Possible complications of urethritis after sex
Every second adult inhabitant of the planet has faced such a disease as urethritis. Children also suffer from this disease, but much less often.
Modern methods of treatment can completely and without possible consequences eliminate the disease. The outcome of treatment depends on the actions of the patient, on the availability of the correct course of drugs.
The diagnosis of urethritis can be described as inflammation of the urinary tract mucosa.
Urethritis in women often has a bacterial origin. If during intercourse there was anal sex, then vaginal. Or if a woman doesn’t wash properly and uses toilet paper after the toilet. Pathogens, therefore, along with the mucous membrane and lubricant enter the urinary tract.
A detailed description of the types of disease and their characteristics will help to make an approximate picture of a possible infection.
Types of urethritis are infectious and non-infectious.
- Infectious diseases are caused by pathogens. Depending on the type of pathogen, they are divided into two groups: a specific type, which includes sexually transmitted diseases. The reason in this case is infections such as gardnerella, ureaplasma, mycoplasma, trichomonads, etc. The nonspecific type is formed after the ingestion of opportunistic bacteria from the rectum (anus). These bacteria include staphylococci, a group of Escherichia coli, streptococci and others.
- Non-infectious species will begin to influence under the influence of extraneous factors. Such as allergies, viruses, trauma, the effect of certain drugs, channel development abnormalities. Such causes are not fundamentally treated. As a rule, withdrawal of symptoms and preventive measures are carried out. Surgery may be required, such as cosmetic surgery to correct the location of the urethral canal.
With the viral nature of the disease, treatment is carried out with antiviral drugs. Therefore, it is extremely important to determine the type of disease in order to avoid side effects and conduct effective treatment. Antibiotics in this case will not help get rid of the disease.
Causes of the disease
The cause of the disease is not rarely sexual contact.
But there are several other important ways to get an unpleasant disease:
- Unprotected sex. It is the most common way of infection. Sometimes both partners already have the causative agent of urethritis as a result of such contact, cross-infection is obtained.
- Frequent change of sexual partners. In the case of a rampant lifestyle, there is a chance of contracting two types of disease - bacterial and infectious. The treatment of such a disease is complicated several times.
- The usual temporary decrease in immunity, vitamin deficiency. One of the main reasons why the body allowed the development of pathogenic bacteria. With good protective functions, the body copes with the disease. But as soon as slack appeared, pathogens begin to manifest themselves and actively multiply.
- Mechanical damage to the urethra. It arises due to medical manipulations, the introduction of a catheter or hard sex. These processes cause severe irritation of the mucosa, in the future there is a greater likelihood of infection.
- Postpartum trauma. Urethritis in women often occurs after the process. If the process was difficult and the fetus was slightly larger than expected, then there may be ruptures, injuries of the urethra.
- Wrong process when washing.Women should be washed from top to bottom to avoid bacteria from the rectum and vaginal opening.
- Lack of proper genital hygiene. Pathogens quickly accumulate on dirty underwear.
- Using other people's personal care products. Bacteria can survive outside the body in the environment for some time.
- Unconventional sexual relations and at the same time anal and vaginal contact. With a 90% probability, combined types of urethritis of a bacterial nature appear. Most often occurs in women.
- The presence of allergies. A pronounced irritation is formed in the urethra.
- Venous congestion of blood flow in the pelvic organs.
- Fans of soda and alcohol are susceptible to the onset of the disease. These drinks can irritate the canal mucosa and reduce immunity.
- The onset of menopause in women is also very likely to cause urethritis. The walls of the urinary canal and bladder with the onset of menopause significantly thinner, exposed to bacteria and irritated without them.
Symptoms of the disease can not be confused with anything. The disease manifests itself brightly, aggressively, delivering a lot of inconvenience.
A person becomes irritable, sleeps poorly, exhausts himself. Pursue pain and burning, redness around the urinary tract. Strong pain during urination.
If urethritis is caused by an infection or an opportunistic bacterium, then purulent or watery discharge will begin, in yellow, green.
In advanced cases, there are blotches of blood in the urine, threadlike precipitation.
If the disease has passed into the chronic stage, then the patient can not avoid regular relapses, the causes of which may be an immune disorder of the body. In this case, the doctor will prescribe antibacterial treatment, light antibiotics.
Types and causes of occurrence
Urethritis is specific and non-specific. In the event that a specific urethritis is detected, then the body is infected with a sexually transmitted infection. Such infections are most often ureaplasma, chlamydia, mycoplasma, etc. Specific urethritis is also of two types - gonococcal and non-gonococcal. Gonococcal urethritis is caused by the gonococcus bacterium, and its presence indicates a sexually transmitted disease - gonorrhea. Infection with all other bacteria is a specific non-gonococcal urethritis. Non-neococcal urethritis, in turn, is divided into infectious and non-infectious. Non-infectious urethritis is observed when the urethra is injured (catheter, masturbation, etc.) or with an allergic reaction of the body.
Non-specific urethritis is bacterial infection of the urethra. Bacteria that provoke this type of disease: E. coli, staphylococcus, streptococcus, etc.
