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Recognize and get rid of chronic urethritis in men: symptoms and treatment

Non-infectious urethritis manifests itself in the first days. Symptoms of infectious urethritis can occur within 1-3 weeks or several years (tuberculous urethritis) - it all depends on the type of pathogen.

The main symptoms include:

  • itching and burning during urination,
  • acute pain in the genital area,
  • odor-specific discharge
  • blood discharge during urination,
  • swelling of the genitals and slight redness,
  • frequent urination.

When the first symptoms appear, you should immediately contact a urologist for an examination.

Attention! If the disease is not treated in a timely manner, it can take a chronic form and cause complications. This will lead to more serious consequences: prostatitis, inflammation of the testicles, cystitis, infertility, etc.

Types of disease

In order to prescribe the right treatment, you should understand what types of urethritis are. They are divided into infectious and non-infectious.

  • gonorrheal
  • viral,
  • bacterial,
  • Trichomonas
  • chlamydial
  • tuberculous.

Gonorrhea urethritis. It is accompanied by sharp pain at the time of urination. The color of urine becomes cloudy with the presence of blood. Mucous secretions turn yellow.

Viral. In this form, the symptoms are mild. Conjunctivitis and inflammation of the joints are possible.

Bacterial. Symptoms may occur after several months from the moment of infection. Purulent discharge has an unpleasant odor and green color.

Trichomonas. There are constant urges to urinate with pain, as well as itching and burning in the upper part of the penis. Allocations acquire a gray tint.

Chlamydial. In most cases, symptoms are absent. Small discharge may be present. It usually proceeds in a chronic form.

Tuberculous. Tuberculosis of the kidneys and genitals can cause urethritis. Symptoms are mild and are accompanied by fatigue, sweating and a slight temperature.

It is interesting! If you are tormented by prostatitis, then check out our helpful tips for dealing with this ailment.

  • congestive
  • traumatic,
  • allergic.

Congestive urethritis. Rarely accompanied by symptoms characteristic of infectious urethritis. There is a violation of the functions of the genital organs.

Traumatic. Symptoms depend on the type of injury received. There is pain and burning at the time of urination.

Allergic. The main symptom is the presence of edema, which is accompanied by itching and burning in the penis.

Drugs for treatment

Therapy is prescribed only after passing all the necessary tests and identifying the type of urethritis. Drugs are selected in accordance with individual characteristics and the complexity of the course of the disease.

During the course of taking drugs, the patient should abandon spicy, salty foods and alcohol. It is best if the doctor prescribes a specific diet.

Important! Even with the disappearance of symptoms, treatment should not be interrupted, as this can lead to complications and the disease will take a chronic form.

In complex therapy for treatment appoint:

  1. Antibiotics.
  2. Probiotics
  3. Diuretic drugs.
  4. Immunomodulators.
  5. Vitamins
  6. Antihistamines.

On a note! In combination with drug therapy, folk remedies in the form of decoctions, infusions and lotions, which can be very effective, can be used.

For the entire period of treatment, you should refuse sexual intercourse, or use barrier types of contraception. The partner also needs to take a series of tests to detect urethritis and undergo treatment.

Antibiotics for treatment

First of all, antibacterial therapy is prescribed to combat the disease. Antibiotics are selected depending on the type of urethritis. With gonorrhea and chlamydial urethritis, the most effective drugs are:

  • Ceftriaxone, tetracycline,
  • Azithromycin, Erythromecin,
  • Gentamicin.

It is possible to use several types of antibiotics at once, in the presence of some complications.

Attention! Specialist consultation is needed to prescribe antibiotics. Self-administration of drugs can lead to improper treatment.

In addition to antibiotic therapy, the patient is usually prescribed antimicrobials in the form of metronidazole or secnidazole.

On a note! With viral urethritis, antibiotics are not prescribed. In this case, only antiviral agents may be effective.

Ceftriaxone: treatment regimen

Ceftriaxone is a new generation antibiotic and the most effective today. This drug is prescribed for the treatment of gonorrheal urethritis in the first place.

The medicine is available in the form of a white powder for intramuscular injection. Typically, ceftriaxone is prescribed at 1 g per day.

  1. To prepare the solution, lidocaine is required, for less painful drug administration, and water for injection, 2 g each.
  2. The drug is administered intramuscularly 1 time per day.
  3. The course of treatment can be up to 10 days.

Azithromycin Treatment

If you are allergic to ceftriaxone, azithromycin is a good treatment alternative. Also, the drug is used in combination with other antibiotics in case of complication of the disease by other diseases. The best effect is given by azithromycin in combination with gentamicin.

Azithromycin is divided into the following types of drugs:

  • Azitrox, Ecomed,
  • Azicide, Hemomycin,
  • Sumamed.

The high effectiveness of the drug in the treatment of chlamydial urethritis has been proven. Patients usually tolerate the drug well.

Important! Detailed symptoms and treatments for prostatitis are described in this article.

Tablets

With prolonged antibiotic therapy, candida urethritis may occur. Therefore, in order to avoid new unpleasant consequences, prescribe antifungal drugs in the form of tablets:

  • Flucostat, Fluconazole,
  • Nystatin, Pimafucin,
  • Levorin.

In order to avoid allergic reactions, the following tablets are prescribed:

Antihistamines are prescribed primarily for allergic urethritis.

After a course of antibiotics, probiotics should be treated to restore normal microflora (Acipol, Bifidumbacterin, Linex, Yogurt), and vitamins (Ribomunil, Gepon, Duovit, etc.) are also recommended.

To restore normal functioning of the body after treatment, immunomodulators can be prescribed. The most famous drug is Polyoxidonium, which can be used both at the time of antibiotic therapy and after.

Canephron treatment

As an additional treatment, herbal tablets can be used. These drugs include Kanefron.

The herbal preparation is able to have a diuretic and antimicrobial effect, reduce pain and inflammation, and also improves kidney function and enhances the effect of antibiotics.

Important! Kanefron is contraindicated in people with individual intolerance to the individual components of the drug.

Homeopathy treatment reviews

Often, patients who have acquired a chronic form of the disease seek help from homeopathic doctors.

Homeopaths claim that treating urethritis with homeopathic remedies is no less effective than antibiotics.During the treatment period, doctors warn that the symptoms of the disease may return in an acute form, and then the recovery period begins.

For the treatment of urethritis with homeopathy, the following drugs can be prescribed:

  • Argentum nitricum,
  • Cantaris
  • Kopiva,
  • Medorrinum
  • Sulfur.

Experts note the presence of many positive reviews from patients after treatment with homeopathy.

Important! Do not use homeopathic medicines without consulting a doctor.

Concept and Features

Chronic urethritis suggests that the patient periodically experiences the influence of this disease. This may be due to the common cold, exposure to other external factors, and so on.

Urethritis itself is a special kind of inflammatory process that is present in the urethra. This disease is infectious and can be transmitted sexually. It occurs exactly the same as in men and in women.

Most often common is gonococcal acute urethritis, in another way, it is called chronic or gonorrhea.

This disease is widespread in men, can be transmitted sexually, as well as through traditional, oral, and anal sex. You can become infected with a similar disease in the everyday way.

The incubation period of such a disease can be from 3 to 5 days, and you can trace the first symptoms during the first days after the disease.

Non-gonococcal urethritis occurs in 40% of cases. The basis for the appearance in the body of such a disease is chlamydia infection. This form of the disease is called chronic chlamydial urethritis.

Often the cause may be ureaplasmosis, or sexually transmitted diseases. This disease manifests itself somewhat later than the gonococcal form. You can see the first signs of the disease a few weeks after the infection has settled in your body.

