start of taking the medicine, the acute inflammatory process stops. However, chronic urethritis cannot be cured with Monural.

    There are many effective drugs on the pharmaceutical market that can deal with urethral inflammation.The choice of the optimal remedy is made taking into account the constituent components of the drug and the main active substance. Also, when selecting antibiotics for a patient with urethritis, the doctor takes into account the type of disease. For example, if an ailment develops against the background of infection with trichomonads or gonococci, the following compounds are best suited to combat pathological agents:

    • Doxycycline
    • Metronidazole,
    • Azithromycin
    • Josamycin
    • Ornidazole

    Gonococcal urethritis is treated with:

    • Ceftriaxone
    • Ciprofloxacin,
    • Azithromycin,
    • Doxycycline
    • Metronidazole.

    In the presence of several pathogens, as well as with the development of the inflammatory process simultaneously in several organs of the genitourinary system, the following antibacterial agents are prescribed:

    • Azithromycin
    • Ornidazole
    • Fluconazole
    • Ceftriaxone
    • Secnidazole

    The appointment of antibiotics for cystitis and urethritis in men (or with another combination of concomitant diseases) is carried out in such a way that the active components of the drug effectively eliminate inflammation in all affected organs.

    Treatment with folk remedies

    In addition to medications, urethritis is successfully treatable by traditional methods at home. In the case of this ailment, they are aimed at eliminating the inflammatory process. Useful of the following anti-inflammatory products:

    • parsley
    • carrot,
    • cranberries and lingonberries,
    • beets
    • celery root.

    These foods will not only have an anti-inflammatory effect and will fight the causative agent of the disease, but will also be useful as diuretic.

    Infusions made from herbs, with this type of disease, are effective if their use is made not less than thirty days.

    If the urethritis has become chronic, then herbal decoctions are taken according to scheme 8/2. This means eight weeks of taking a decoction and two weeks of a break.

    Lime decoction

    An effective remedy for burning and eliminating pain is a decoction based on linden. To prepare it, you will need two tablespoons of linden flowers, which must be filled with two glasses of cold water.

    In a pan, linden water is heated to a boil. After boiling, the broth is removed. Reception is carried out in quantity one cup once a day for the night.

    Antibiotic therapy

    The treatment regimen for urethritis is always based on the use of antibiotics, without which it is impossible to cure the disease. The name of the drug and its dosage should be determined by the doctor based on the results of the tests. Each of the possible pathogens has its own sensitivity to antibacterial drugs, so common antibiotics for urethritis are not suitable for treatment. The doctor may prescribe:

    • The gonococcal disease is well treatable with Azithromycin or Ceftriaxone.
    • The trichomonas species is better affected by Metronidazole or Trinidazole.
    • "Monural" with urethritis is considered the most effective if the disease is of an infectious type or a purulent form of pathology is diagnosed.

    Azithromycin is a semi-synthetic antibiotic used for infectious and inflammatory diseases. The price in pharmacies is from 32 rubles

    What antibiotics to treat urethritis in men if the disease has become chronic?

    The antibacterial treatment of chronic urethritis in men is more difficult and complex. If the inflammatory process in the urethra has become chronic, a sick man is treated with broad-spectrum antibiotics. More commonly prescribed drugs are:

    The following drugs are also injected into the urethral canal using a catheter:

    The urologist chooses a complex of medicines against chronic urethritis, having previously studied the history and results of diagnostic tests.

    Urethritis is a focal lesion of the urethra as a result of infection or trauma to the urethral mucosa.The vast majority of diagnosed cases of urethritis occur as a result of infection with bacteria (gonococci, chlamydia, etc.) transmitted from the carrier of the infection during intimacy. In some cases, the cause of the disease can be poor hygiene.

    Some bacterial microorganisms are considered conditionally pathogenic, that is, they make up the intestinal microflora and do not harm a person until a certain point (if the immune system is active, then the vital activity of such microorganisms is naturally suppressed).

    For example, staphylococcus or E. coli, getting on the surface of the mucous epithelium of the urethra, causes infection of the urethra and the development of inflammation. This usually happens against a background of weakened immunity.

    Candles and ointments

    Local drugs, which are used in combination with antibacterial therapy, help speed up the treatment process. Acyclovir ointment, which is prescribed for the treatment of viral urethritis, has a good antiviral effect.

    Rectal suppositories are comparable in effectiveness to injections. Therefore, the course of treatment is often supplemented with suppositories “Geksikon”, “Tsifran”, “Indomethacin” or “Metronidazole”.

    What is non-infectious urethritis

    The disease is not always caused by bacteria - in some cases, lesions of the urethra can lead to the appearance of foci of inflammation (for example, during manipulations using medical supplies).

    A stone passing through the urethra can also scratch the walls of the canal - the resulting wounds and abrasions are an excellent medium for the development of pathogenic processes of various genesis.

    Acute non-infectious urethritis can also be caused by other causes, including:

    • an allergic reaction (most often occurs on substances and solutions that process instruments for performing medical procedures with their introduction into the urethra)
    • failures in metabolic processes,
    • an increase in the content of oxalic and uric acids in the urine (when urine passes through the urethra, irritation of the mucous membrane occurs, followed by inflammation).

    Non-infectious urethritis can become secondary infectious if a bacterial infection joins the process (in those cases when the causative agents of the disease immediately enter the urethra, we are talking about primary urethritis).

    Immunomodulators

    To restore the body's defenses, the urologist will prescribe immunomodulators to the patient. They are always included in the main course of treatment, since it is the decrease in immunity that is considered one of the main causes of the development of the disease. They must be taken in addition to antibacterial drugs to support the immune system. The most effective treatments include: “Mielopid” or “Timalin”.

    An interesting report by the doctor of medical sciences Tatyana Germanovna Fedoskova on the topic “Immunomodulators in clinical practice: a role in anti-infection therapy and prevention”:

    Vitamin therapy

    During the treatment of urethritis, it is important for a man to eliminate the deficiency of vitamins and minerals. Therefore, the doctor can prescribe medications (multivitamin preparations with a high content of vitamins A, C, D and E (Pikovit, Bio-Max, etc.). A balanced diet and enrichment of the diet with fresh fruits help replenish the supply of vitamins and vegetables.

    Herbal fees

    Another effective remedy is a mixture of herbs to eliminate the symptoms of the disease. It includes:

    • juniper fruit
    • parsley,
    • anise (fruits),
    • dandelion roots.

    All ingredients are taken in proportion to one unit, mixed and ground. Then brew one tablespoon with a glass of boiling water. After insisting for half an hour, the product is filtered. An effective remedy will be if you take it in the morning and at night in the amount of two glasses.

    Useful products and fruit drinks

    Do not forget about the use of vegetables and fruits. They will fill the body with necessary trace elements and vitamins. In addition, they will affect the patient’s emotional sensation, giving him strength.

    It is useful to consume stewed fruit yourself. Fruit drinks from cranberries and cranberries will have diuretic effect.

    It is recommended that a man consume as much clean water as possible to eliminate bacteria coming out of the urine. Home treatment should take place along with medications, then you can get an effective effect.

    How to cure urethritis with antibiotics, we learn from the video:

    Physiotherapy

    Of great importance in the treatment of genitourinary diseases is physiotherapy. Usually, with an urethral disease, the following procedures are prescribed:

    • magnetic effect
    • electrophoresis
    • laser manipulation
    • UHF

    During the acute form of the disease, these methods are contraindicated. Therefore, physical effects are used during periods of remission.

    Ethnoscience

    Than specialists know how to treat urethritis in men. But traditional medicine offers many answers to this burning question. The advantages of these methods are low price and natural components.

    We single out the most effective recipes:

    • Infusion of oak bark: 1 tablespoon per glass of boiling water. Used as lotions or bathtubs. The duration of home treatment is three days.
    • Cranberry juice or fruit drink, according to many experts, has an excellent anti-inflammatory effect.
    • A decoction of blackcurrant leaves, as well as the berries themselves, contribute to a speedy recovery.
    • Parsley (about 80 grams) is poured with whole milk. The mixture is put in the oven and the liquid is allowed to melt. After which the product is filtered and taken for 20 g every hour. The recipe is designed for one daily portion.
    • Cornflower inflorescences (2 tbsp. L.) + A glass of boiling water is insisted for an hour. The resulting drink is drunk in four equal approaches.

    In pharmacies, you can purchase urological phyto-collections that will help relieve unpleasant symptoms. If for a long time the course of treatment with natural substances does not give positive results, funds should be changed.