Which urethritis is contagious
As can be seen from the classification, both specific and nonspecific urethritis can be infected sexually, but not by the disease itself, but by the pathogenic microflora that causes the disease. You can get urethritis through personal hygiene items.
4 main risk groups:
- People with weakened immunity.
- People who have poor personal hygiene procedures.
- People using public areas for hygiene.
- People who often change sexual partners, while not using protective equipment.
Most diagnosed urethritis does not apply to sexually transmitted diseases. But there is a smaller part, in which, through sexual contact, it is possible to get an infection leading to inflammation of the urethra.
Men and women suffering from a specific form of the disease can be infected with candidiasis, genital herpes, gonorrhea, chlamydia, ureaplasma and other types of sexually transmitted infections.If sex is not protected, the infection is transmitted in the vast majority of cases. But many of the viruses are transmitted through personal hygiene products, so you should only use your own towels, soap, washcloth and other utensils.
Non-specific infectious urethritis is also transmitted from partner to partner during unprotected intercourse, especially for non-traditional forms of sex, such as oral.
In the comments of one of the users of the network, a man complains about the acquisition of urethritis from his wife, after oral sex. Symptoms of the disease in the form of burning pain during urination appeared after only 3 days. The urologist diagnosed nonspecific urethritis against the background of a wife's throat disease. That is, it turns out that the man was infected by his wife with the bacterium that caused pharyngitis.
Urethritis after sex in women, the most common pathology. But many women do not attach particular importance to this problem and do not cure the disease. A latent infection is constantly found in a woman in the urethra, and during sex an exacerbation of the disease occurs. With a detailed study, a urologist is diagnosed with a chronic form of urethritis, the treatment of which is much more difficult than its initial stage. A specialized diet, antibiotics and various herbal preparations are prescribed.
Refusal of sexual contacts with urethritis
Most of the urologist's patients are interested in the possibility of continuing sexual intercourse during treatment of urethritis. Doctors, urologists, strongly recommend that you abandon sex during treatment. This is due not only to the ability to infect a partner, as a rule, both undergo treatment, but also because microflora is transmitted during intercourse. The microflora of the stalls can worsen the condition during treatment, and increase the risk of complications.
In the event that the patient refuses to follow the recommendations, the urologist gives others about minimizing the risks. Such recommendations include: the use of condoms, personal hygiene before and after sexual intercourse, refuse related supplements in the form of lubricant, refuse hygiene products with an antibacterial effect, etc.
Complications of urethritis
Urethritis can cause a number of problems in both men and women. In the case when the disease becomes chronic, there is a danger of an ascending infection. For men, a serious complication of urethritis is inflammation of the testicles, and narrowing of the urethra. In women, infertility and chronic cystitis are a serious complication.
It is worth considering that with the development of inflammation of the urethra, it is not recommended to become pregnant. Conceive a child can only undergo complete therapy, as urethritis can cause fetal death.
Treatment of urethritis should be carried out only by a specialist, do not self-medicate.
Who is sick and how are they infected with urethritis
Anyone can get urethritis. Infection occurs most often during sexual contact with the patient. It should be noted here that urethritis can occur without pronounced manifestations, imperceptibly, and the patient himself may not know that he is sick. However, this does not mean that all of his sexual partners will tolerate the disease as easily - the course of the disease depends on the state of the body and on a number of factors. You should also be aware that the symptoms of the disease do not appear immediately after intercourse, but after some time (for non-specific bacterial urethritis - from several hours to several months), which is called the incubation period.
Urethritis in men
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.
Among the direct causes of non-specific infections of the urethra, staphylococcus predominates. It can cause inflammation on its own. And besides, these bacteria are often found in association with other microorganisms.
Quite often, the causative agent of nonspecific urethritis becomes mycoplasma. These bacteria have a tendency to spread to the urinary system.
Often mycoplasma urethritis is complicated by cystitis and kidney damage. Sexual infection of the urethra is also possible. In the first place among the causes of pathology is gonococcus. It is the causative agent of gonorrhea. In the second or third place are trichomoniasis and chlamydia. But infections can be not only bacterial.
Viruses are also capable of causing an infection of the urethra. Most often it is herpes.
Another causative agent may be the human papillomavirus. But it does not always cause symptoms of inflammation.
Urethral infection can be fungal. Most often, it develops as a complication of antibiotic therapy. Because in the genitourinary system there is competition between different types of flora. Bacteria compete with fungi.
Antibiotics kill bacteria, and after this there is an intensive growth of fungal flora. Because they have fewer competitors. As a result, candidiasis develops. It can also occur as a result of sexual transmission.
Men can get sick after unprotected contact with a woman who is currently suffering from urogenital candidiasis.
An important place is occupied by gardnerellosis urethritis. They occur mainly in men. Because for women, gardnerella is a normal microorganism. In most cases, these bacteria do not cause inflammation in them - only the phenomena of dysbiosis.
Predisposing factors are also important in the development of a nonspecific infection of the urethra. These are the circumstances and lifestyle features that lead to a violation of the blood circulation in the genitals. Venous stasis in the submucous layer of the urethra can cause reduced physical activity, irregular sex life and alcohol abuse.
Common symptoms of an urethral infection
With an infection of the urethra, the signs in men and women are almost the same. They do not appear immediately, but after the incubation period.