The main differences between urethritis and cystitis are described here.

Accepted classification and staging

The difference in urethritis in men according to symptoms and treatment is due to the type of pathogen, stage of the process, and concomitant pathologies. Based on the cause of inflammation, two groups are distinguished.
Infectious urethritis caused by a certain type of microorganism:

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  • gonococci
  • chlamydia
  • mycoplasmas
  • ureaplasmas
  • Trichomonas
  • viruses
  • bacteria
  • gardnerella
  • fungi
  • Koch's wand

Non-infectious urethritis, the occurrence of which is not associated with the introduction of pathogenic flora:

  • allergic reaction
  • violation of the mucous membrane after
  • medical manipulation or injury
  • circulatory disorder in the small
    pelvis, stagnation
  • difficulty urine outflow

The duration of the course distinguishes between acute and chronic process, each of which has its own stages of development and clinical picture.
Acute urethritis in men proceeds in three stages:

  1. The latent period is characterized by the absence of manifestations, can last from 2 to 3 days to a month.
  2. The period of the pronounced clinic.
  3. Recovery or chronization of the disease and transition to a sluggish form.

The chronic process has two distinct stages:

  1. Relapse - an exacerbation of all symptoms that occurs under the influence of adverse factors.
  2. Remission - a latent inflammatory course characterized by prolonged blurred manifestations.

Causes and factors

Symptoms of urethritis in men and the causes are closely related.

  • Sexually transmitted infections. The main part of the disease is infection with gonococcus, chlamydia and trichomonads.
  • Conditionally pathogenic microflora, normally present in every person, but suppressed by the immune system. These include: E. coli, candida, staphylococcus, streptococcus.

Non-infectious causes of the disease are associated with stagnation of urine, insufficient washing of the urinary canal in a natural way, and a violation of the integrity of the mucous membrane.

  • The formation of stones in the pyelocaliceal system of the kidneys.
  • Manipulations associated with examination of the urinary tract: cystoscopy, catheterization.
  • Allergic processes.
  • Tumor-like formations.

In addition to the described causes of urethritis in men, there are factors that weaken the immune system and contribute to the rapid reproduction of pathogenic flora:

  • prolonged hypothermia,
  • poor nutrition, abuse of salty and spicy foods, hypovitaminosis,
  • lack of exercise, stagnation of blood in the pelvis,
  • general decrease in defenses against the background of excessive physical and mental
    loads
  • neglect of personal hygiene
  • exposure to chemical irritants.

In rare cases, the disease develops when an infection penetrates from a chronic lesion with blood or lymph flow.

Common symptoms of an acute period

Regardless of the causative agent, the symptoms of urethritis in men have a number of common features. They can occur in full or be limited to several manifestations, be present constantly or occasionally. Usually, the inflammatory process is limited to local symptoms. There is a burning sensation and pain during urination, the frequency of urges increases, while the urine acquires a cloudy hue. In some cases, hematuria occurs - the detection of blood clots.
Often there are unpleasant sensations in the urethra associated with a violation of the outflow of urine and aching pain in the suprapubic region. When urinating, pain may occur that does not bother during rest. Inflammation can manifest itself with discharge of a different nature, which appears more often in the morning, the formation of crusts and gluing of the outlet of the channel. Hyperemia and swelling of the external urethra are noted. In rare cases, the general condition suffers, hyperthermia, weakness, muscle and joint aches appear.

The first signs of urethritis in men do not occur immediately, the type of pathogen affects the rate of manifestation. With gonorrhea, the incubation period is no more than a week, with chlamydia infection - up to 2 weeks, trichomoniasis appears no later than 3 weeks, and with herpes infection more than one month can pass.

Pathogenic factors

The causes of urethritis in a chronic form, as in an acute one, are the same - they are ingested:

  • viruses
  • fungi
  • bacteria (staphylococci, E. coli, streptococci).
  • antigens (with the allergic nature of inflammation).
  • Viruses, strains of fungi and bacteria infect the cells of the urethra, causing characteristic symptoms of urethritis.
  • At the same time, pathogens infect the urethra individually (a specific type of bacteria, virus or fungus), or another combination (superinfection).

Methods of infection of the urethra

Pathogenic flora enters the urethra from sources:

  • from a person suffering from sexually transmitted diseases - with the sexual method of infection,
  • from the environment - with the household method of infection, this is how urethritis occurs due to the introduction of pyogenic bacteria into the mucosa that got there from dirty hands or household items (towels, linen, washcloths),
  • instrumental intervention (catheterization, instillation) - hospital urethritis,
  • from an infected organ (carious teeth, tonsils, kidneys) when bacteria or viruses spread through the body with blood or lymph flow, for example, with tonsillitis, purulent pyelonephritis.

Initially, microbes cause an acute course of inflammation, if timely treatment is not started, or was mistakenly chosen, leads to the transition of the pathology into a chronic form.

Features of urethral inflammation in women

The male and female urethra are not the same in anatomical form. Due to sexual dimorphism, the urethra:

  • in men - closed type, reaches a length of 23 centimeters, and in diameter - up to 7 mm,
  • in women, it is open and shorter - up to 5 centimeters in length, and wider - up to one and a half centimeters in diameter.
  1. Due to the structural features of the female urethra, access of an ascending infection to a woman’s urethra is much easier than to a man’s urethra, so women have many times more cases of urethritis, including those that have passed into the chronic stage.
  2. Can provoke infection:
  • decreased immunity (hypothermia, nerve overload, lack of vitamins and systematic starvation),
  • spicy and salty foods
  • hormonal dysfunction (with menopause, endocrine diseases),
  • hormonal changes (during pregnancy, lactation, age-related and related to the menstrual cycle),
  • trauma during sex,
  • body intoxication,
  • gynecological pathologies that change the natural microflora of the vagina, including infectious,
  • urolithic pathology (kidney stones, in the bladder),
  • medical manipulations (catheterization).

In this case, the symptoms of organ inflammation in the weak half of humanity, due to the short length, are less painful, and often at the initial stage the inflammation is asymptomatic for a woman, manifesting itself at the stage of manifestation.

For women, the attending physician is a therapist, a urologist, with an exacerbation of gynecological symptoms, a gynecologist. If you suspect an STD, the treatment is carried out by a venereologist.

Classification

The basis of the classification of urethritis is the division of the inflammatory process by the source of occurrence:

  • infectious - arising due to the vital activity of pathogenic pathogens,
  • non-infectious - associated with other factors (allergic reactions, toxic and radiation exposure).

Further classification of infectious diseases is based on the types of pathogens that cause inflammation of the urethra.

So, the type of urethritis caused by bacterial microflora can be sexually transmitted - gonorrheal. Mostly due to unprotected sexual intercourse with a partner suffering from gonorrhea.

The second type of both chronic and acute inflammation of the urethra is non-chronic. This non-specific type combines urethritis caused by a different, non-gonococcal, pathogenic microflora.

Since pathogenic microflora enter the urethra in different ways, depending on the methods of infection, gonorrheal and non-specific types of the disease are divided into:

  • associated with direct infection from a carrier of pathogenic microflora,
  • household.

A common way for the occurrence of urethritis, which has turned into a chronic form, is before neglecting the rules of personal hygiene, which is why microorganisms present in the environment are introduced into the urethra.

Otherwise, the spread of infection within one organism is carried out through biological fluids from an infected organ.

Reasons for the appearance

Since chronic urethritis is a fairly common disease, we can conclude that a number of reasons can lead to its appearance. The most common reason for this is sexual contact with a woman, which was sick with urethritis, or infections that could lead to a similar disease. Read more about the causes of urethritis and transmission routes in this article.