    Prevention of male urethritis

    Urethral inflammation is a disease with complications and very unpleasant symptoms. But it is quite possible to warn. Prevention of male urethritis includes the following conditions:

    • Follow personal hygiene regularly.
    • Use linen made from natural fabrics.
    • Have personal items for personal use: towels, a razor and the like.
    • Observe the basics of safer sex: use barrier contraception methods during first sexual contact with an unfamiliar partner.
    • Undergo regular preventive medical examinations, especially by a urologist. Many diseases can be asymptomatic for a long time, so a visit to a specialist will not hurt.
    • Timely treated for all kinds of diseases of the genitourinary system, fungal infections.
    • Avoid hypothermia, increased physical exertion.
    • Protect the genitals from damage.
    • Adhere to the principles of a healthy diet.
    • Get rid of bad habits, minimize alcohol consumption.
    • Drink plenty of fluids.
    • Do not delay going to the toilet when urination appears.
    • Avoid stressful situations, practice relaxing techniques.
    • Do not neglect vitamin complexes.

    Observing the above principles, a man strengthens his health and maintains reproductive abilities until the elderly.

    The manifestation and treatment of acute urethritis in men

    Urethritis (ICD code 10 - N34) is the most common pathology of the genitourinary system, in particular in men.Acute urethritis is a disease characterized by inflammation of the walls of the urethra.

    The causes of acute urethritis in men can be various factors. The disease is provoked by infections, mainly sexually transmitted infections.

    Non-specific urethritis is caused by opportunistic microflora, which is present in certain quantities in the body of every healthy person and only under certain circumstances becomes hazardous to health.

    In acute urethritis, treatment is carried out depending on the cause of the inflammatory process.

    Diet

    You will have to adhere to the rules and norms of nutrition not only during treatment, but also several months after it. Any products irritating the mucous membranes should be completely excluded from the diet. These are fried foods, canned food, pickled and smoked products.

    A prerequisite is the restriction of salt intake.

    It is important for the patient to drink a lot (water, decoctions, fruit drinks, compotes) and find himself out of bad habits. Alcohol in the treatment of urethritis is strictly prohibited.

    Treatment of urethritis (especially chronic) can become lengthy, and improperly selected therapy can lead to complications and sad consequences. Therefore, you should not start the course of the disease, and even better not to prevent its occurrence, always using contraception and responsibly treating your own health.

    For symptoms and treatment of urethritis in men, see the video:

    Urethritis (code for the international classification of diseases ICD-10 N34 ) is an inflammatory process that occurs in the urethra. The most common cause of pathology is the penetration of pathogens into the urethra, but it can also be a non-infectious etiology.

    Acute urethritis is characterized by severe symptoms, allowing you to quickly diagnose it and start drug treatment. The disease occurs in both women and men, regardless of their age.

    In the absence of adequate therapy, acute urethritis becomes chronic, which provokes the development of severe complications. The inflammatory process gradually spreads to the undamaged tissues of the urethra, as well as to other organs of the genitourinary system.

    Causes of the disease

    Acute urethritis, as a rule, is caused by infectious agents - representatives of pathogenic microflora.

    • A specific inflammatory process is caused by infections, mainly transmitted through sexual contact. It can be trichomonads, chlamydia, mycoplasma, candida and other microorganisms of pathogenic flora. Sometimes the causative agent may be the herpes virus.
    • The non-specific form of inflammation is caused by opportunistic flora: Escherichia coli, staphylococcus, streptococcus and some other microorganisms that constantly live in the body of a healthy person, but have their own quantitative framework. Violation of this balance can occur even due to banal caries or sore throat.

    It should be noted and the non-infectious nature of the inflammatory process. These causes include the following diseases or conditions:

    • urolithiasis disease. Sand and small fragments of kidney stones periodically exit the body with urine. They move along the ureters to the bladder, from where they enter the urethra. During urination, these solid fragments injure the mucous membrane of the urethra, which causes inflammation,
    • endoscopic procedures and catheterization. Performing some diagnostic procedures that require the insertion of instruments for examination in the urethra or the placement of a urinary catheter can also lead to injury to the urethra,
    • allergic reactions of various nature. With the urine, toxic substances are excreted by the body as a response to the invasion of foreign agents. They can affect the mucous membranes, which causes inflammation,
    • varicose veins in the pelvic region. Venous blood stasis leads to an increase in venous vessels, which squeeze the urinary canal, narrowing its lumen,
    • narrowing of the urethral lumen caused by tumors of various origins, prostatitis, adenoma. Urinary stagnation occurs, which also contributes to the occurrence of inflammatory processes.

    Acute urethritis should be treated immediately. But self-medication is unacceptable, since when choosing drugs, the type of infection that caused the inflammatory process is taken into account.

    Risk factors

    In addition to non-infectious causes of pathology, the joined infectious flora and the method of infection, there are certain factors contributing to the development of the disease. Many of them are purely subjective and depend on the person’s way of life. The second group can be called conditionally subjective. These are certain diseases that are inadequately or untimely treated. Risk factors include:

    • neglect of the rules of intimate hygiene,
    • promiscuous or random sexual relations with unfamiliar or unfamiliar partners without the use of barrier contraception,
    • the presence of chronic inflammatory diseases,
    • non-compliance with oral hygiene,
    • weakened immunity due to lack of vitamins (vitamins of various origins may develop), poor nutrition, long-term treatment of other pathologies with drugs that have an immunosuppressive effect, as well as some other conditions,
    • non-compliance with the temperature regime - hypothermia or excessive overheating of the body,
    • pelvic injuries
    • the presence of chronic or acute pathologies of the urinary system or genital area,
    • addictions, in particular - alcohol abuse,
    • exposure to stressful situations that are regular or prolonged,
    • chronic fatigue syndrome.

    These factors are not a 100% guarantee of the development of a disease such as acute urethritis. However, with the confluence of several of them and the presence of non-infectious causes, the likelihood of this disease increases significantly.

    What is the danger of chlamydial urethritis for men and women?

    Common symptoms of acute urethritis in men

    Symptoms of the disease do not occur immediately after infection. A certain incubation period must pass until the infection "gains full strength and shows itself." The duration of this period can be from several hours (in some cases even minutes), to several months. Such a manifestation is more characteristic of a non-specific form of the inflammatory process.

    Acute urethritis of a specific nature have codes according to the international classification of the tenth revision A50-A64. These are diseases that are transmitted mainly through sexual contact. Symptoms will depend on the type of infectious agent. The incubation period is also clearly defined by the same parameter.

    Almost half of all cases of the initial period of the development of the disease are asymptomatic or with slight discomfort, which patients do not pay due attention to. Ignoring such signals can lead to disease progression and serious complications. Common symptoms of acute urethritis will be as follows:

    • in the genital area, itching is felt of a sufficiently strong intensity, which occurs periodically,
    • during the urination process and some time after it, burning and pain is felt in the urethra,
    • frequent use of the toilet. The amount of urine released is small, but the urge is strong,
    • the presence of streaks of blood in the urine and seminal fluid,
    • pain occurs during sexual contact, as the penis becomes swollen and very sensitive to mechanical stress,
    • in the morning there are discharge from the penis in the form of mucopurulent substances that have a sharp unpleasant odor,
    • the foreskin of the penis sticks due to the accumulation of secretions.

    Symptoms in acute urethritis in men are local in nature. General condition does not suffer. A person feels quite healthy, body temperature does not rise above normal levels even by several degrees (which is unusual for inflammatory processes). There is no general weakness or loss of strength.

    This condition in the presence of the disease renders gentlemen a "disservice". Representatives of the stronger sex and so are not very willing to visit doctors. And on such intimate issues - and even more so. This leads to negative consequences. The disease can become chronic or cause complications.

    Features of the clinical picture in specific acute urethritis

    In inflammatory diseases of the urethra, which are specific, the symptoms will vary depending on the type of pathogen.

    • Gonorrhea infection. In men, this form of the disease is not significantly different in symptoms from the non-specific type of disease. It is characterized by itching in the genitals, burning during urination, secretion of a mucopurulent secretion. Symptoms worsen in the morning, after drinking or after sexual contact.
    • Trichomoniasis urethritis has an incubation period of up to 10 days. In some cases, it can be reduced to 5 days, and in some it can increase to a month or even several. In men, the same itching, burning, discomfort in the urethra will be signs. The discharge is characterized by a grayish or whitish tinge of the mucous consistency. Bloody streaks are visible in the seminal fluid, sometimes even clots. After a month without treatment, the symptoms subside, which indicates the transition of the disease into a chronic form.
    • A fungus of the genus Candida causes the development of candidal inflammation of the urinary canal. The incubation period is from 10 to 20 days. The characteristic signs of this urethritis will be whitish discharge of curdled consistency with a specific acidic odor. The first symptoms are fairly lubricated and mild - slight discomfort when the bladder is empty. Next, burning and pain are connected. Sometimes the discharge may have a pinkish color. In men, signs of the disease are mild throughout the entire period.
    • Mycoplasmosis inflammation of the urethra develops into an acute form extremely rarely - in only 5% of cases. Often, a chronic or subacute form is immediately observed. Symptoms are very mild, there is a slight discomfort and burning sensation during the emptying of the bladder. The secretions are very scarce and quickly disappear.
    • Chlamydial urethritis is characterized by an incubation period of 1 to 3 weeks. The first symptoms are so mild that they do not cause any concern in the patient. This is a slight discomfort and burning sensation when urinating. The reason for seeking help may be the appearance of discharge. After this moment, for another 2-3 weeks, the disease gradually subsides and goes away even without specific therapy. But the danger of the lack of adequate treatment lies in the possibility of repeated manifestations.