Its duration may vary significantly. It is sometimes only a few days. At the same time, with viral pathogens, the incubation duration can reach several months.
There are three clinical forms of urethritis:
In acute urethritis, symptoms appear suddenly. They are pronounced.
Urethral discharge appears. Her lips are swollen, thickened and bright red.
The patient suffers from severe subjective symptoms. When urinating, he feels pain. It is more pronounced at the beginning of urination, and gradually loses intensity at the end. Symptoms depend on the location of the lesion.
Infection can develop in different parts of the urethra. For distal urethritis, discharge is most characteristic. At the same time, if the part of the urethra that is closer to the bladder is affected, the amount of discharge is less. But dysuric disorders join. In a person, urination increases sharply. At the end, his patient feels pain, while at the beginning it may be absent.
The pain can be sharp. It is sometimes accompanied by the release of several drops of blood after urine.
With torpid and chronic infectious lesions of the urethra, approximately the same clinical picture is observed. Subjective symptoms are mild. Observed:
- crawling sensation
- the discomfort.
Discharge is usually absent. Or they can be so scarce that they go unnoticed.
Nonspecific bacterial infections of the urethra
With non-specific infections, conditionally pathogenic bacteria are found in the urethra. Most often it is:
They may be present in the genitourinary system and are normal. But with an increase in the population, an inflammatory process develops.
Symptoms of nonspecific bacterial urethritis are the same for different pathogens. What microorganisms caused the pathology can be found using bacteriological research.
The sensitivity of bacteria to antibiotics is also evaluated.
Gardnerellosis infection of the urethra
Gardnerella is transmitted to men sexually. These are microorganisms that often live in the vagina of women. They are gram-negative motionless sticks.
On average, the incubation period lasts 10 days. Symptoms are usually scanty. Such complaints are possible:
- discharge from the urethra with an unpleasant odor, liquid, having a gray color,
- discomfort in the urethra.
Gardnerella are detected by microscopic examination of the smear.
The doctor may also notice flat epithelial cells with bacteria attached to them. This is a typical laboratory symptom of gardnerellosis.
If a urethral infection is suspected, smears are always prescribed. In men, they are taken from the urethra. In women, also from the vagina and cervix. Because there may also be signs of infectious inflammation. After all, the infection spreads to neighboring organs of the urogenital system.
An indicative research method is microscopy of a stained smear. The doctor may detect some bacteria and protozoa. Sometimes gonococci or trichomonads are detected. When identifying fungal pseudomycelia, the doctor concludes the presence of candidiasis.
The presence of a large number of white blood cells confirms the fact of infection of the urethra. Therefore, even if no pathogens have been identified, further examination is required.
There are more effective and reliable diagnostic methods. They make it possible to identify pathogens of both specific and non-specific infectious urethritis.
If a non-specific infection of the urethra is suspected, a smear on the flora is often given.
And to detect the causative agents of genital infections, the doctor prescribes PCR. This is a method for diagnosing diseases using a piece of DNA code.
The genetic material of each pathogen is unique, so PCR is a very accurate study. It is carried out quickly enough and the very next day a person receives the results of analyzes.
Sowing can also be carried out. This diagnostic method is used to identify the causative agents of bacterial infections of the urethra. Less commonly, it is used for fungal pathologies.
What tests to take to diagnose STDs and non-specific infectious processes, the doctor determines. In this case, he is guided by the data of the anamnesis, patient complaints and objective symptoms.
In addition to studies aimed at identifying microorganisms, procedures and laboratory tests are also used, the purpose of which is:
- determination of the exact localization of inflammation,
- assessment of the prevalence of pathology,
- the degree of functional disorders of the genitourinary organs.
A two-glass or three-glass urine sample is given to understand where the inflammatory process is located. It can affect the urethra, prostate, bladder, kidneys.
According to indications, urethroscopy or cystoscopy is used. These are endoscopic diagnostic methods that involve examining the structures of the genitourinary system from the inside.
Gonococcal urethral infection
Gonococcus is one of the most common causative agents of urethritis. This is a strict aerob, a motionless bacterium that does not form spores.
Gonorrhea can be infected not only through sexual contact.
The microorganism has a fairly high survival rate in the external environment.
On household items, it can last up to 24 hours if they are wet. Therefore, transmission can occur through general hygiene items such as towels or washcloths. Clinical forms of gonococcal urethral lesions:
- acute - profuse discharge plus dysuria,
- subacute - there is a lot of discharge, but there is no dysuria,
- torpid - no symptoms, the disease can only be detected using diagnostic procedures.
Chronic gonococcal infection of the urethra proceeds as a torpid one. But from time to time, exacerbations may occur. More often gonococcal infection affects the anterior urethra.
The gland of the urethra is involved in the pathological process.
Gonococci multiply in the epithelium, so it is loose, saturated with white blood cells. Sometimes pus accumulates in the glands, not having a way out. In this case, pseudoabscesses form in the urethra.
Features of the discharge in this infection of the urethra:
- in urine settle to the bottom.
Often there is pain when urinating. She also appears often after ejaculation. When the infection spreads to the seminal tubercle, blood appears in the semen.