Urethritis carriers can be both men and women. Let this be the main, but not the only reason for a possible disease.

Irritation of the urethra can also affect the development of the disease, after getting into it various allergens or chemicalsthat may be contained in household chemical products, starting with powders, and ending with hygiene products.

If you use a condom when having sex, then the lubricant that is on the latex, or spermicide, can cause a similar reaction. Often, the cause of urethritis becomes contraceptive response.

There are also stagnant phenomena that gather in the pelvic area. They lead to irritation of the urethra.

If there was a rough intercourse, injurydue to mechanical stress or medical procedures, or you may wear coarse underwear, then urethral irritation may occur.

It also causes urethritis.

Sometimes chronic urethritis can occur due to the fact that once a man had untreated acute urethritis.

The neglected form can develop into a chronic one, and accompany a man all his life, then intensify, then disappear for a while.

Pathology stages

According to the clinical course, urethritis is distinguished:

  • fresh, developing within two months,
  • chronic, lasting from two months.

In the chronic stage of inflammation of the canal, there are three stages:

  1. The first, during which the symptoms of the disease are not so pronounced, and the symptoms are effectively stopped by antibiotics or antiviral medications.
  2. The second, in which periods of exacerbation of the inflammatory process become more frequent, while drug therapy is gradually losing effectiveness.
  3. Terminal - the third stage, characterized by the rapid progression of the disease and difficulties in treatment.

Wheatgrass

Widely used tincture of wheatgrass roots, has a good anti-inflammatory effect.

  1. To prepare it, take 4 teaspoons of rhizomes and pour a glass of cold water for soaking and leave overnight.
  2. In the morning, drain the water and brew the rhizomes with a glass of boiling water. The drug is drunk during the day, divided into four doses.

Signs

  • Urethral inflammation occurs simultaneously with cystitis, manifesting in both organs.
  • However, inflammation of the bladder itself differs from urethritis in such a characteristic sign as pain (pain), which is localized at the bottom of the bladder and occurs during urination.
  • In the chronic form of urethritis, symptoms similar to the acute stage are present, but not so pronounced.
  • So, the patient feels:
  • soreness (pain, burning) during the act of urination,
  • increased urge to go to the toilet (often turn out to be false),
  • cramp at rest
  • difficulty urinating due to narrowing of the urethra.
  1. In this case, chronic urethritis in women and men is also characterized by purulent discharge from the urethra, as well as irritation and redness of the mucosa and adjacent external genital organs.
  2. The patient's quality of life is reduced, which affects important areas.

Parsley

Parsley is also an effective way to relieve symptoms and cure. To prepare a phytopreparation, they take a spoonful of raw materials and steam them with half a liter of hot water. After a few hours, the infusion is decanted and used in 3 tbsp. l up to 5-6 times a day.

Oak bark

An infusion of oak bark, which is used as lotions, has a good effect in the treatment.

  1. In a glass of boiling water, a tablespoon of bark is brewed and insisted for several hours.
  2. The resulting infusion is applied topically.
  3. The procedure cannot be repeated for more than three consecutive days. For this period, it is also recommended to refrain from sexual contact.

The consequences of the chronic course of pathology

The chronic form of inflammation, unlike acute, is not so painful for the patient, since the symptoms are latent, not so pronounced. For example, pain during urination is not so intense.

But chronic is dangerous due to serious adverse effects on the body.

Among the serious consequences of a chronic form of inflammation include:

  • deformation and stricture of the urethra (narrowing of the lumen, up to complete obstruction for urine),
  • urinary tract infection,
  • cystitis (inflammation of the bladder),
  • pyelonephritis and renal failure,
  • inflammatory processes in the genitals (female and male).

Treatment of chronic urethritis in men

If there are symptoms, A urologist can prescribe you the appropriate treatment. It can be comprehensive, and pursue several goals at once. However, the main emphasis is on antibiotic therapy.

It is very important to deal with pathogenic bacteria as quickly as possible, in order to then put the body in order.

Medication is being carried outHowever, you can resort to folk procedures and methods. Treatment of such a disease occurs only on an outpatient basis. The patient can receive the necessary procedures at home.

In addition, the body, which has become exhausted from such a disease, needs additional vitamins, so doctors can offer the patient to visit droppers, as well as systematic injections, in order to saturate the body with useful substances and minerals.

The second stage is restoration of the epithelium, as well as all mucous membranes. As you achieve your goals, the patient's immunity is strengthened. If we talk about medicines that are used throughout the treatment, then they can be divided into several groups.

The first group includes metronidazole, in the second - fluoroquinolones. It will not be superfluous to carry out antihistamine, anti-inflammatory therapy. From which names of drugs to start treatment, a urologist will definitely tell.

Drug treatment

  • Since inflammation is associated with pathogenic microorganisms, the direction of conservative treatment in the form of drug therapy is the use of antibiotics, antiviral drugs and antiseptics (for external use in the form of baths and douching).
  • Each particular type of drug is prescribed exclusively by the attending physician, and based on laboratory tests of the biological material of the patient.

Alternative methods of therapy

In practice, alternative methods of treating urethritis have also been recommended, based on ancient methods of herbal treatment with both specific, single species of plants, and collections that have a complex effect on the body.

For example, natural drugs such as:

  • freshly squeezed juice from cranberries or black currants, or a decoction (long boiling is prohibited),
  • extract from fresh leaves of blackcurrant, taken two to three times a day in the form of warm tea,
  • tincture of green parsley leaves, obtained by languishing in milk at a low temperature,
  • tea sweetened with honey from linden blossoms, taken at night in a volume of at least a glass of 200 ml.

It is useful to include more green parsley and root in the daily diet, as well as diversify the menu with vegetables and berries such as:

  • boiled beets,
  • fresh lingonberry,
  • greens and petioles of celery,
  • fresh carrots (juice, salads).

It is recommended to use herbs and plants with the methods of official medicine, and such a combination of two types of therapy allows you to achieve results faster than when using exclusively medicines.

  1. An experienced doctor is able to choose the ratio of pharmacological preparations and recipes of traditional medicine, who is obliged to control the stages of systemic treatment.
  2. It is not allowed to choose herbs for healing on your own, since side effects are possible, and the patient may have individual intolerance to some of them.

Dietary recommendations for the chronic course of the disease

In order for the treatment to be effective, the patient is recommended a sparing diet, in which spicy and salty foods, as well as fried foods, are excluded from the diet.

Additionally, the use of alcoholic beverages is prohibited during treatment. It should also be protected from hypothermia.

In order to remove intoxication products from the body and reduce the salt concentration of urine, patients are required to increase their daily fluid intake, bringing to 2.5–3 liters, provided there are no contraindications.

Bacterial non-specific form

One type of chronic urethritis is non-specific bacterial urethritis. This disease is an inflammation of the urethra, which was caused by contact with various microorganismsthat are different from the gonococci listed above, chlamydia, ureaplasmosis and so on.

Unfortunately, this area of ​​sexually transmitted diseases is still little studied, therefore, in the treatment of this disease, only new methods that have not yet been fully studied are used. The main difference from chronic urethritis is the reason that caused the disease.

Speech about nonspecific urethritis may come when your analysis will show an increased white blood cell countand also, there will be a blood discharge from the urethra.

Even today, scientific debates are underway about what causes this nonspecific urethritis. Most often, this is contact behind the oral cavity, as well as various interactions with bacteria.

Which doctor should I contact

First of all, with an independent suspicion of inflammation of the urethra, they turn to the therapist who will prescribe the tests necessary for the diagnosis.

After a laboratory study of biological material and clarification of the diagnosis, the therapist sends the patient to a narrow doctor:

  • to a venereologist, if a gonorrheal type of disease is detected,
  • urologist - with a non-chronic type of urethritis.