    Despite the fact that some forms of acute urethritis can go away on their own, the treatment of the disease should be carried out on time, with the selection of drugs depending on the type of pathogen.

    Drug therapy

    The medicine for urethritis in men is prescribed only by the attending physician after bacteriological examination and determination of the pathogen. Improper selection of the drug can cause complications. Antibiotics are often used in the form of tablets, injections, suppositories:

    1. With non-specific urethritis - Doxycycline, Erythromycin, Clarithromycin, Tetracycline, Ceftriaxone, fluoroquinolones, sulfonamides.
    2. With specific inflammation of the urethra - Spiramycin, Oletetrin, Doxycycline, Cefodysim, Cefotaxime, Cefoxitin, Rifampicin, Spectinomycin.
    3. With gonorrhea - Miramistin, Natamycin, Nitazole, Chlorhexidine, Tinidazole, Cidipol, Metronidazole, Furazolidone, Cefaclor, Fusidine, Spiramycin.
    4. With candidal urethritis - Amphotericin, Levorin, Clotrimazole, Nystatin.
    5. With chlamydia - fluoroquinolones, doxycycline, chloramphenicol, azithromycin.
    6. With the trichomonas form - Metronidazole, Nitazole, Trichomonacid. The last drug is administered through installations in the urethra. A 1% solution is used. The procedure is carried out every day in a course of 5-6 days.
    7. With mycoplasmosis - Tetracycline.
    8. With the herpes virus form of the disease - Penciclovir, Acyclovir, Ganciclovir, Ribavirin.

    Chronic gonorrhea urethritis requires the introduction of a solution of antibiotics into the urethra. Therapy is supplemented by taking medications based on adrenal hormones (prednisone, dexamethasone). The therapy can be supplemented by washing the urethra with antiseptics, the appointment of immunostimulants (Timalin, Myelopid), multivitamins (emphasis is on vitamins A and E). Physiotherapy is used outside the stage of exacerbation - magnetotherapy, electrophoresis, laser irradiation, treatment with ultra-high-frequency pulses are performed.

    Causes of pathology

    It is extremely important to find out the source of the disease, since treatment should be directed precisely at its focus, and not only at eliminating the symptoms. The main reason for the occurrence of an acute form of urethritis lies in unprotected sexual contacts, as a result of which the infection gets from a sick body to a healthy one. The main sources of the disease include such factors:

    • Infectious damage to the body by harmful bacteria such as chlamydia, gonococcus, streptococcus and others. They are transmitted sexually or when the mucous membrane comes into contact with untreated medical instruments.
    • The formation of kidney stones, which, leaving the body, injure the mucous membrane of the urethra.
    • Weak immune system.
    • Hypothermia of the genitourinary system.
    • Neoplasms that have arisen in the genitourinary system (cysts, tumors, polyps and others).

    Salty and spicy foods can cause urethritis.

    Often malnutrition leads to acute urethritis, which contains a lot of salty and spicy foods. Young women are often affected by defloration. Men suffer from this form of urethritis when the genital organ is injured. The most dangerous is acute infectious urethritis, since other pathologies develop against its background, and bacteria without timely treatment begin to spread to other organs.

    The main symptoms of pathology

    Acute urethritis is almost the same in men and women. With the only difference that men suffer pathology more painfully due to the special structure of the genitals. For the reason that the male urethra is already longer, they more clearly feel painful symptoms. In some women, urethritis may be completely ignored until it becomes chronic. The main signs of the disease:

    • painful sensations of a pulling or cutting nature when urinating,
    • high body temperature,
    • spotting during urination,
    • whitish discharge from the urethra,
    • bad genital odor.

    Urethritis in women and men has similar symptoms.

    Often, the main sign of urethritis is acute pain that occurs over the pubis.

    In men, redness and swelling around the urethra are added to the general symptoms. Sometimes the symptoms are blurred and not all signs are present or appear to a small extent.In any case, it is worth monitoring your health and paying attention to the first signs of the disease in order to eliminate the causes of urethritis in time.

    Antibacterial drugs

    Usually antibiotics are used in the treatment of inflammatory diseases. Urethritis is no exception. But antibiotics are prescribed only after a full examination with the identification of the type of pathogen, its susceptibility to certain drugs.

    When prescribing an antibiotic that will not be able to affect the infection or will have weak antibacterial properties, treatment may not produce results at all or will be delayed for a longer period.

    In addition, in this case, there is a rice transition pathology in a chronic form.

    The doctor will necessarily take into account the individual characteristics of the patient, the presence of chronic or concomitant acute diseases of other organs and systems, possible contraindications to the use of a certain type of antibiotic.

    Drugs are prescribed in various pharmacological forms. It can be tablets, suppositories, solutions for douching or injection. Depending on the pathogen, it is usually prescribed:

    • with nonspecific urethritis, broad-spectrum antibiotics, for example, cephalosporin preparations, macrolides and some others,
    • with a gonorrheal form, the use of Erythromycin or Spectinomycin is recommended,
    • with trichomonas urethritis, they often use Metronidazole or Chlorhexidine,
    • chlamydial and mycoplasma processes are treated with tetracycline drugs.

    Special diet and lifestyle

    Together with drug therapy, doctors recommend that a patient with acute urethritis adhere to proper nutrition and lead a healthy lifestyle. These simple rules will speed up the healing process and help to avoid relapse in the future. Doctors and nutritionists are strongly advised to limit or completely abandon fried, fatty, smoked or pickled.

    Urethritis - This is a disease associated with the development of the inflammatory process in the wall of the urethra. It is one of the most common urological diseases.

    Urethritis is more common in men than in women, and always proceeds in more severe forms. This is due to the anatomical features of the male and female urinary system.

    Urethra anatomy in women and men

    The male urethra can reach a length of 22 cm, and the width of its lumen is only 0.8 mm. In addition, it forms bends throughout its length. Therefore, the infection lingers in it more easily, and inflammatory swelling of the mucous membrane leads to a pronounced violation of the outflow of urine, up to an acute delay in urination.

    Parts of the urethra in men :

    • The part . Passes through the thickness of the prostate (prostate gland). It has a length of 3-4 cm and represents the widest segment of the male urethra.
    • Webbed part . It has a length of 1.5 to 2 cm. Passes from the prostate to the beginning of the penis. This part of the male urethra is the narrowest and practically does not stretch.
    • The spongy part. Passes inside the penis. Unlike the prostate and membranous parts that are rigidly fixed inside the pelvic cavity, the spongy is mobile.

    The role of infection

    Infectious urethritis is the most common and is caused by pathogenic microorganisms.

    Non-infectious urethritis occurs with irritation of the urethra by non-infectious factors.

    Causes of non-infectious urethritis:

    • urolithiasis disease : small stones that form in the kidneys can move along with the flow of urine, penetrating the ureter, and then into the bladder and urethra, damaging and irritating its mucous membrane with its sharp edges,
    • urethra injuries during cystoscopy (endoscopic examination of the urethra and bladder), catheterization, during masturbation with the introduction of various objects into the lumen of the urethra,
    • urethra tumors - malignant neoplasms are almost always accompanied by inflammatory reactions,
    • urethra narrowing (tumors, prostatitis, benign prostatic hyperplasia), which is accompanied by a narrowing of the urethra and stagnation of urine,
    • stagnation of blood in the veins of the pelvis.
    Usually, urethritis, which occurs as a result of these causes, is non-inflammatory in the early stages only. Further infection joins.

    Folk remedies

    It is important to understand that it is impossible to completely cure the disease with folk remedies. However, their use along with medical treatment helps to avoid relapse and accelerate recovery. For this, decoctions and infusions of medicinal herbs that can be prepared at home can be used:

    1. Infusion made from blackcurrant leaves. This tool has an antiseptic effect and helps to enrich the body with vitamins. To prepare it, 3 tablespoons of dried leaves are poured with 250 ml of boiling water and infused until completely cooled. After that, the infusion is filtered and taken 15 minutes before meals three times a day.
    2. Decoction of oak bark. This remedy eliminates the pain and burning sensation that appears at the time of urination. To prepare it, 1 tablespoon of raw materials, 250 ml of boiling water is poured and held in a water bath for about 20 minutes. After cooling, the broth is filtered and taken 1 tablespoon before each meal. You can also use the broth for sedentary baths.
    3. Infusion of cornflower. To prepare the infusion, 1 teaspoon of dried flowers is poured with 250 ml of boiling water and infused for at least 1 hour. After this, the product is filtered and taken three times a day before meals, 2 tablespoons. The medicine helps relieve inflammation and normalize the microflora.