Complications of urethral infections
Very often, urethral infections give complications. It could be:
- testicular inflammation.
The spread of infection to neighboring organs usually occurs as a result of:
- long course of the disease,
- patient refusal to consult a specialist,
- lack of proper treatment.
Different urethral infections have a different risk of complications. One of the most dangerous pathologies remains gonorrhea. With this disease, the risk of complications is the highest, and they are the most dangerous. Inflammation develops:
- paraurethral glands,
- seminal vesicles,
- lymphatic vessels
- penis heads.
With a long course of the disease, urethral strictures are possible. In the most adverse cases, generalization of the infection occurs.
Gonococcus can affect almost any organs and tissues. Sometimes, against the background of this disease, reactive arthritis develops. An autoimmune lesion of one or two large joints occurs.
With urethral infections, infertility can develop. This happens when bacteria spread further to other organs.
With lesions of the testicles, secretory infertility in men is possible, associated with a violation of sperm production.
With bilateral inflammation of the vas deferens, obstructive infertility develops. Because sperm cannot get from the testicles into the external environment due to mechanical obstruction.
The quality of sperm is also impaired with prostatitis, because it is responsible for liquefying the ejaculate. The hematotesticular barrier may be damaged, which is fraught with immunological infertility.
In women, impaired fertility during infections may be associated with the development of obstruction of the fallopian tubes. In addition, the uterine mucosa can become inflamed, adhesions form. All this prevents the attachment of the embryo to the endometrium.
Treatment of urethral infections
In bacterial infections, antibiotics form the basis of therapy. If this is a non-specific flora, broad-spectrum drugs are prescribed. It could be:
In recent years, cases of drug resistance have been increasingly observed. Therefore, it is advisable to assess the sensitivity to antibiotics at the initial stage of treatment.
Often, therapy is started empirically, immediately after the patient’s treatment. And after receiving the results, the sowing tank, which can take several days, the drug is changed to the one to which the isolated bacterial strains are most sensitive. Sometimes you have to simultaneously prescribe 2 antibiotics.This may be necessary if the infection of the urethra is caused by associations of microorganisms.
Often used drugs that enhance the effect of antibiotics. These can be enzyme preparations that improve the penetration of antibacterial agents into the tissues.
If the pathology is caused by gardnerella, ornidazole or metronidazole is used. The pathogen usually has a high sensitivity to these drugs. Sometimes ampicillin or tetracycline is used in treatment.
Gonococcal urethritis is treated with ceftriaxone. Effective antibiotics depend on the causative agent. They can be prescribed in various forms: injections or tablets.
Often, at the same time, washing the urethra with antiseptics is used. Sometimes antibiotics are not needed, and other drugs are prescribed.
For fungal infections of the urethra, antimycotics are used. With herpes, acyclovir or other acyclic nucleosides are prescribed.
Features of urethral infections in women
In women, the urethra is wider and shorter. In them, the infection spreads to the genitourinary organs faster.
The bladder is very often affected. Especially with non-specific urethritis caused by Escherichia coli. The disease is manifested by rapid and painful urination.
Sometimes a urethral infection develops in pregnant women. It can be both a nonspecific inflammatory process and a sexually transmitted disease. Most of them are dangerous for the developing fetus.
Sexual infections should be treated at any time during pregnancy.
For the treatment of any sexually transmitted pathologies, there are antibiotics that do not adversely affect the development of the fetus.
Urethral infection with HIV infection is more difficult to treat. Because immunity is reduced, the risk of complications increases.
Often you have to use higher doses of drugs, longer courses. Sometimes several antibiotics are prescribed at once.
After treatment for urethral infection, control tests are prescribed. They are needed to understand - the patient has recovered or he needs a second course of therapy.
When a urethral infection is contagious, and when not
Some urethral infections are contagious. Others are not transmitted through sexual intercourse.
Infectious diseases include sexually transmitted diseases. This is gonorrhea, chlamydia, trichomoniasis, herpes and others. At the same time, nonspecific pathogens are usually not transmitted during sex.
In the treatment of specific urethritis, simultaneous therapy with a partner is required. This is necessary to prevent reinfection after cure. All pathogen reservoirs must be destroyed.
Sex in the treatment of urethral infections
Patients often ask if sex is allowed during treatment for a urethral infection.
Sexual intercourse during this period is extremely undesirable. After all, you can transmit the infection to other people. In addition, with contractions of the muscular structures of the genitourinary system, the infection can spread throughout the body.
As a result, the risk of infection of other organs increases. This is fraught with longer treatment and the development of complications, including infertility.
Which doctor deals with urethral infections
In case of urethritis, contact our clinic. Experienced venereologists work for us. These specialists deal with the problems of genitourinary infections. We can go through a comprehensive examination. After taking the test, you will be prescribed a treatment that will help you quickly get rid of the urethral infection.
If you suspect a urethral infection, contact a competent venereologist.
Causes of urethritis in men
What are the causes of urethritis, the etiology of the disease? It is possible to provoke the appearance of inflammation of the urethra both sexually and non-sexually.Given the features of the occurrence of urethritis, doctors divide the disease into 2 groups, which also include subgroups.