Drug therapy

Treatment of this disease in most cases boils down to taking antihistamines and antibiotics.

First of all, it is necessary to influence the bacteria that provoked the development of the disease.

Unfortunately, there is too little data on this disease to prescribe any other therapy.

Therefore, very often, non-specific urethritis is treated according to the same scheme as chronic, with the addition of antibiotics.

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

Lifestyle

When treating, be aware that now you need to change lifestyle in general in order to achieve the desired result and consolidate it.

You need to adhere to a strict diet, as a result of which you will not eat harmful fatty, fried, salty, sweet foods and foods. Give preference to fresh vegetables, fruits, cereals, diet meat.

Eliminate completely alcohol and smoking. Particular attention is paid to sports. You need to take long walks, breathing fresh air, while heavy aggressive sports should be excluded on time.

During treatment, as well as a month after it, it is necessary adhere to sexual rest.

Remember that underwear that comes in contact with your body should be made of natural fabrics, do not rub, do not create uncomfortable sensations.

By following all these tips and tricks, you can easily cope with the disease.

It is very important to follow all the advice of a doctor, while not overcooling, eating right, and taking all the steps described so that in the future the disease does not become chronic, does not have a relapse.

Preventative measures

Treatment of chronic urethritis is a long and complex process, in connection with which it is preferable to apply affordable preventive measures that can protect a person from the development of the disease.

From the occurrence of acute inflammation of the urethra and the transition to the chronic stage are able to save:

  • compliance with hygiene rules and standards,
  • Protected sex with unverified partners
  • timely treatment of foci of infection in the body,
  • increasing the body's defenses (proper nutrition, rational mode of work and rest)

In addition, a measure of the prevention of inflammation will be minimization (if complete exclusion is not possible) of provoking factors:

  • hypothermia of the body and pelvic organs,
  • hormonal disruptions
  • nervous overload and frequent stresses,
  • sexually transmitted diseases
  • genital hygiene, dirty hands and underwear,
  • an uncontrolled or excessively long course of taking antibiotics,
  • irregular stools, rare bowel movements,
  • irrational mode of work and rest.

In order not to miss the initial stage of the disease, which is often asymptomatic, you should regularly (at least once every six months) visit a urologist and take the necessary tests, and at the slightest sign of incipient urethritis, seek medical help as soon as possible.

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, when carrying out 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).

Recognize and get rid of chronic urethritis in men: symptoms and treatment

Chronic urethritis is most common in men. This is due to the special structure of the genitourinary system and, in particular, the urethra.

This disease, although it causes significant discomfort, is still treatable, even if it is a chronic stage. However, in this case, you need to make proper efforts to adequately treat the problem.

In this article, we will tell you what it is - chronic urethritis in men: symptoms and treatment, which drugs are prescribed, are there any special forms of the disease and what needs to be done with the lifestyle for the duration of therapy.

Gonococcal type

It begins acutely, develops rapidly. Gonorrhea is characterized by severe pain at the time of urination, an intense inflammatory process, hyperemia, swelling of the head. Due to the large amount of pus, urine acquires a cloudy hue. Gonococcal infection is characterized by yellow discharge mixed with blood.

Currant

Decoctions of currant leaves and compotes from its berries can also help to relieve symptoms.

To prepare a decoction in a glass of boiling water brew 1 tbsp. l raw materials and insist for an hour. Broth is drunk during the day.

It is recommended to use cranberries and its juice to relieve the inflammatory process.

Acute urethritis

The acute stage of the disease occurs 5-14 days after infection. The first sign that makes a man turn to a urologist is the appearance of painful sensations (usually of high intensity) during urination.

Often a burning sensation is attached to the pain, which can be almost unbearable. Itching with urethritis, as a rule, is absent, but in exceptional cases, this symptom can be diagnosed during the acute course of the infection.

The appearance of uncharacteristic discharge may also indicate the presence of acute inflammation on the urethral mucosa. Discharges can be plentiful mucous membranes, sometimes with streaks of blood and purulent contents, or thick cream / yellow color (only pus).

Acute urethritis can be recognized by other symptoms, which usually manifest themselves very clearly:

  • redness of the area surrounding the opening of the urethra,
  • drying and gluing of the urethral opening in the morning,
  • the presence of blood in semen or urine,
  • discomfort during sexual intercourse (sharp stabbing pain may occur),
  • temperature in the region of subfebrile values ​​(an uncharacteristic sign, since most cases of the disease pass without increasing the thermometer).

About 10 percent of cases of urethritis in men occur without symptoms (or their severity is so insignificant that this is not given importance). Therefore, it is important to notice any changes in well-being and regularly undergo preventive examinations and examinations.

Chronic urethritis in men and women: causes, symptoms, diagnosis, treatment

Many infectious urogenital lesions occur latently. Their symptoms practically do not appear, and when the weight of the disease makes itself felt, they arise abruptly and unexpectedly, but also suddenly disappear without a trace.

As a result, patients think that a successful recovery has occurred, but in reality - the ailment simply reclassified into a chronic form. Often this happens with urethritis.

The chronic form of the pathology is very difficult to treat and requires monitoring of the effectiveness of therapy in order to avoid complications.

Herbal treatment

Herbal preparations, which are used both for infectious and non-infectious urethritis, are good at treating urethritis.

  1. To prepare the broth, take St. John's wort grass, chamomile, black elderberry and blue cornflower, one spoon of each component. The dry mixture is brewed with a glass of boiling water and left to infuse for an hour. The entire infusion is recommended to drink before bedtime.
  2. Linden blossom can also be used in the treatment of urethritis as a diuretic and anti-inflammatory agent. A decoction of linden flowers is able to relieve symptoms of pain. Linden flowers (2 tablespoons) are poured with boiling water (500 ml.) And insisted for half an hour. The entire infusion is consumed before bedtime.

Chronic urethritis - features of the disease

Urethritis is considered one of the most common diseases of the genitourinary system and is an inflammatory lesion of the urethra.

The disease occurs in patients of both sexes and occurs against the background of incorrect or absent treatment of the acute form of the disease.

If you continue to pull with therapy, then commissures will occur, the urethral lumen will narrow and more dangerous pathological complications will begin to develop.

In the case of chronic inflammation in the urethra, if no therapeutic action is taken, the symptoms will appear once every few months.

The patient will become a source of infection and will infect partners or partners with unprotected sexual intimacy.

By the way, chronic urethritis is found mainly in young patients living an active sexual life.

Symptomatic manifestations of chronic urethritis are very similar to manifestations of cystitis, so an accurate diagnosis is made only after a qualified and comprehensive diagnosis.

Male chronic urethritis often occurs with concomitant disorders and disorders in the genitourinary system. For the stronger sex, chronic urethritis seriously complicates life, especially during periods of exacerbation. Female chronic urethritis is milder and has fewer unpleasant symptoms, since the urethra in women is short.

Lingonberry

Cowberry leaves are widely used to treat urethritis. They have a diuretic, antimicrobial and anti-inflammatory effect.

  1. To prepare the broth use 2 tbsp. l dry leaves, which are filled with a glass of boiling water.
  2. The infusion is left for 20 minutes, and then filtered.
  3. It is recommended to use 2 tbsp. l before each meal.

Important! Before using herbal preparations, consult a herbalist.

The course of treatment with herbs can be 25-30 days, then a break of up to 2 weeks is required.

Treatment of urethritis in men

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, when carrying out manipulations using medical supplies). Urethritis can also be of viral origin (caused by the herpes simplex virus type 1 or 2).