    Watch a video about treating the disease with folk remedies:

    Urethritis in children

    Urethral inflammation can affect not only adults. Urethritis in children is no less common. Both infectious and non-infectious factors can lead to its appearance. It is customary to include infectious bacteria, viruses, gonococci, trichomonads, mycoplasma, ureaplasma in the urethra. Among non-infectious factors, injuries (passage through the urethra of the stones or medical manipulations), allergic reactions, and congestive processes in the pelvic area predominate. In addition, narrowing of the urethra can lead to its appearance.

    Symptoms in children are always related to gender. Boys are more prone to burning during urination, itching of the genital organ, discharge (white or with mucus) and the presence of traces of blood in the urine. In girls, the disease manifests itself with frequent urges to urinate and pain in the lower abdomen.

    Normal urine bacteriological analysis

    For diagnosis, bacterioscopic and bacteriological analyzes of urine and discharge from the urethra are used. If the doctor suspects a chronic form of the disease, the child will undergo urethroscopy.

    Treatment is carried out depending on the form of the disease. In the case of the acute phase of urethritis, antibiotics are used that are suitable for a specific age group. In the case of diagnosing a chronic form, in addition to using antibiotics, the patient is prescribed drugs to maintain immunity and the introduction of drugs into the urethra.

    After treatment, the child must undergo a second examination.Along with drug treatment, the child needs a special diet (exclusion of smoked, spicy and salty) and compliance with the drinking regimen.

    In the absence of treatment at the initial stage of the disease, the urethritis in a child can become chronic, when it becomes much more difficult to cure it.

    Prevention

    Any disease, including urethritis, is easier to avoid than to deal with its consequences. For this, it is important for a man to observe certain preventive rules:

    • Strictly observe the rules of personal hygiene.
    • Wear underwear made of natural material.
    • Avoid using someone else's personal use items (towels, linen, etc.). Thus, you can become infected with various infections and fungi.
    • Refuse promiscuity. Have a regular partner. In case of contact with a casual partner, it is important to use barrier methods of contraception (condom).
    • Regularly (at least 2 times a year) a man needs to undergo a preventive examination by a urologist. This should be done even if nothing bothers him, because many infections can not manifest themselves in any way, but at the same time cause irreparable harm to the man’s body.
    • Conduct timely treatment of any genital infections and diseases that are caused by fungi. This is due to the fact that they are able to give complications to the urethra, causing the development of urethritis.
    • Avoid hypothermia, especially the genital area.

    • Protect the genitals from possible injury.
    • Avoid excessive physical and psychoemotional overwork.
    • Ensure proper nutrition, with enough vitamins and minerals in foods.
    • Follow the drinking regime and drink at least 2 liters of clean water without gas during the day.
    • Get rid of bad habits or minimize them.
    • Avoid urinary retention and the first urge to completely empty the bladder.
    • To temper the body and use vitamins to support immunity.

    Every year, a large number of men experience a diagnosis of urethritis. A number of reasons can lead to an inflammatory process in the urethra. The most common of these are sexually transmitted infections. In addition, allergic and traumatic urethritis, which are not associated with the entry of pathogens into the urethra, are isolated.

    Regardless of what caused the inflammatory process, the disease requires compulsory treatment, which can only be prescribed by a doctor after a comprehensive diagnosis and identification of the pathogen. All medical recommendations should be strictly observed by the patient. This is due to the fact that urethritis is difficult to treat, and if the therapeutic course is not fully completed, relapse, transition of the urethritis to a chronic form, or the development of complications is possible.

    Urethritis is a disease that affects the walls of the urethra and is expressed by the inflammatory process. There are several types of such a disease, and one of them is considered acute. It means that the disease has an initial stage and pronounced symptoms.

    Acute urethritis is most often noted, and it is much more complicated. But this does not mean that they are completely protected from such a problem.

    Additional treatments

    Gonorrhea urethritis can be treated with antibiotics in the urethra. If the granulations are soft, then a solution consisting of silver nitrate and collargol is introduced into the lumen. In other cases, it is carried out. When the granulations are very pronounced, cauterization is performed with a twenty percent solution of silver nitrate.

    When all the symptoms disappear, it is necessary to perform an examination in a week to ensure complete recovery.

    When along with antibiotics, instillation of a one percent solution of trichomonacide is performed.The procedure lasts from ten to fifteen minutes, performed over six days.

    From, in addition, prescribe drugs of hormones of the adrenal cortex. By the end of therapeutic treatment, the dosage begins to decrease. Such medications are prescribed only by a specialist.

    Antifungal and antiviral agents

    Antifungal drugs are prescribed in case of the development of pathology caused by fungal flora. Recommended for use with clotrimazole, nystatin, levori, natamycin.

    There are also dosage forms that are used for local procedures. This can be a washing of the urethra with aqueous solutions. Such methods of treatment are highly effective, but are prescribed mainly in combination with oral medication.

    With the development of a disease of viral etiology (mainly herpetic), Acyclovir and its analogues are prescribed.

    General recommendations

    Strict observance of the rules of intimate hygiene is mandatory, using special hygiene products. Throughout the entire period of treatment of the disease, it is necessary to abandon sexual contact.

    Regarding the diet, there are also certain limitations. It is necessary to exclude spicy, fatty, fried, spicy and salty. Strongly forbidden alcohol, even mild. You need to drink at least one and a half liters of clean water, preferably without gas.

    Strong physical activity is contraindicated. Men are temporarily advised to refuse to visit fitness clubs, gyms. Do not supercool, avoid stressful situations. Adequate and timely treatment provides a guarantee of complete elimination of the disease, the absence of relapse or the development of complications.

    Acute urethritis in men is more pronounced and characteristic

    Acute urethritis in men is more pronounced and characteristic than in women.

    As a cause of acute urethritis, factors such as:

    • hypothermia
    • stress
    • allergic reactions of the body
    • urinary tract injuries in diagnostic studies

    Pathogens that cause infectious urethritis

    Nonspecific urethritis is a classic suppurative inflammation. Its symptoms are independent of the type of microorganism with which it is caused.

    Microorganisms that cause non-specific infectious urethritis:

  • less often - others
  • A specific infection in the urethra, usually cause microorganisms that cause sexually transmitted infections.

    Types of specific infectious urethritis:

    Viral Infectious Urethritis caused, usually by herpes viruses.

    One of the most common causes of acute urethritis is

    However, one of the most common causes of acute urethritis is pathogenic microflora.

    It is caused by infection with sexually transmitted infections (STIs).

    Acute urethritis provoked by such microorganisms is called specific.

    Acute urethritis is usually manifested by the following symptoms:

    1. 1. Acute pain, pain when urinating, last drops of urine can be mixed with blood
    2. 2. Urination is frequent, the urge to it is false, painful
    3. 3. Discharge from the urethra, first mucous, then purulent

    Ways of infection with infectious urethritis

    Genital tract It is realized during sexual contact with a sick person. So most often there is an infection with specific infections.

    Hematogenous and lymphogenous pathways realized with the spread of infection with blood or lymph flow from other foci of chronic inflammation in the body. For example, from inflamed tonsils or carious teeth.

    Symptoms of Acute Specific Urethritis

    may vary depending on the type of microorganism that caused the development of the disease.

    So, acute gonorrhea urethritis is manifested by pains, frequent false urges, intense pain, burning sensation during urination.

    • Separated from the urethra, initially scarce in the form of mucus, then becomes abundant and contains many purulent bodies.
    • This distinguishes gonorrheal urethritis from other types of inflammation of the urethra.
    • From the ingestion of gonococci to the appearance of the first signs of inflammation, from 2 days to 2 weeks pass.

    Factors that contribute to the development of urethritis:

    • decrease in body defenses as a result of serious illnesses, starvation and malnutrition, vitamin deficiencies and other causes,
    • lack of personal hygiene ,
    • the presence of foci of chronic inflammation in the body ,
    • other concomitant diseases of the genitourinary system ,
    • hypothermia ,
    • genital injuries ,
    • alcohol abuse
    • frequent stresses, malnutrition, hypovitaminosis, etc. .

    Acute gonorrhea urethritis in women

    very often proceeds without any signs of urethral damage.