- Infectious urethritis. The appearance of urethral inflammation occurs under the influence of sexually transmitted infections (gonococci, ureaplasma, Trichomonas, herpes).
Nonspecific urethritis of an infectious nature appears under the influence of the conditionally pathogenic microflora of the vagina, oral cavity or rectum. Non-infectious type. Burning in the inguinal region occurs under the influence of factors not related to the influence of microorganisms.
Most often, traumatic urethritis occurs due to chemical or thermal damage, as well as gross mechanical stress.
This is followed by an allergic type, which appears due to the receipt of drugs and irritating foods (excessively spicy, acidic, pickled or salty), which provoke an immune response from the body in the form of inflammation.
Also found stagnant type of ailment, developing due to the presence of inflammation of the prostate.
The main differences between urethritis and cystitis are described here.
A stone, which was formed as a result of urolithiasis, but left the body, can also damage the urethra. Due to the mechanical effect, urethritis can occur after the catheter, because poor-quality administration will significantly reduce the body's resistance to infections.
Urethral irritation can cause shaving lotions and gels containing chemicals.
What causes urethritis in men, what does it develop from? In infectious and nonspecific urethritis, one or more pathogens can be diagnosed. In the latter case, they speak of a mixed infection.
The main causative agents of urethritis:
- Gonorrhea. It is distinguished by purulent discharge from the urethra and burning after intercourse.
- Trichomoniasis. There are impurities of the blood, sticky discharge of gray and white. There is an internal itch.
- Chlamydia. May be asymptomatic.
- Mycoplasmosis. It proceeds as a gonorrheal infection.
- Tuberculosis. Appears due to the transition of the pathological process from the bladder. Very rarely transmitted sexually.
- Candidiasis. White discharge with a pink tint appears, with a long course of the disease balanoposthitis develops.
Incomplete destruction of the microorganism leads to the transition of urethritis to a chronic form, which is characterized by a periodic change in the stages of remission and exacerbation.
There is also the likelihood of inflammation moving to other parts of the genital organs - the testicles, spermatic cord, scrotum. In advanced cases, orchitis or epididymitis develops.
Mental disorder can lead to the appearance of urethritis, especially under the influence of stress and high workload. Constant anxiety leads to a decrease in immune forces, which leads to a suppression of the body's ability to resist infections.
Against the background of depressive states and frequent anger Doctors also often diagnose inflammation of the urethra. After the use of sedative drugs or the exclusion of a psychologically traumatic factor, the psychosomatic urethritis often recedes.
Is urethritis transmitted through sex? Urethritis infection possible with unprotected sex due to the penetration of sexual fluids of the partner into the urethra of a man.
The disease can manifest itself immediately or make itself felt in a few days or even weeks. Most often, inflammation manifests itself after a decrease in immunity.
In the classic
Sexual contact with a woman suffering from a disturbed vaginal microflora increases the risk of infection. Especially dangerous intercourse with a partner during menstruationwhen the penis is in contact with the maximum amount of fluids of another person.
Too rough vaginal sex also leads to urethritis due to excessive tactile action on the urethra, which opens during frictions.
Some men do not fundamentally use barrier contraceptives - this group of representatives of a strong half of humanity is most at risk.
In this case, it is possible to reduce the likelihood of transmitting harmful microbes and viruses using antiseptics for external use - Miramistin, Chlorhexidine, Dekasan.
Anal penetration can also lead to the appearance of infectious urethritis after intercourse, if the partner is ill with a sexually transmitted disease. Especially high risk of gonococcus transmission.
Non-infectious development of the disease is possible due to the ingestion of pathogenic microflora of the rectum (primarily Escherichia coli, streptococcus or staphylococcus) into the urethra. The simultaneous combination of anal and genital contact is considered the least safe.
The likelihood of developing infectious urethritis after oral sex lower than with other types of contact stimulation, since pathogenic microbes are more often concentrated on the surface of the mucous membranes of the genitals.
The exception is gonococcal pharyngitis, which can easily infect a man due to direct contact of the urethra and the walls of the throat (especially with the so-called deep blowjob).
A non-specific type of urethritis can be obtained if the partner has tonsil tonsils, - the development of a non-infectious type of disease in men is significantly increased.
How does urethritis manifest
The main manifestations of urethritis are burning, pain or pain during urination, especially at the beginning, and discharge from the urethra. Discharge is usually in the morning, with nonspecific bacterial infection, they are plentiful, mucopurulent in nature, blue-green in color, with an unpleasant odor.
It should be noted that men, due to anatomical features (longer and narrower urethra), earlier and more acutely feel the onset of symptoms of urethritis. In women, the symptoms of urethritis are less pronounced and may generally go unnoticed.
Men may notice sticking together in the morning of the sponges of the external opening of the urethra and their redness. Urethritis can occur without discharge from the urethra only with unpleasant sensations during urination. In addition, as mentioned above, the manifestations of urethritis can be so insignificant that patients do not attach any importance to them. However, this does not mean that the disease does not need to be treated, that it "will go away by itself."