Treatment of any form of urethritis is carried out by a urologist. You need to contact him immediately after detecting the symptoms of infection - this will significantly increase the chances of getting rid of the disease and help prevent the development of possible complications (prostatitis, infertility and even impotence).

Therapy of the disease begins with the diagnosis of the pathogen that caused the infection. For this, the urologist takes a smear from the urethra. After carrying out all diagnostic measures, the specialist selects the optimal treatment regimen.

Treatment for urethritis in men usually includes:

  1. Antibiotics. Most often, macrolides and tetracyclines are used to treat infectious urethritis, since they are broad-spectrum antibiotics and have a combined effect. Effective and drugs belonging to the class of cephalosporins and fluoroquinolones. Penicillin is used extremely rarely - usually with the ineffectiveness of other pharmacological groups.
  2. Immunomodulators. For men suffering from urethritis, the doctor may prescribe funds to activate and strengthen immunity. You can use herbal preparations based on ginseng, echinacea or lemongrass, or medicines that produce the production of human interferon.
  3. Vitamin Complexes. Their choice is huge, so you can use any multivitamin preparation with a sufficient content of the necessary elements (Complivit, Multitabs, Pikovit, etc.).
  4. Medicinal instillation. The procedure is an instillation of antiseptic drugs into the urethral canal. It is carried out only in a hospital environment by specialists with the appropriate qualifications.
  5. Prebiotics. They help restore the balance of microflora, strengthen immunity and build up a useful intestinal flora (Linex, Acipol, etc.).

Disease prevention

Since urethritis is mainly transmitted through sexual contact, a man should be extremely careful about casual relationships.

  1. Barrier contraceptives should be used that can protect against infection.
  2. It is also necessary to carry out regular hygiene procedures to avoid getting the infection inside the genitals.
  3. In case of infection, therapeutic therapy should be carried out simultaneously with a regular partner in order to avoid relapse (with infectious urethritis).
  4. To avoid non-infectious urethritis, it is recommended not to allow hypothermia, as well as severe physical exertion.It is recommended to empty the bladder in a timely manner when urged to urinate.
  • It is also necessary to take the diet seriously: avoid excessive consumption of alcohol, salty, spicy and fatty foods.
  • Compliance with simple recommendations will reduce the risk of urethritis.

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:

How does it manifest

In women and male patients, signs of chronic urethritis are somewhat different.

In the stronger sex, the ailment is manifested by bloody suspensions in urine and ejaculate, itching in the genitals and frequent urination, as well as hypersensitivity of the penis and painful sexual contacts.

Also, patients note mucopurulent discharge from the urethra, urine is excreted in a weak stream, and bursting sensations are concentrated inside the penis.

In women, chronic urethritis manifests itself as itching during menstruation, soreness and burning when the bladder is empty, genital hyperemia, purulent discharge from the urethra. Urges to urinate become frequent, but very little urine is released. At the bottom of the abdomen, patients feel aching pain and heaviness.

Symptoms are similar in bladder inflammation. But for the ignorant - the difference between urethritis and cystitis lies in the nature of the pain. With cystitis, cutting pains occur already at the end of urination, and with urethritis, the pain syndrome is constantly present in the urethra.

Diagnostics

For an accurate diagnosis, patients are assigned competent diagnosis. It includes several mandatory procedures:

  • General laboratory tests of urine and blood - help to immediately determine the presence of an inflammatory process,
  • Bakseeding urine and determining the sensitivity of the pathogen to antibiotic therapy - determines the pathogen and allows you to choose the most effective antibiotic therapy,
  • Urethral swabs for bacteriological and microscopic examination,
  • PCR reaction - a highly accurate diagnostic method that helps to identify many pathogens of urethritis of infectious origin,
  • Three-glass test - diagnosis is carried out to establish the exact localization of the inflammatory lesion in order to differentiate urethritis with similar pathologies like cystitis, pyelonephritis or prostatic inflammation,
  • Urethroscopy is an endoscopic method aimed at visual examination of the inner walls of the urethra using specialized equipment.

As an additional diagnosis, studies such as urethrocystoscopy, mycotic cystourethrography or ultrasound examination of pelvic organs can be prescribed.

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.

Manifestations of the chronic form of the disease

What is urethritis in men in chronic form? This is a sluggish, almost asymptomatic inflammatory process, in which the disease flows in the absence of the necessary treatment. It can last for years with alternating periods of calm and exacerbation.
Relapses usually occur after illness or prolonged physical and emotional stress. Symptoms resemble an acute stage with pain, impaired urination and discharge from the urethral canal, but in a more gentle form. In the absence of adequate therapy, the manifestations gradually subside, and a lull phase sets in.


In the remission period, the signs of the disease subside completely or remind of oneself with a slight burning sensation, episodic meager discharge. The general condition does not suffer, urinary function is not impaired. Despite the smeared clinic, the chronic form is dangerous for the development of complications.

Candidiasis

The appearance of candidal urethritis is explained by the fact that the urinary canal weakened its immunity, that is, in its walls reduced ability to restrain the effects of pathogenic fungi.

Infection can enter through the following routes:

  • through the skin
  • from the intestines
  • during intercourse, as most often happens.

If the man’s immune system is normal, then the disease will not occur in the urinary tract. However, with the slightest weakening of the immune system, urethritis can occur, both in primary and secondary form.

TO primary disease include that which arose as a result of localization of pathogens in the urethra. At secondary pathogenic fungi come from other organs. These can be the pelvic organs located near the urinary tract, including the prostate gland.

Combined pathology

Acute inflammation of the urethra can occur in isolation, but in the absence of treatment, surrounding organs and tissues are drawn into the infectious process. In men, urethritis is often combined:

  • with inflammation of the foreskin,
  • with the involvement of the prostate gland,
  • with orchitis - infection of the testicles,
  • with inflammation of the bladder.

Combined cystitis and urethritis in men have one causative agent of the disease, in 90% of cases it is E. coli and infections transmitted through sexual contact. Provoking factors are: hypothermia, prolonged stressful situations, severe viral diseases and weakening of the immune forces.
Acute cystitis in men is manifested as follows:

  • soreness and pain when emptying,
  • hyperemia and swelling of the mucosa,
  • difficulty urinating
  • purulent and bloody discharge from the urethra,
  • discomfort in the lower abdomen, aching pain.

After identifying the pathogen, combined urethritis and cystitis are treated according to one scheme. Therapy must be brought to an end, since both diseases are prone to chronicity of the process.

Bacterial

This type of disease is characterized by urethritis, the cause of which were pathogenic bacteriatrapped in the urethra.

According to statistics, representatives of both sexes, both women and men, are susceptible to bacterial species. Conditionally pathogenic bacteria are present in the human body, but they are restrained by the strength of the immune system, but when it weakens, it occurs uncontrolled growth of microorganisms.

Establishing diagnosis

Before deciding how to treat urethritis in men, it is necessary to conduct an examination, identify the pathogen and determine its sensitivity to drugs. Diagnosis begins with a history and visual examination.


A general blood test is taken to determine the intensity of inflammation by the number of leukocytes. A general urine test is given in the morning - the first emptying after a night's sleep. Urine backseeding allows you to identify an infectious agent and conduct a sensitivity analysis for antibiotics. Discharge from the urethra in men is also subject to bacteriological culture and microscopic examination. All laboratory tests are performed against the background of a complete exclusion of antibiotic therapy. In some cases, an instrumental examination may be required: pelvic ultrasound, radiography, endoscopy of the bladder and urethra.

Trichomonas

Trichomonas urethritis, unfortunately, is often found in representatives of the stronger sex. Trichomonas pathogens (see photo) are able to be transmitted during sexual intercourse.