    May be observed:

    • drawing pain in the lower abdomen
    • spotting between menstruation
    • discomfort during intercourse
    • heavy menstruation with severe pain

    1. Pain during urination, itching in the genital area may persist for several days.
    2. Body temperature can rise to 39 degrees, weakness and lethargy is observed.
    3. These signs are very similar to the manifestation of cystitis.
    4. A distinctive feature - during urinary retention, the patient feels severe discomfort.
    5. Gonorrhea urethritis is dangerous because there are practically no symptoms of the disease.
    6. A woman at the initial stage may appear small discharge.
    7. Such secretions are usually not given importance.
    8. In the meantime, the infection is spreading.
    9. In women - on the vagina and cervix, in men - on the prostate gland.
    10. Routes of transmission: sexual, contact and household.
    11. Infection occurs with unprotected sex.
    12. When using other people's towels and non-compliance with hygiene rules, infection is possible, but is rare.
    13. The incubation period of gonorrhea urethritis is 5-7 days.
    14. If the person’s immunity is strong, the first signs of the disease will appear later.

    Complaints made by the patient

    In almost 50% of cases, acute urethritis is asymptomatic. The patient makes no complaints. Most often, this picture occurs in women. Infection with an asymptomatic disease is quite capable of being sexually transmitted and leading to complications characteristic of urethritis.

    Urethritis in men is characterized by a shorter incubation period, a more rapid onset and more severe symptoms.

    In general, the differences between the symptoms of acute specific and nonspecific urethritis are not pronounced.

    Common signs of acute urethritis:

    • itching and other unpleasant sensations during urination,
    • pains in the pubic area - periodic, aching,
    • in men - violation of urination, difficulty in the outflow of urine, up to an acute delay,
    • purulent discharge from the urethra,
    • blood impurities in the urine - hematuria,
    • the external opening of the urethra is glued in the morning.

    With such complaints, as a rule, the patient visits a urologist. But most often they are not all present at the same time. Some of them are very pronounced, while others are completely absent. The course of acute urethritis can vary greatly.

    Despite the fact that acute urethritis is an inflammatory disease, it is not accompanied by a violation of the general condition of the patient. Body temperature almost never rises.

    Upon transition to a chronic form, the symptoms of the disease subside or completely disappear. In the future, they can occur periodically, that is, the disease constantly goes through stages exacerbations and remission (temporary well-being).

    Acute urethritis

    Acute urethritis in men occurs due to inflammation of the urethra. It develops due to infections or non-infectious provocateurs.

    Inflammation can occur in the next few hours after infection or after provoking factors, if the disease was in the incubation period. The acute form of urethritis is manifested by vivid symptoms, but do not self-medicate.

    A timely visit to a doctor will allow you to start the correct therapy and eliminate the likelihood of the disease flowing into the chronic phase.

    Specificity in the symptoms of specific varieties of urethritis

    Cause of Specific Urethritis Specificity
    Gonorrhea
    Among women : In the acute stage, pain and aches are mostly observed during urination. In the chronic stage, there are no symptoms, only examination and laboratory methods help diagnose the disease.

    men : In the acute stage, the symptoms differ little from nonspecific urethritis. In the chronic stage, itching and burning during urination, purulent discharge from the urethra, which intensify in the morning, after drinking, after sexual intercourse, are noted.

    Trichomoniasis
    The incubation period of the disease is about 10 days. Sometimes it is reduced to 5 days, and sometimes it stretches to 1 to 2 months.

    Among women : Mostly itching and burning in the urethra and external genitalia. In 26% - 30% of cases, asymptomatic carriage is noted.

    • burning, itching, sensation of “crawling creeps” in the area of ​​the external opening of the urethra,
    • slight white or gray discharge,
    • blood impurities in semen,
    • pain and itching during urination, delay.
    If untreated, after 3 to 4 weeks, all symptoms subside. The disease goes into a chronic stage, which resembles that of chronic gonorrhea urethritis.
    Candidiasis
    Candida urethritis is a fungal infection, one of the conditions for the occurrence of which is a decrease in the body's defenses.
    The incubation period of the disease is 10 to 20 days.

    Symptoms in men and women are approximately similar. At the beginning of the disease, pain, burning, and other unpleasant sensations appear, mainly during urination.

    Slight whitish pink discharge is noted. They can be very viscous, thick. In men, inflammation often passes to the glans penis and foreskin - postit and balanoposthitis develop.

    Symptoms with candida urethritis from the very beginning are not as pronounced as with other types of acute urethritis. Therefore, it is often said that pathology initially develops in a subacute form.

    Mycoplasmosis
    The disease rarely begins acutely. An acute course is noted in no more than 5% of patients. Most often, it begins as subacute or chronic, the symptoms are mild or nonexistent.

    Among women : slight itching and discomfort during urination, small discharge from the urethra, which quickly pass. Most patients do not seek medical help at all.

    men : In acute form, the disease proceeds in the same way as gonorrhea. Then, when mycoplasmosis becomes chronic, its symptoms are significantly reduced or disappear. Only mild itching and burning during urination, small mucous discharge during extrusion in the morning is noted.

    Chlamydia
    The incubation period of chlamydial urethritis is estimated to be 1 to 2 to 3 weeks.

    Symptoms practically do not differ from symptoms of urethritis of a different origin. But they are less pronounced. In particular, the patient is much less concerned about pain, itching and other unpleasant sensations.

    The reason for going to the doctor most often is the appearance of discharge from the urethra. They can be transparent or purulent.
    After 2 to 3 weeks, the disease can go away on its own, without treatment. But it is highly likely that it recurs in the future.

    Is acute urethritis treated

    Acute urethritis is a disease that occurs in both men and women, but a strong half of humanity suffers from it much more. The development of inflammation of the urethra wall is triggered by the presence of pathogenic microorganisms and in some cases several hours pass from the moment the bacteria penetrate and the development of the first symptoms.

    In the early days, a man experiences weakness and fatigue, and after a few days there are problems with urination and other unpleasant consequences.

    If a man does not ignore the condition, but turns to a urologist, then treatment will quickly get rid of the manifestations of urethritis, and avoid the transition of the disease into a chronic form. Therapy is prescribed individually, taking into account the causes of the disease and is complex. Basically, the patient is prescribed:

    • antibiotics
    • antiseptic ointments and sprays,
    • antiviral drugs
    • antihistamines
    • vitamin complexes.

    But it often happens that a man ignores the symptoms and is in no hurry to see a doctor, especially since after a few days the manifestations gradually disappear. In this case, urethritis becomes chronic, which is dangerous not only for its spread to other sexual partners, but also for the development of complications.

    The latent form of the disease will lead to the fact that any provocateur - hypothermia, alcohol, colds, will lead to acute urethritis. Only re-emergence will create complications and will be more difficult to treat. Urethritis affects the scrotum, testes and prostate gland. A man is at risk of getting prostatitis, epididymitis, orchitis and losing the ability to bear children.

    Urethritis also gradually moves vertically along the urethra, infecting the bladder, ureters, and later the kidneys.

    Thus, ignoring treatment will lead to kidney failure. The only way to avoid all the consequences is to use the help of a urologist.

    Drugs and antibiotics for the treatment of urethritis

    General urine analysis

    In order for the study to show a reliable result, urine must be taken in the morning, the first portion, after the patient has not urinated for at least 4 hours.

    Together with a general urinalysis, a general blood test is usually prescribed. It also determines the increased content of white blood cells.

    Bacteriological culture of urine and the study of sensitivity to antibacterial drugs

    Urine collected for research is delivered to a microbiological laboratory, where it is placed on a nutrient medium favorable for the growth of microorganisms. If the non-specific nature of urethritis is assumed, then agar is used as a nutrient medium. If the inflammation is specific, then special nutrient media are used.

    Bacteriological research can be not only qualitative (positive / negative), but also quantitative. The number of pathogens is measured in CFU - colony forming units. This is the number of bacteria or fungi that can give rise to a new colony. A quantitative assessment allows us to judge the severity of the infection and the inflammatory process.

    Antibiotic sensitivity

    In order to determine the sensitivity of the identified pathogens to the action of antibiotics, antibacterial drugs are added to the nutrient medium with the grown colonies. If the antibiotic inhibits the growth of the colony, then it will be effective in this patient.

    How to collect and donate urine for bacteriological examination for urethritis?

    For bacteriological studies, a morning average portion of urine in the amount of 3-5 ml is collected. Its collection is carried out in a sterile plastic container, which is obtained in advance in the laboratory. Then it must be delivered to the laboratory within 2 hours.

    Examination of smears from the urethra

    Types of studies of smears obtained from the urethra:

    • microscopic examination : the material is examined under a microscope, while an increased white blood cell count is detected in it,
    • bacteriological examination and determination of sensitivity to antibacterial drugs : carried out similarly with appropriate urine tests.
    How is a swab taken from the urethra?

    The material is taken by a urologist using a special sterile spoon (Volkman's spoon) or a probe ("brush"). The procedure is quite unpleasant, especially for men. The material is collected in a sterile container and immediately sent to the laboratory.