With urethritis, as a rule, there are no general inflammatory symptoms - there is no increase in body temperature, weakness
What will happen if not treated
If a person with acute urethritis decided not to pay attention to discharge, to “tolerate” discomfort during urination and not to disturb the doctor “for such trifles,” then after a while - a miracle! - all symptoms disappear by themselves. What turns out, you can not go to the doctor, do not spend money on drugs? Not really. It’s just that the body managed to suppress inflammation. But never in such cases, the body can get rid of all pathogens. They will remain few, but they will remain. They are "saved" in men - in the prostate gland and seminal vesicles, in women - in the Bartholin glands, in the small glands of the vestibule. The causative agent will “wait” for the first episode of hypothermia, excessive alcohol consumption, and violent sexual life, and then it will again cause inflammation of the urethra, but most likely it will not be limited to it, but it will also cause chronic prostatitis, vesiculitis, and possibly even epididymitis with a threat of development in further obstructive form of infertility.
What does a urologist do when a patient with urethritis speaks to him?
When contacting a urologist, it is enough to conduct one study to confirm the diagnosis. This is a fence and sowing of secretions from the urethra (and in their absence - the first portion of urine from a three-glass sample). In the laboratory, the causative agent of the disease is determined, as well as its sensitivity to various groups of antibacterial drugs, which allows you to make a final diagnosis and prescribe adequate treatment.
Additionally, the doctor conducts a number of studies to exclude the involvement of other organs in the inflammatory process (in men - primarily the prostate gland and seminal vesicles, in women - the bladder).
Irregular sexual intercourse is the most dangerous way of lifeassociated with unwanted contact of the urethra with the mucous membranes of different people.
Such behavior is most often found among men in the age range from 20 to 35 years, when there is low selectivity for choosing a partner for coitus.
Sex with one partner in this case is considered the best prevention, but there are other methods to prevent the development of the disease.
Now that you know how urethritis is transmitted, it is important to take care of your protection against this disease. General recommendations for the prevention of urethritis:
- eliminate the risk of hypothermia. Low temperatures provoke a relapse of urethritis or a weakening of local immunity,
- have regular sex. The absence of sexual discharge leads to stagnation in the inguinal region and weak blood flow. To maintain good health, you need to have sex at least once every 3 days,
- drink more clean water. Irregular urination - less than 1 time in 3 hours - leads to a delay in bacteria in the bladder,
- allow regular medical supervision. A visit to the urologist once every six months will minimize the risks of urethritis. At the first signs of inflammation, you should also promptly consult a specialist,
- stick to hygiene. Be sure to expose the foreskin to remove smegma. Urethritis is often called a disease of unscrupulous partners due to the active reproduction of microbes that are not removed in a timely manner from the glans penis.
Refusal to use alcohol and cigarettes, which reduce the human immunity, has a beneficial effect on the body. Attention should also be paid to inflammation of other organs, which can provoke inflammation of the urethra.
Everything about the treatment of the disease at home is in this publication.
Urethritis can cause its owner a large amount of discomfort, but after correcting the lifestyle, a painful condition can no longer disturb a man.
If the presence of signs of inflammation of the urethra is evident, then you must urgently consult a doctor who will prescribe laboratory tests - a study of a smear from the urethra, urethroscopy and a general urinalysis. After the information received, adequate treatment is prescribed to eliminate the cause of urethral inflammation in men.
Types of urethritis
A disease like urethritis is inflammation of the urethra. Urethritis that occurs in the body of men is divided into 2 types:
Infectious urethritis is sexually transmitted from a partner and occurs in connection with the penetration into the body of a man of an infection of ureplasm, gonococcus, herpes. Infectious urethritis can occur with several infections at once, the symptoms of infection with genital tract infections are often similar.
This makes it difficult for a specialist to make a correct diagnosis. For this, additional examinations and analyzes are prescribed. Such methods reveal what kind of infection struck the urinary tract of the man and contribute to the qualitative selection of therapeutic agents.
Infectious urethritis has the opportunity to become infected with any unprotected sexual contact, and the type of sex does not play a role.The likelihood of getting infections with vaginal, anal or oral sex is the same. The infection can feel great in any environment and is transmitted with human body secretions.
The occurrence of non-infectious urethritis is not associated with the presence of pathogenic bacteria in the human body. This type of disease is caused by external lesions of the penis, exposure to chemicals.
In addition, urethritis can occur in acute or chronic form. In the acute form of the disease, a person experiences severe pain, in which case an urgent intervention by a medical specialist is necessary to assess the patient's condition.
The chronic form is characterized by a sluggish inflammatory process that gives its carrier not as much pain as in the acute form. It is characterized by periods of remission and exacerbation of the disease.
The cause of infectious urethritis is unprotected intercourse. At the same time, pathogenic microorganisms that provoke the development of urethral inflammation penetrate the male urogenital system from a partner who is already a carrier of infection.
Urethritis can occur against the background of a strong blow or damage to the genital organ, with a chemical or thermal burn of the genitourinary system.
Urethritis can occur as a result of urolithiasis, when stones from the bladder leave the body on their own.
In this case, the probability of damage to the urethra and the onset of inflammation is high. In addition, the impact may also come from outside. During operations, it is not uncommon for a patient to have a catheter placed to remove urine from the body. When the catheter is removed from the urethra, mechanical damage can also occur, as a result of which the disease will develop.