This type of microorganism belongs to the subdominium of the simplest class of flagella. They settle in seminal vesicles located next to the prostate gland. After some time, if you do not conduct a course of treatment, it will happen transition of pathogenic microflora to the urethrathat will cause an inflammatory process.

Cure methods

Treatment of urethritis in men does not require hospitalization and is successfully carried out on an outpatient basis. The choice of drugs depends on the form of the disease and the result of bacterial seeding. The main group of therapy used is antibiotics. The methods of administration vary and are agreed between the doctor and the patient. Medications can be taken in tablet form, administered as an intramuscular or intravenous injection, or delivered directly to the focus using a catheter. Consider drugs for the treatment of urethritis in men, depending on the pathogen identified.

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 and bacterial inflammation

In 40% of cases, cephalosporin antibiotics are monotherapy. In the chronic process, a tetracycline group is often prescribed: doxycycline, kanamycin. Complicated gonorrhea urethritis in men is treated with a combination of several groups of drugs, for example, Gentamicin and Sumamed.
Antibacterial therapy requires the prophylactic administration of antimycotic drugs: Nystatin, Levorin. Immunomodulators and vitamins are mandatory.
To monitor the effectiveness of treatment, it is necessary to take an analysis for the detection of gonococcus three times, with a certain interval of time.

Causes of Chronization

There are a large number of factors contributing to the development of inflammation in the urethra, therefore it is customary to distinguish several types of disease:

1.Infectious urethritis is an inflammation of the urethra caused by microorganisms. By the type of pathogen, urethritis is divided into specific and nonspecific, with some differences.

Microbes, which are pathogenic for the human body and always cause disease, cause specific inflammation. This is a gonococcal, chlamydial, trichomanade, mycoplasma, ureaplasma infection. In this case, chronic urethritis is a secondary disease, as it occurs against the background of an existing sexual infection.

Non-specific inflammation is caused by opportunistic microflora, which exists in the body normally, and leads to the disease only in some special situations (more often when the immune system is suppressed). Conditional pathogens include Escherichia coli, Proteus, fungi of the genus Candida, streptococci, staphylococci and many others.

  1. Chronic infectious urethritis is usually the outcome of acute. The disease proceeds hidden with periods of recovery and relapse. The transition to a chronic form can occur for the following reasons:
  • inadequate treatment of acute urethritis,
  • immunity failure and contributing factors (stress, poor nutrition, bad habits, hypothermia, concomitant diseases of the genitourinary system).
  1. Traumatic or mechanical urethritis - develops as a result of mechanical injuries:
  • bladder catheterization
  • endoscopic examination of the bladder and urethra,
  • biopsy
  • urethra bougienage (expansion),
  • urethral injury by a foreign object.

During diagnostic procedures, strict aseptic and antiseptic rules must be followed, but if they are violated, infection will enter the urethra wall.

  1. Allergic urethritis is a consequence of exposure to the wall of the urethra of allergens.

Stagnant urethritis is the result of stagnation of urine in the urethra during narrowing, which occurs for various reasons (trauma, urethral tumor, adenoma and prostate cancer, developmental abnormalities and others).

  1. Urethritis due to urolithiasis. During an attack of renal colic, the stone leaves the renal pelvis, moves along the ureter into the bladder, and then into the urethra. The male urethra is thin and long, and the stone is often large, it scratches it and inflammation occurs. Frequent bouts of colic lead to repeated inflammation and chronicity of the process.
  2. Secondary urethritis - as a result of other inflammatory diseases of the genitourinary system (inflammation of the prostate gland, testicles, penis, kidneys, bladder).

Chronic urethritis

Chronic urethritis is a pathology of the urinary tract and develops in a patient with improper treatment of an acute disease or late seeking medical help. As a result of inflammatory processes, the lumen of the urinary canal is narrowed, which causes a number of other serious complications that require surgical intervention.

Chlamydia defeat

How to treat chlamydial infection is determined by the doctor based on the result of bacterial seeding. The least effective is a single dose of the maximum dose of azithromycin. The best result is given by course treatment with Josamycin or the antibiotic of the tetracycline group - Doxycycline. Together with antibacterial hormone therapy is prescribed.

Medication

It is impossible to cure chronic urethritis without antibiotic therapy. If in the process of diagnosis the type of pathogen was accurately identified, then narrow-acting drugs that are active specifically against this microorganism are prescribed. If it was not possible to determine the specific pathogen, then antibiotics are prescribed that destroy a wide range of pathogens.

Usually, in such a situation, antibacterial agents from the group of quinolones or azalides, nitroimidazole derivatives or latest generation cephalosporins, tetracyclines and lincosamides, fluoroquinolones or macrolides are indicated.

  • Most often, therapy consists of taking fluoroquinolones like Ofloxacin, Norfloxacin or Ciprofloxacin. They are active against many pathogens. Such tablets should be taken twice a day.
  • When prescribing macrolide antibiotics, Azithromycin usually becomes the drug of choice. Take it once a day. The drug is suitable even for pregnant women and children, and in men it has an additional sanitizing effect on the prostate, because with chronic urethritis, inflammation also covers its tissues.
  • Of the tetracycline, doxycycline is most often used. It is taken once or twice a day. The minus of the antibiotic is frequent side effects such as nausea-vomiting and indomitable heartburn.
  • If there are contraindications to other antibiotics, Penicillin in combination with clavulanic acid (Amoxiclav) can be prescribed.
  • Also, fluconazole in combination with metronidazole is sometimes used to treat chronic urethritis.

As additional methods of therapy, instillations in the urethra of solutions like Chlorhexidine or Miramistin are used. Both antiseptics cope with the destruction of pathogens.

It will not work to get rid of chronic urethritis only with the help of folk remedies, without taking antibiotics, because these methods should be used only as an additional treatment.

As an effective means, it is recommended to use herbal preparations like:

  • A mixture of sage, St. John's wort, wheatgrass and horsetail, caraway seeds,
  • Celandine and shoots of kidney tea, hops and coriander,
  • Immortelle, black poplar (buds), dye madder (roots), fennel (fruits), motherwort and heather.

These are only the most common fees that have anti-inflammatory, diuretic and antiseptic effects. You can pick up other options, only you need to consult with a urologist first.

Diagnostic Methods

Diagnosis of the disease is not difficult.
The examination begins with a thorough collection of a medical history and a medical history. They learn from the patient how he was sick, how he was treated, whether he entered into unprotected sexual intercourse. They also carefully listen to the patient's complaints, clarifying them and analyzing them.

Then proceed to the inspection. Carefully examine the mouth of the urethra, pay attention to the swelling of the sponges and their adhesion, discharge from the urethra.
Palpation and percussion (tapping) of the urethra can be painful.

Laboratory research - play a huge role in the diagnosis.

Blood tests. A general blood test is taken where signs of inflammation are found (leukocytes are increased, the number of stab neutrophils is increased, the erythrocyte sedimentation rate is accelerated). A blood test is also carried out for sexually transmitted infections (gonorrhea, trichomoniasis, chlamydia, ureoplasmosis).

Urine tests are very informative.A general urinalysis will show the presence of inflammation (leukocytes in the urine are increased, bacteria will appear). A three-glass test is carried out, the essence of which is that the patient urinates in three containers, the first container from the urethra, the second and third from the bladder. In the first glass during bacteriological examination, the maximum number of bacteria will be detected.

Examine the discharge from the urethra (smear), determine the pathogen and immediately its sensitivity to antibiotics.

Instrumental diagnostic methods for urethritis are rarely used. They are necessary in order to find the cause of the disease or developed complications. An ultrasound of the prostate, testicles, seminal vesicles, bladder, and kidneys is performed. Endoscopic methods are not shown.