    Preparation for taking a smear from the urethra:

    • exclude sexual contact within 12 hours before the material is taken,
    • it is advisable not to take any antibacterial drugs a week before the study,
    • do not urinate for 2 hours

    Signs and symptoms in men

    After infection of the body, the disease requires an incubation period that lasts from several hours to several weeks. It depends on the type of infection that provoked inflammation of the urethra.

    The bacterial cause of the development of urethritis may not manifest itself for a long time, and the first symptoms will be observed several weeks after infection.

    An allergic reaction causes signs of inflammation of the urethra, a few hours after a collision with an allergen.

    In men, the following symptoms of acute urethritis are manifested:

    • severe pain in the penis,
    • purulent discharge
    • redness of the head and foreskin of the penis,
    • genital itching
    • burning during urination,
    • frequent urination,
    • strong sensitivity and pain during intercourse.

    Acute urethritis brings a lot of discomfort and lasts up to 10 days.

    If there is no treatment, then the disease goes into a chronic stage, in which case the symptoms subside, but the urogenital system is affected, and the subsequent exacerbation leads to more severe symptoms.

    Treatment of chlamydial urethritis in men and women

    Three glass sample

    A three-glass test is carried out in order to establish the localization of the pathological process, when it is necessary to conduct differential diagnosis between urethritis, cystitis, prostatitis, pyelonephritis.

    Study preparation

    Before a three-glass test, the patient should not urinate for 3 to 5 hours. The study is carried out in the morning.

    The patient urinates in three containers:

    • in the first - about 1/5 of all urine,
    • in the second - about 3/5 of all urine,
    • in the third - the remaining 1/5 of the urine.
    Then all three servings are sent to the laboratory for a general analysis of urine and samples according to Nechiporenko. Mainly assess the content of leukocytes in each serving.

    Evaluation of results after a three-glass urine test :

    • increased content only in the first portion of urine - urethritis, moreover, there is a lesion in the main front of the urethra,
    • increased white blood cells only in the third portion of urine - prostatitis and, possibly, posterior urethritis (damage to the part of the urethra that passes through the thickness of the prostate gland),
    • increase in white blood cells in the first and third portion of urine - a combination of urethritis and prostatitis,
    • increased leukocyte count in all three portions of urine - most likely, there is cystitis (inflammation of the mucous membrane of the bladder) or pyelonephritis (inflammation of the pyelocaliceal system of the kidneys).

    Read more about this examination method in the article: Three glass sample.

    Effective treatment regimens and drugs

    Under the condition of a primary exacerbation of urethritis, treatment can be carried out with a medication.A urologist, sometimes together with a venereologist prescribes, complex therapy, in which the emphasis is on a particular drug, depending on the cause of the disease.

    The main types of drugs that are prescribed for acute urethritis:

    • antibiotics (doxycycline, erythromycin, levofloxacin),
    • antiseptic drugs (miramistin),
    • antiallergic drugs (tavegil),
    • antifungal ointments and tablets (acyclovir),
    • immunomodulators (polyoxidonium),
    • vitamins.

    There are various types of antibiotics that are prescribed for urethritis:

    1. If the cause is a gonococcal infection, then the venereologist prescribes doxycycline, which is specially designed for this type of infection. Take it twice a day for a week. There are contraindications, including the age of up to 8 years.
    2. If the source of urethritis is chlamydia, mycoplasma or ureaplasma, then levofloxacin is used. It is drunk twice a day, for a week. The drug is prohibited to take until 18 years of age, and also if there was a treatment with quinols.
    3. Erythromycin is prescribed for urological infections, if tests have shown resistance to tetracyclines. The course of administration lasts 7 days for 4 tablets per day.

    Urethroscopy

    Preparation for urethroscopy :

    • before the study, a weekly course of antibiotic treatment is usually given,
    • immediately before manipulation, they inject an strong antibiotic in order to prevent the spread of the inflammatory process,
    • before urethroscopy, the patient should urinate,
    • young children, especially restless, urethroscopy is performed under general anesthesia.
    The possibilities of urethroscopy :
    • examination of the mucous membrane of the urethra from the inside,
    • the ability to biopsy (take a small piece of the mucous membrane of the urethra for examination under a microscope),
    • the ability to carry out manipulations: eliminate the narrowing of the urethra, remove a tumor or scar, etc.
    Types of urethroscopy :
    • dry - in this case, the doctor inserts a urethroscope lubricated with petroleum jelly into the urethra of the patient and can examine the urethra throughout,
    • irrigation - at the same time, flushing fluid is constantly supplied to the urethra, due to which it is stretched, and it is possible to examine its posterior sections.

    Acute urethritis in men: clinical manifestations, diagnosis, treatment

    Urethritis is a disease of the human urinary system that occurs as a result of exposure to viruses and various bacteria, with allergies, due to toxic effects, against the background of various diseases, as a result of overwork, stress, physical exertion, and weak immunity. The disease can occur in two forms - chronic and acute, most often goes through sexual contact.

    Acute urethritis is a disease of the human urethra that develops after 7-10 days, while you feel itching, burning in the urethra, pain, often go to the toilet, and urination is accompanied by pain after emptying. Urination occurs with a purulent or bloody character, and often at elevated temperatures.

    Acute urethritis in men manifests itself in somewhat more severe forms than in women. This is due to the structural features of the urethra. In women, the symptoms of this disease are not pronounced or may not appear at all.

    In the case of too long a lack of treatment for the disease or improper treatment of the acute form of urethritis, chronic forms develop. In the case of improperly selected medical treatment, complications such as prostatitis, cystitis, vaginitis, potency, inflammation of the urethra in both women and men are possible.

    In this case, signs of acute urethritis are periodically repeated.Chronic urethritis is treated longer, more difficult and with the use of strong drugs.

    Causes of urethritis and its varieties

    Urethritis, depending on the causes of its manifestation, is divided into venereal and non-venereal.

    • Venereal urethritis in turn happens specific (specific pathogen) or non-specific (another flora is considered the cause of the manifestation).
    • Non-venereal divided by infectious and non-infectious.

    Pathogens infectious urethritis are chlamydia, gardnerella, gonococcus, mycoplasma, Trichomonas and other bacteria. Most often, infectious urethritis can be infected during sexual intercourse, in case of non-observance of personal hygiene rules, infection through the lymphatic and blood vessels.

    Depending on the type of bacteria, one can distinguish such specific forms of the disease as gonorrhea, trichomoniasis, candidiasis, mycoplasmosis, chlamydia. For each of these forms, special treatment is prescribed and a detailed examination is required for a sign of the type of pathogen.

    Non-infectious urethritis develops in the event of injury, burns, or is a reaction to medical treatment, as well as a result of metabolic disorders in the body with diabetes, for example. It proceeds without clearly expressed manifestations and makes itself felt after a while.

    Urethritis happens primary (occurs in the urethra itself) or secondary (bacteria penetrate deep into the urethra).

    Clinical manifestations and diagnosis of urethritis

    The identification of inflammatory processes and examination of the genitals of women is carried out by gynecologists. In men, a prostate is examined through the wall of the rectum.

    The clinical picture of acute urethritis:

    • genital redness (in women),
    • redness of the urethra, head and flesh (in men),
    • the feeling of the penis in men is painful, the formation of a crust upon drying,
    • violation of urination and various kinds of discharge.

    Inspection of patients with urethritis is carried out by doctors, urologists, gynecologists, andrologists, dermatovenerologists.

    To diagnose this disease, first of all, a general morning urine test and blood test. The high content of leukocytes in urine and blood indicates inflammatory processes in the urethra.

    To identify the type of causative agent of acute urethritis in the urine, bacteriological culture. According to the results of this analysis, not only the type of pathogen is determined, but also the number of pathogens, which then allows us to conclude about the intensity of the disease and the course of the inflammatory process.

    A more accurate diagnostic method is selection of smears from the urethra, which provides for the analysis of the taken material in the laboratory under a microscope, bacteriological examination and identification of sensitivity to prescribed medications.

    For a detailed study of the channel endoscopic urethral mucosa technique using special equipment. This technique allows not only to examine the mucous membrane, make a biopsy, but also to eliminate growths and scars. In extreme cases, doctors allow ultrasound, x-ray or endoscopic examination.

    Treatment and prevention of urethritis

    The main direction in the treatment of acute urethritis is antibiotic treatment, since it has an inflammatory origin. The use of drugs is prescribed both in the form of tablets and suppositories, as well as injections and instillations. Treatment is prescribed strictly individually, taking into account the pathogen and can last from several days to six months.

    Alternative medicine can also be used to eliminate pain, but this method can be used as an adjunct to antibiotic therapy.The main helpers in the fight against this disease are cranberries, blackcurrants and cornflower flowers.

    To relieve pain, eat fresh juice from cranberries or black currants. From blackcurrant and cornflower flowers, infusions and decoctions are prepared.