One of the possible ways of infection can also be a failure of the body's immunity due to an allergic reaction to a product, pollen or a drug.
During a decrease in immunity in the body, inflammatory processes often begin to worsen. And even the usual use of gels or lotions can cause the development of urethritis due to trapped chemicals inside the body.
In addition, inflammation of the prostate can be the cause of urethritis. Prostatitis - a disease that is also caused by the inflammatory process, is a favorable environment for the development of concomitant diseases.
One of the characteristic manifestations of prostatitis is pain in the genitourinary system and problems with urination. In addition, particles of pus or blood may be present in semen and urine due to illness.
All this passes through the urethra, and against the background of a narrowing of the urinary canal and the presence of impurities in the urine, the development of inflammation of the urethra is a completely regular process.
Urethritis is not uncommon in the face of stress disorders and depressions. With excessive loads on the nervous system of men and workload at work, the body is exhausted in the fight against external stimuli and infections, the body's immunity drops. Malfunctions of the nervous system lead to the appearance of symptoms of urethritis in the body.
To remove them, it is necessary to take a set of measures to improve the psychological situation, and in case of improvement, signs of urethritis will pass.
Is sexual intercourse possible during illness ?!
Sexual relations with a partner who is a carrier of a sexually transmitted infection is always a high degree of risk for a healthy person. The infection can penetrate in case of contact of an unprotected genital organ of a man and fluids that are secreted by the genitals.
In addition, the causative agents of infection can also be contained in the oral cavity, and even oral caresses without contraception can cause the disease.In addition, even in the absence of sexual intercourse, infection is possible if the genitals are in direct contact with the partner's saliva, even as a lubricant.
It is recommended to terminate all contacts that involve the exchange of body fluids with a partner during treatment.
This is due to the fact that the recovering partner can again get the infection during sexual intercourse and treatment will have to be started again, and the arrival of a new portion of bacteria in the body can neutralize the effect of antibiotics. Prescribed during treatment.
The sexual intercourse for a man is accompanied by unpleasant sensations: pain, burning, itching in the urethra. As a result of the disease, sexual desire is also reduced, and an erection is achieved very difficult.
But even at the time of ejaculation, a man cannot achieve a full orgasm, since due to inflammation of the urethra, the urinary canal is noticeably narrowed and only a small amount of seminal fluid comes out. At the same time, sperm is also an irritant for an inflamed organ.
To reduce the risk of infection with urinary tract infections, you should carefully consider choosing a sexual partner for sexual intercourse.
Erratic communication without contraceptives significantly increases the risk of sexually transmitted diseases. Sex in one trusted partner significantly reduces the risk of infection.
In addition, there are a number of general measures for the prevention of urethral diseases:
- Avoid hypothermia of the body, especially in the area of the genitourinary system,
- Regularly engage in sexual acts, at least 2-3 times a week. This will help prevent fluid congestion in the organs of the reproductive system, increase blood flow to the organs, which helps to maintain their condition in good shape,
- Saturate the body with water. The lack of fluid in the body creates stagnation of urine in the urinary system, which can lead to the development of bacteria. Regular bowel movements will help remove spent bio-material from the body,
- Follow the genital hygiene. Do not neglect the cleansing of the foreskin of the penis when bathing from excess substances,
- Undergo medical examinations by a urologist-andrologist at least 1 time in 6 months. Monitor the condition of the body and in case of unpleasant sensations or changes in the usual work of organs, you should consult a specialist.
In the treatment of urethritis, it is better to abandon alcohol and tobacco smoking. Bad habits significantly weaken the body's immune system, allowing bacteria to act on the organs of the body.
With existing inflammation in the body. You should carefully monitor your well-being. Even inflammation of an organ that is not related to the genitourinary system can provoke urethral disease.
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.
People at risk
Urethritis is a disease that can be transmitted with fluids from the body through sexual contact, as well as when using hygiene products of another person. There are a number of men who have a higher risk of getting the disease:
- Persons with promiscuous sexual intercourse who do not use barrier contraceptives,
- Do not adhere to the rules of personal hygiene, when washing do not pay attention to the cleanliness of the head of the penis,
- Regularly visiting public places: swimming pools, saunas, baths, toilets and not hygienic at the same time,
- Using other people's personal hygiene items and underwear,
- People who often have respiratory problems
- Men who prefer hard sex, in which there is a high probability of damage to the urethra.
In such categories of people, the probability of contracting infectious urethritis is significantly higher than in the rest of the population. And if there are factors that are independent of the person during injury or external exposure, changing his habits, the man will be able to significantly protect his genitourinary system from infection by pathogenic microorganisms.
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.
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 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:
- 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.
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.
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.
Signs of urethritis in men and its treatment depend on the physiological characteristics of the genitourinary system and the type of ailment. Inflammation of the urethral canal in men can be acute, chronic, infectious, primary, secondary, allergic, post-traumatic. Each type of ailment has its own characteristics and distinctive features. However, there is a general symptomatology of male urethritis, characteristic of each subspecies of the disease.
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.