Is chronic urethritis treated

It is rare to get rid of chronic urethritis in a short period of time. If the cause is eliminated with the help of drug therapy, then the disease can be cured.

Compliance with all the doctor's recommendations is an important condition that the patient must fulfill.

Treatment of a chronic form of urethritis takes several months. The basis of therapy is antibacterial drugs from the group of tetracyclines, fluoroquinolones, macrolides. Also, the doctor may prescribe the intake of enzymatic agents necessary to restore the mucous membranes of the urinary tract. In some cases, antihistamines are included in the course of therapy.

The chronic form of urethritis can be treated with folk remedies. Herbal preparations with anti-inflammatory properties help relieve acute symptoms when a relapse occurs and prevent the development of complications. Alternative medicine methods are auxiliary and are used as an addition to the main course of treatment.

In order to completely cure urethritis, it is important to follow certain rules:

  • avoid prolonged hypothermia,
  • regularly carry out hygiene measures,
  • strengthen immunity
  • twice a year to pass control examinations.

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.

Forecasts

Given the chronic course of the inflammatory-infectious process, the prognoses are not very favorable. It’s just that when chronic, complications inevitably develop. Of course, the disease will not lead to a fatal outcome, however, if you launch it, then there is a high probability of infertility or impotence and other irreversible complications.

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.

Complications

If you ignore the symptoms, urethritis can lead to sexual dysfunctions in men, which are manifested in oppression of libido, soreness during ejaculation, purulent and bloody impurities in semen. Also, men against the background of inflammation of the urethra can develop orchiepididymitis, prostatitis, balanitis, phimosis, etc.

Both men and women, in the absence of therapy, risk becoming infertile. Women are more likely to experience vaginitis or bartholinitis.

Effective treatment regimens and drugs

The main goal of the treatment of chronic urethritis is the relief of inflammatory processes and carrying out restorative measures aimed at normalizing the state of the urinary tract. In most patients, antibiotic treatment removes the onset of symptoms at the beginning of the course.

Sex with urethritis

The treatment regimen for the disease depends on its form. Nonspecific (bacterial) urethritis, caused by the penetration of streptococci, staphylococci or Escherichia coli into the body, is treated:

  • cephalosporins
  • tetracycline
  • sulfonamides,
  • fluoroquinolones,
  • macrolides.

With the development of exacerbation, the doctor prescribes an antibiotic with a wide spectrum of exposure, since there can be several pathogens of the inflammatory process. After conducting laboratory studies of biological material and determining the type of pathogenic microorganisms, the medication can be replaced by a more effective one used to kill a specific type of bacteria.

Specific urethritis (gonorrhea, trichomonas) can be treated with fluoroquinolones and cephalosporins.

In the chronic form of the disease, local treatment is prescribed in the form of instillations in the channel of the drug containing silver nitrate, or collargol. In the presence of a cicatricial-sclerotic process, urethral bougienage is performed.

With pronounced granulations, the patient is cauterized weekly with a silver solution using an urethroscope.

A week after the end of the treatment course, a bacterioscopic examination of the smear taken from the channel is performed.

In the absence of gonococcal infection, a provocation by pyrogenal or gonovacin is performed, after which the secretions of the prostate, urine and smear are analyzed in the laboratory.

If the pathogen and signs of inflammation are not detected, the doctor prescribes a control check of the biomaterial after 30 days. In the absence of clinical manifestations and laboratory signs of urethritis, the patient is deregistered.

When a chlamydial form of a chronic disease is detected, the antibacterial drug is combined with corticosteroid drugs (prednisone, dexamethasone). The course of therapy is 14-21 days. The dosage of hormonal drugs is reduced smoothly.

If the chronic form of urethritis is associated with exposure to yeast-like fungi, an antimycotic agent with nystatin or fluconazole is prescribed to the patient.

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.

Inflammation of unclear etiology

In 30 - 40% of cases of an infectious agent, it is not possible to establish, however, the antibiotic therapy given gives good results. How to cure urethritis in men with an unspecified diagnosis? Antibiotics of a wide spectrum of several groups are prescribed: Azithromycin, Doxycycline, Metronidazole. Additionally, antifungal and general strengthening drugs are introduced. The scheme may vary at the discretion of the attending doctor.

Bladder Inflammation Therapy

The infectious process often goes beyond the urethra, so we will consider how to treat cystitis in combination with urethritis. The main pathogen becomes bacterial microflora. Her treatment is trusted with antibiotics of the macrolide, fluoroquinol or tetracycline group. In addition, preventive antifungal therapy and multivitamins are prescribed.

Urinary tract inflammation in boys

In children, Escherichia coli becomes the main causative agent of the disease.Urethritis in boys occurs more often than in girls, due to the development of phimosis and, as a result, the formation of a favorable environment for the reproduction of pathogenic flora.
The child becomes restless, he is tormented by itching, painful urination. You may notice whitish discharge of pus. Urine becomes cloudy with traces of blood. Treatment of urethritis in men and treatment in children is carried out with antibiotics, but unlike adults, the selection of funds for the child is carried out more carefully, focusing on the age group.

Preventive actions

Having understood the causes of urethritis and what it is, it is easy to identify preventative measures:

  • eliminate dubious sexual relations,
  • use condoms as a means of protection,
  • adhere to hygiene rules,
  • attentive to his health, in case of doubtful
    symptoms immediately consult a doctor
  • in the period of increased psycho - physical stress take vitamin complexes,
  • Avoid hypothermia
  • adhere to a balanced diet, do not get involved in harmful foods,
  • strengthen the immune system.


Acute inflammation brings many unpleasant symptoms, but a neglected, untreated process is much worse than its long-term consequences. About 40% of men of retirement age suffer from prostatitis, and this is a direct result
chronic urethritis. The statistics are sadder, since inflammation of the urinary canal is completely treatable, subject to all recommendations.

Chronic urethritis: definition, risk groups, symptoms

Chronic urethritis is a fairly common urological disease in which the inflammatory process occurs in the urethra and reappears 1-3 months after the exacerbation of the primary symptoms. The most common cause of the disease is sexual contact with a patient with urethritis, which can be either a man or a woman.

Also, the causes of urethritis include:

  • Irritation of the urethra due to the ingestion of allergens and chemicals contained in lotions, soap solutions and hygiene products.
  • The reaction of the body to latex and spermicide, which is present in condoms, which is also present in other contraceptives.
  • Stagnation in the pelvic area, which leads to narrowing of the urethra.
  • Irritation of the urethra due to mechanical stress (gross intercourse, trauma after medical procedures, masturbation, underwear made from gross material).

In men, chronic urethritis occurs due to acute urethritis and it is much easier to diagnose it than in women. It proceeds more clearly due to the specific structure of the urethra than in women. The male urethra is longer and narrower. In women, chronic urethritis is often confused with cystitis, and its symptoms are less pronounced.

The causative agents of chronic urethritis are ureaplasma, mycoplasmas, chlamydia, gonococci, gardnerella, Trichomonas, which include as well as various allergens. At risk for urethritis are absolutely all men and women.

Urethritis in both men and women can be asymptomatic, or the symptoms are simply ignored.

Over time, the manifestations disappear, the body is able to suppress inflammation, but the process itself does not go anywhere, but develops into a chronic form! The body can never suppress all pathogens at once.

Chronic urethritis in men in 98% of cases of the disease proceeds in an acute form against other inflammations of the genital organs.