    For successful treatment, it is recommended to eat beets, carrots, celery roots, parsley fresh. These plants are good diuretics, antimicrobials and anti-inflammatory drugs. In addition, decoctions of sage, St. John's wort, knotweed, shepherd’s bag, motherwort, fennel and coriander fruits, stalnik root, shoots of kidney tea and hop fruit are useful.

    These funds are prescribed by the doctor individually according to prescriptions and only as an auxiliary treatment.

    When treating urethritis, you should follow a diet: do not eat fatty, too salty or spicy, as well as acidic foods, do not abuse alcoholic beverages, eat right. It is recommended to consume at least 2.0 liters of water per day.

    To prevent acute urethritis, men should streamline their sex life, and in the case of treatment, stop it until it is completely cured. Personal hygiene should also be observed: after each sexual intercourse, wash the genitals with warm water and soap and generally wash the genitals more often. Overcooling, especially feet, should be avoided.

    Do not start the disease, at the first manifestation of it, consult a specialist. Be alert to your health!

    Symptoms depending on type

    The table shows the most characteristic symptoms of urethritis for its various types.

    TraumaticSymptoms depend on the nature of the injury - it is burning and pain when urinating. AllergicAlso, pain and burning, however, a feature is the presence of allergic edema. CongestiveClassical symptoms are often completely absent. It manifests itself in different types of sexual dysfunction.

    TuberculousIn most cases, it occurs against the background of kidney tuberculosis or genital tuberculosis. The penetration of mycotic tuberculosis bacteria into the urethra with urine flow occurs. It is not very symptomatic (sweating, fatigue, subfebrile condition). GardnerellaThe incubation period is from one week to several months. In most cases, present as a component of mixed urethritis. ChlamydialCramps and burning are absent, slight discharge. In most cases, it proceeds according to the chronic type. UreaplasmicMost often accompanies trichomoniasis or gonorrhea urethritis. The incubation period is about 1 month. There are green or white discharge, there is a burning sensation and itching when urinating. Exacerbation of symptoms occurs against the background of sexual intercourse or alcohol. MycoticThe incubation period is about 20 days, there is a burning sensation and itching. The discharge is watery or mucous, sometimes pale pink. BacterialPurulent discharge. Symptoms erased. The incubation period can last several months. TrichomonasIt is characterized by constant itching in the area of ​​the head of the penis, the presence of grayish-white secretions and difficulty urinating is also characteristic. ViralThe course of the pathology is sluggish, the symptoms are mild. May be supplemented by conjunctivitis or joint inflammation. MycoplasmalQuite rarely occurs apart. In most cases, combined with gonorrheal or trichomonas urethritis. GonorrhealGray-yellow discharge from the urethra, acute pain at the time of urination. The pus contained in the urine gives it a cloudy color. Impurities of blood appear in semen and urine.

    Features of the treatment of various types of urethritis

    Depending on who is the causative agent of urethritis, drug treatment in men will vary significantly.

    1. Bacterial and gonorrheal. A good effect with gonorrhea urethritis is achieved with the use of antibiotics of the cephalosporin group. Tetracycline, erythromycin, oletetrine, kanamycin can also be prescribed.
    2. Ureaplasma, gardnerellezny, mycoplasma urethritis. Treatment is carried out with the help of tetracycline drugs (Doxycycline), fluoroquinols, macrolides (Clarithromycin), lincosamides in combination with immunostimulants.
    3. Trichomonas. The drugs of choice are metronidazole, trichopolum, metrogil. If the course of Trichomonas urethritis is chronic, antibiotic therapy is added to the treatment.
    4. Candidiasis. Requires antifungal medication to control Candida. Fluconazole, clotrimazole, nystatin, pimafucin are prescribed.
    5. Chlamydial. The most effective antibiotic that can successfully fight pathology is Azithromycin. If the drug is improperly selected, chlamydial urethritis can lead to serious complications - infertility, Reiter's syndrome, epididymitis, and inflammatory diseases.

    Self-medication with strong broad-spectrum antibiotics without a clear treatment regimen can lead to the development of drug resistance of the pathogen and the transition of the disease into a chronic form.

    Additional studies for urethritis, which are prescribed by the doctor according to the indications:

    • Ultrasound examination of the pelvic organs .
    • Mixed cystourethrography - X-ray examination, in which an radiopaque substance is injected into the bladder cavity.
    • Urethrocystoscopy - endoscopic examination, in which not only the urethra is examined, but also the bladder using special equipment - an urethrocystoscope

    Complications

    Urethritis is a serious disease, do not be shy to consult a doctor with this problem, since untimely or incorrect treatment can lead to the development of serious complications. Perhaps the spread of infection to other organs, patients may develop cystitis, pyelonephritis, the inflammatory process can affect the testicles and their appendages.

    The most serious complication of urethritis in men is prostatitis, which can lead to incurable infertility and sexual dysfunction.

    Antibiotic therapy

    The choice of antibiotic for urethritis should be carried out only by your doctor. If the antibacterial drug is not selected correctly, then it will not affect the pathogen and can lead to side effects. The correct selection of antibiotic therapy is possible after conducting bacteriological studies and determining the sensitivity of microorganisms to antibiotics.

    Methods of using antibacterial drugs for urethritis:

    • in the form of tablets
    • in the form of intravenous and intramuscular injections,
    • in the form of vaginal suppositories,
    • in the form of instillations (infusion of a medicinal substance) into the urethra using a special catheter.
    The use of antibiotics for various forms of urethritis :
    Type of urethritisMost commonly used antibiotics
    NonspecificBroad-spectrum antibiotics :
    • a group of cephalosporins (cefazolin, ceftriaxone, etc.),
    • tetracycline, doxycycline,
    • macrolide group (erythromycin, azithromycin, clarithromycin),
    • antibacterial drugs from the group of sulfonamides and fluoroquinolones.
    First, a broad-spectrum drug is prescribed, which acts on most pathogens. After the data of bacteriological research and determination of sensitivity to antibiotics are obtained, the drug can be replaced with another, more effective one.

    GonorrhealAntibiotics :
    • Erythromycin,
    • Oletetrin,
    • Metacycline hydrochloride,
    • Spectinomycin,
    • Cefuroxime
    • Cefodyzyme
    • Ceftriaxone
    • Fusidine sodium,
    • Oleandromycin,
    • Doxycyclinia hydrochloride,
    • Rifampicin,
    • Spiramycin
    • Cefaclor
    • Cefoxitin,
    • Cefotaxime,
    • Tienam.
    Treatment can only be prescribed strictly by a doctor!
    In order for antibacterial drugs to be effective, they must be taken strictly on time, without missing a single dose.
    TrichomonasAntibiotics :

    • Nimorazol,
    • Nitazole
    • Benzidamine
    • Tsidipol,
    • Chlorhexidine
    • Iodovidone (as vaginal suppositories),
    • Tinidazole
    • Natamycin
    • Trichomonacid
    • Ornidazole
    • Furazolidon,
    • Miramistin.
    Treatment can only be prescribed strictly by a doctor!
    In order for antibacterial drugs to be effective, they must be taken strictly on time, without missing a single dose.
    CandidiasisAntifungal drugs :
    • Nystatin
    • Levorin
    • Levorin sodium salt for the preparation of solutions,
    • Amphotericin B,
    • Amphoglucamine,
    • Natamycin
    • Clotrimazole.
    Treatment can only be prescribed strictly by a doctor!
    In order for antibacterial drugs to be effective, they must be taken strictly on time, without missing a single dose.
    MycoplasmalAntibacterial drugs from the tetracycline group (tetracycline, doxycycline, etc.)
    Treatment can only be prescribed by a doctor!
    In order for antibacterial drugs to be effective, they must be taken strictly on time, without missing a single dose.
    ChlamydialAntibacterial drugs from the Tetracycline group (Tetracycline, Doxycycline, etc.), Chloramphenicol, erythromycin, azithromycin, clarithromycin, drugs from the Fluoroquinolone group.
    Treatment can only be prescribed strictly by a doctor!
    In order for antibacterial drugs to be effective, they must be taken strictly on time, without missing a single dose.
    HerpesvirusAntiviral drugs :
    • Ganciclovir
    • Acyclovir
    • Famciclovir
    • Valacyclovir
    • Ribavirin
    • Penciclovir.
    Treatment can only be prescribed strictly by a doctor!
    In order for antibacterial drugs to be effective, they must be taken strictly on time, without missing a single dose.


    Source of information: M. D. Mashkovsky “Medicines. A manual for doctors. ”15th edition, revised, revised and supplemented. Moscow, New Wave, 2005.
    In acute nonspecific urethritis, it is most often sufficient only to prescribe antibacterial drugs. Treatment can last from 5 to 10 days.