Chlamydial urethritis in men: symptoms and treatment
The main sign of chlamydial urethritis can be seen with a morning visit to the toilet. From the urethra, along with urine, a little mucus and pus is secreted. According to statistics, in 70% of men with such a pathology, the integrity of only the front of the urethra is violated. In 20-30%, the disease disappears on its own, without medical treatment. However, after a while, relapses of the pathology appear. Recurrent chlamydial urethritis is accompanied by the following manifestations:
- swelling and tenderness of the testicles
- false urge to urinate, frequent urination,
- edema of the head of the penis and the area around the urethral opening,
- painful urination
- itching in the external genital organs,
- penile redness
- burning in the groin.
Timely detection of symptoms of male urethritis allows the doctor to conduct a high-quality diagnosis of the disease and prescribe the correct treatment for the patient. Therapy is based on the use of antibiotic immunostimulants (Amiksin) (Ofloxacin, Clarithromycin, Azithromycin, Erythromycin). Additionally, antifungal drugs, drugs to restore normal intestinal microflora, probiotics can be used.
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.
Viral urethritis in men: symptoms and treatment at home
The causative agent of male viral urethritis is perinogenital chlamydia or common herpes. The disease is sexually transmitted. The first signs of viral urethritis appear 2 days after infection. The disease affects the mucous membranes of the urethral canal, provokes an increase in temperature to high levels and an increase in lymph nodes.
Viral type urethritis is not treated with antibiotics. The main therapeutic agent for this form of inflammation in the urethra is antiviral drugs. The course of treatment takes about 2 weeks.
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).
Chronic urethritis in men: symptoms and treatment, medications with the best effect
- 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:
- 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.
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:
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:
- the appearance of bad breath
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
- 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
- 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:
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
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
- 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
- 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
- shoot thuja
- lingonberry leaves,
- dog-rose fruit,
- wheatgrass root
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:
- dioica nettle,
- calamus roots
- elderberry flowers,
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.
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.
How is urethritis treated
The main treatment for urethritis is antibiotic therapy. There are many different drugs, and for each patient the urologist chooses the most effective (and affordable), primarily based on laboratory research data. The general course of treatment can last from several days to several weeks and depends on the severity of the disease and its stage. Treatment is usually carried out at home, rarely patients with urethritis are hospitalized, usually with the development of severe purulent complications.
What is chronic urethritis
If, during sexual contact with a patient with urethritis, a small amount of the pathogen enters the mucous membranes of a healthy person, or this pathogen is greatly weakened (for example, by uncontrolled use of antibiotics), or your body is very “healthy” and “strong”, then no symptoms of the disease may appear. But the pathogen will not die, but will remain in the body "to wait for the right opportunity to prove itself." Then, from time to time, the patient will feel discomfort during urination, notice a drop of discharge on linen in the mornings, but these manifestations are so insignificant and quickly disappear that rarely anyone turns to the doctor with such complaints.
In another case, acute urethritis becomes chronic with improper or insufficient treatment. The disease lasts a long time (months, years) and sooner or later still forces the patient to consult a doctor. But this happens, as a rule, when complications have already developed, in the first place, chronic prostatitis. Also, with a long course of chronic urethritis, such an unpleasant complication as urethral stricture - narrowing of the lumen of the urethra can develop. This is manifested by increased pain during urination and a weak stream of urine.
How is chronic urethritis treated
Treatment of chronic urethritis is more difficult and longer than acute. In addition to antibiotic therapy, it includes instillation (administration) of drugs into the urethra and the use of various immunotherapy agents (both drug and non-drug).With the development of stricture of the urethra, they resort to bougienage (expansion) of the urethra with special metal bougie.
How to avoid urethritis
Urethritis belongs to the group of diseases that are much easier to avoid than to cure. Since the main way of infection of the disease is sexual, prevention also consists in observing sexual hygiene. These are regular sexual partners, and in case of casual relationships, the use of a condom. If your spouse (husband, secretary, friend, casual passer-by) accidentally mentioned that during urination she had unpleasant sensations, then refrain from sexual contact with her and persuade to go to the urologist.
The effectiveness of the treatment of urethritis. Instillation effect
Enzymatic agents should be used to improve nutrition of the urethral mucosa, thinning mucus, removing dead cell masses and increasing the permeability of antibiotics to the focus of inflammation. Locally, in the composition of medicinal mixtures, solutions of trypsin, chymotrypsin, lidase, ronidase are prescribed.
The use of local therapy significantly increases the effectiveness of the treatment of urethritis. However, it should immediately be emphasized that in the acute stage of inflammation, local treatment is contraindicated. The most commonly used instillations in the urethra are solutions of drugs or medicinal mixtures, which are selected in each case individually and contain antiseptic, enzymatic, immunotropic components. The effect of instillations can be enhanced by performing simultaneously physiotherapeutic procedures on the projection of the urethra - electro- and ultraphonophoresis, magnetotherapy, UHF, laser therapy. In patients suffering from erosive colliculitis, in the absence of the effect of the therapy, the mucous membrane of the seed tubercle is quenched with silver nitrate solution during urethroscopy.
Finally It should be emphasized that a successful cure for urethritis in men is impossible without quality control cytomorphological and molecular biological studies, both during treatment and after its completion.