    • limit the use of fatty, spicy, acidic, very salty foods,
    • consume a sufficient amount of fluid during the day, at least 1.5 liters
    • avoid hypothermia
    • abstain from sexual intercourse until completely cured
    • carefully observe personal hygiene

    Treatment of chronic urethritis

    Directions for the treatment of chronic urethritis :

    • the use of antibacterial drugs - the same as in acute urethritis, taking into account the sensitivity of microorganisms to antibiotics (periodic monitoring is carried out - smears from the urethra are taken for bacteriological examination and determination of the sensitivity of microorganisms to antibacterial agents),
    • instillation (washing) urethra with solutions of antiseptics, for example, furacilin,
    • immunocorrector - drugs that increase the body's defenses,
    • vitamin and mineral complexes - necessary to maintain protective forces and restore the mucous membrane of the urethra.
    Additional treatments for gonorrhea urethritis:
    • In chronic gonorrhea urethritis - instillation of antibiotics into the urethra.
    • With soft granulations (proliferation of the mucous membrane of the urethra), a solution of silver nitrate and collargol is introduced into the urethral lumen.
    • With solid granulations and overgrowth of scars, the ugly lumen of the urethra is enlarged (expanded by alternately introducing bougie of different diameters).
    • With pronounced granulations - cauterization of 10% - 20% silver nitrate solution.
    After the complete disappearance of all symptoms of gonorrhea urethritis, after 7 days you need to conduct a study that will confirm recovery. A provocative test is carried out: the patient is given spicy food or alcohol, or injected into the urethra tube (a special metal rod). After that, urine is given daily for 3 days, and if at least one analysis contains leukocytes or gonococci, then the disease is not considered cured. A provocative test is repeated after 1 month. After curing chronic gonorrhea, it is carried out monthly for 2 months.

    Alternative methods of treating urethritis

    Folk remedies used in the treatment of urethritis :

    • Parsley . Soak a tablespoon of crushed plant leaves in 500 ml of cold water. Insist overnight, then take 3 tablespoons of the resulting infusion every 2 hours.
    • Zelenchuk yellow . Brew a teaspoon of grass in 1 cup boiling water. Insist for some time, then drink. They drink 1 glass of infusion in the morning, at lunch and in the evening.
    • Black currant . This plant has a pronounced anti-inflammatory effect on the organs of the genitourinary system. Pour 500 ml of boiling water with three teaspoons of leaves, take as tea.
    • Blue cornflower . Take flowers without baskets. Pour 200 ml of boiling water. Take 2 tablespoons of the infusion in the morning and evening, before meals.

    Possible complications of urethritis (usually with a long course and in the absence of adequate treatment):

    • prostatitis - especially often develops with urethritis caused by chlamydia
    • cystitis - cystitis
    • male genital inflammation : testis, seminal vesicles
    • vulvovaginitis , vaginitis - vaginal inflammation
    • orchitis - testicular inflammation
    • inflammation of the female internal genital organs: colpitis, endometritis, adnexitis

    Recently, doctors consider inflammation of the urethra, its walls and glands to be the most famous urological disease of the human urethra.

    Urethritis is a disease of the human urinary system that occurs as a result of exposure to viruses and various bacteria, with allergies, due to toxic effects, against the background of various diseases, as a result of overwork, stress, physical exertion, and weak immunity. The disease can occur in two forms - chronic and acute, most often goes through sexual contact.

    Acute urethritis is a disease of the human urethra that develops after 7-10 days, while you feel itching, burning in the urethra, pain, often go to the toilet, and urination is accompanied by pain after emptying. Urination occurs with a purulent or bloody character, and often at elevated temperatures.

    Acute urethritis in men manifests itself in somewhat more severe forms than in women. This is due to the structural features of the urethra. In women, the symptoms of this disease are not pronounced or may not appear at all.

    In the case of too long a lack of treatment for the disease or improper treatment of the acute form of urethritis, chronic forms develop. In the case of improperly selected medical treatment, complications such as prostatitis, cystitis, vaginitis, potency, inflammation of the urethra in both women and men are possible.

    In this case, signs of acute urethritis are periodically repeated. Chronic urethritis is treated longer, more difficult and with the use of strong drugs.

    Urethral inflammation - what is it?

    Urethral inflammation in men is a serious illness that is common.

    The urethra is a canal in the form of a hollow tube, approximately 16-24 cm long, with a lumen width of about 0.8 mm through which urine is discharged.Acute urethritis will make itself felt almost immediately after the patient is infected.

    Consists of the following departments:

    • The prostate (prostatic) - the widest, fixed part 3-4 cm long, passes through the entire prostate gland.
    • The membranous section (membrane) - the narrowest fixed part of the canal 1.5–2 cm long, starts from the gland to the penis.
    • The spongy department is the internal movable part of the genitourinary canal.

    In the bends of the canal, an infection that has entered the organ easily causes inflammation on the mucous membranes. This disrupts or stops urinating from the canal and is the cause of urethritis in men.

    The appearance of acute urethritis in men is a serious urological disease, which can be very dangerous for health. A urethritis disease caused by infections and injuries.

    Infections affect the genitourinary organ during intercourse without protective equipment or with poor intimate hygiene. You can injure the canal with urolithiasis, when stone or sand with urine comes out.

    The following situations may be the cause of the disease:

    • immunity is weakened due to past illnesses,
    • the rules of intimate hygiene are violated,
    • sex with a carrier of sexual infection,
    • chronic inflammation, due to which the infection spreads through the body with the help of blood and lymph (prostate, caries, tonsil inflammation and other diseases),
    • other diseases of the pelvic organs,
    • genital injuries (urolithiasis or mechanical injuries of the canal, such as swabbing or catheter insertion),
    • disease after hypothermia,

    • erratic malnutrition, abuse of products that irritate the mucous membranes of the canal (acidic, salty, spicy),
    • bad habits (smoking, alcoholism),
    • lack of vitamins
    • drinking a small amount of water,
    • hard physical work
    • lack of sleep and fatigue,
    • stress.

    Acute urethritis threatens with serious complications - this is impotence, infertility, inflammation of the prostate and testicles. Therefore, it is important to prescribe treatment of urethritis in men on time.

    Specific type

    • When Trichomonas is prescribed: metronisadol in the form of a solution for injection, trinisadol, trichomonacid, secnidazole, cidipol, nidazole, ornizadol, miramistim, chlorhexidine in the form of washing and injection of the solution.
    • When gonorrhea is prescribed: cefuroxime, azithromycin, erythromycin, ceftriaxone, oletetrin, dosicycline hydrochloride, metacyclin hydrochloride, sodium fazidin.
    • With chlamydia: tetracycline, erythromycin, doxycycline, azithromycin, clarithromycin, chloramphenicol.
    • With candidiasis: levorin, nystanine, clotrimazole, amphoglucamine, sodium salt in the form of a solution, flucanozole.
    • With mycoplasma: tetracycline, doxycycline.
    • When herpevirus is prescribed antiviral drugs: acyclovir, ribavirin, penciclovir, valaciclovir, famciclovir, garnciclovir.
    • With gonococcal and non-gonococcal: cefipmaxon, azithromycin.
    • In non-gonococcal: tetracycline, doxycycline.

    Nonspecific type

    With this type of urethritis, the following types of antibiotics are prescribed: ceftriaxion, cefazolin, tetracycline, azithromycin, erythromycin, clarithromycin. Having prescribed one drug, the urologist, after receiving an analysis of bacterial culture and a test for sensitivity to antibiotics, can replace the type of medicine with another, in which the effect on microorganisms will be maximum.

    In case of an allergic disease, the urologist prescribes the drug tavegil. An inflamed urethra requires an integrated treatment approach. It is necessary to take vitamins of groups B, PP, A, E, C, D or multivitamin complexes: biomax, picovit forte and nicotinic acid. And also with antibiotics, you need to take lactobacilli to restore the intestinal microflora, for example, the medicine yogurt.

    To increase immunity, polyoxidonium injections should be given according to the scheme as a whole course or use such immunomodulators as: thymalin, myelopid. And also for disinfection use a solution of methylene blue, chlorhexidine and do hydrocortisone injection into the channel.

    For topical application, an antiviral ointment acyclovir is applied. A good result can be obtained using rectal suppositories: metronidazole, hexicon, indomethacin or tsifran.

    Treatment of urethritis with herbal remedies

    As an addition to the treatment of urethritis, the use of medicinal plants is permissible:

    • tinctures from leaves and seeds of parsley,
    • decoctions of leaves and berries of blackcurrant,
    • cranberry juice
    • infusion of zelenchuk yellow herb.

    A good result in the treatment of urethritis will give baths with herbal decoctions.

    In no case should you refuse to treat urethritis in men with drugs prescribed by a urologist in favor of alternative treatment.

    Watch the video: Urinary Tract Infection. How To Prevent UTI 2018 (February 2020).

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