The most common reasons why it is possible to differentiate urethritis yourself:

  • unpleasant sensations or discharge from the urethra, which have a mucopurulent character and a blue-green color, plentiful, with an unpleasant odor,
  • tooth and burning in the labia,
  • swelling and redness of the urethra,
  • pain during intercourse,
  • the appearance of an impurity of blood, if there is posterior urethritis,
  • frequent urination and discomfort with it,
  • sticking of the lips of the penis in the morning.

If two or more symptoms appear in combination, you should contact a specialist and pass the appropriate tests. The incubation period of chronic urethritis lasts from 3 days, but sometimes symptoms can also appear after 12 hours after infection.

A complete diagnosis of urethritis to determine the clinical picture of the disease takes place in several stages:

  1. Full examination of the genitals for redness and swelling.
  2. A three-cup urine sample was taken for complete analysis after 3 hours from the last urination. It is necessary to identify signs of infection and inflammation.
  3. Blood sampling for a complete analysis of sexually transmitted infections.
  4. The collection of discharge from the urethra to identify the causative agent of urethritis.
  5. Light microscopy of the native and stained according to Romanovsky-Giemsa and Gram smear, separated from the urethra to determine the type of pathogen.
  6. Determination of smear for sensitivity to the main groups of antibiotics.
  7. Palpation of the prostate in men and the bladder in women after 3 hours from the last urination. These procedures are necessary to exclude inflammation of other organs.

With untimely or incorrect treatment of urethritis, as well as with its complete absence, the body can suppress some pathogens due to immunity, but a small part of them will remain in men - in the prostate gland and seminal vesicles, and in women - in the small glands of the vestibule and in the bartholin glands .

Enough excessive dose of alcohol, hypothermia or sexual contact with an unverified partner - the pathogen will immediately make itself felt in a more acute form.

Its further manifestations may not be limited to inflammation of the urethra, but develop into chronic prostatitis, vesiculitis, and in women - into infertility.

To prevent such problems, you need to contact a specialist in a timely manner and receive reliable and high-quality treatment.

Symptoms and signs of urethritis in men

In order to recognize the disease and in time to seek medical help, you need to know main signs disease:

  • Frequent access to the toilet room.
  • Burning and pain during urination.
  • Redness on the glans penis.
  • Genital itching.
  • A man often experiences pain during intercourse.
  • Sometimes the appearance of bloody discharge in semen or urine.
  • If pus is secreted from the penis, then it acquires a greenish tint.
  • The presence of an unpleasant odor from urine.

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.

Treatment with folk remedies

The use of alternative methods in the treatment of the disease can be used as additional means for a faster recovery.

Wheatgrass

Widely used tincture of wheatgrass roots, has a good anti-inflammatory effect.

  1. To prepare it, take 4 teaspoons of rhizomes and pour a glass of cold water for soaking and leave overnight.
  2. In the morning, drain the water and brew the rhizomes with a glass of boiling water. The drug is drunk during the day, divided into four doses.

Parsley

Parsley is also an effective way to relieve symptoms and cure. To prepare a phytopreparation, they take a spoonful of raw materials and steam them with half a liter of hot water. After a few hours, the infusion is decanted and used in 3 tbsp. l up to 5-6 times a day.

Oak bark

An infusion of oak bark, which is used as lotions, has a good effect in the treatment.

  1. In a glass of boiling water, a tablespoon of bark is brewed and insisted for several hours.
  2. The resulting infusion is applied topically.
  3. The procedure cannot be repeated for more than three consecutive days. For this period, it is also recommended to refrain from sexual contact.

Currant

Decoctions of currant leaves and compotes from its berries can also help to relieve symptoms.

To prepare a decoction in a glass of boiling water brew 1 tbsp. l raw materials and insist for an hour. Broth is drunk during the day.

It is recommended to use cranberries and its juice to relieve the inflammatory process.

Herbal treatment

Herbal preparations, which are used both for infectious and non-infectious urethritis, are good at treating urethritis.

  1. To prepare the broth, take St. John's wort grass, chamomile, black elderberry and blue cornflower, one spoon of each component. The dry mixture is brewed with a glass of boiling water and left to infuse for an hour. The entire infusion is recommended to drink before bedtime.
  2. Linden blossom can also be used in the treatment of urethritis as a diuretic and anti-inflammatory agent. A decoction of linden flowers is able to relieve symptoms of pain. Linden flowers (2 tablespoons) are poured with boiling water (500 ml.) And insisted for half an hour. The entire infusion is consumed before bedtime.

Lingonberry

Cowberry leaves are widely used to treat urethritis. They have a diuretic, antimicrobial and anti-inflammatory effect.

  1. To prepare the broth use 2 tbsp. l dry leaves, which are filled with a glass of boiling water.
  2. The infusion is left for 20 minutes, and then filtered.
  3. It is recommended to use 2 tbsp. l before each meal.

Important! Before using herbal preparations, consult a herbalist.

The course of treatment with herbs can be 25-30 days, then a break of up to 2 weeks is required.

Disease prevention

Since urethritis is mainly transmitted through sexual contact, a man should be extremely careful about casual relationships.

  1. Barrier contraceptives should be used that can protect against infection.
  2. It is also necessary to carry out regular hygiene procedures to avoid getting the infection inside the genitals.
  3. In case of infection, therapeutic therapy should be carried out simultaneously with a regular partner in order to avoid relapse (with infectious urethritis).
  4. To avoid non-infectious urethritis, it is recommended not to allow hypothermia, as well as severe physical exertion. It is recommended to empty the bladder in a timely manner when urged to urinate.
  • It is also necessary to take the diet seriously: avoid excessive consumption of alcohol, salty, spicy and fatty foods.
  • Compliance with simple recommendations will reduce the risk of urethritis.

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.

What types and forms of the disease exist?

Urethritis has various forms and is divided due to inflammatory process in the urinary system.

Candidiasis

The appearance of candidal urethritis is explained by the fact that the urinary canal weakened its immunity, that is, in its walls reduced ability to restrain the effects of pathogenic fungi.

Infection can enter through the following routes:

  • through the skin
  • from the intestines
  • during intercourse, as most often happens.

If the man’s immune system is normal, then the disease will not occur in the urinary tract. However, with the slightest weakening of the immune system, urethritis can occur, both in primary and secondary form.

TO primary disease include that which arose as a result of localization of pathogens in the urethra. At secondary pathogenic fungi come from other organs. These can be the pelvic organs located near the urinary tract, including the prostate gland.

Bacterial

This type of disease is characterized by urethritis, the cause of which were pathogenic bacteriatrapped in the urethra.

According to statistics, representatives of both sexes, both women and men, are susceptible to bacterial species.Conditionally pathogenic bacteria are present in the human body, but they are restrained by the strength of the immune system, but when it weakens, it occurs uncontrolled growth of microorganisms.

Trichomonas

Trichomonas urethritis, unfortunately, is often found in representatives of the stronger sex. Trichomonas pathogens (see photo) are able to be transmitted during sexual intercourse.

This type of microorganism belongs to the subdominium of the simplest class of flagella. They settle in seminal vesicles located next to the prostate gland. After some time, if you do not conduct a course of treatment, it will happen transition of pathogenic microflora to the urethrathat will cause an inflammatory process.

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.

Back view of the disease

Specialists call posterior urethritis an inflammatory process, concentrated in the back of the urethra. In addition to this species, there is also anterior inflammation that affects the anterior urethra.

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),

  • frequent change of sexual partners and having sex with strangers,
  • inflammatory processes occurring in the pelvic area,
  • the presence of stressful situations at work and at home,
  • 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.

    Symptoms and signs of urethritis in men

    In order to recognize the disease and in time to seek medical help, you need to know main signs disease:

    • Frequent access to the toilet room.
    • Burning and pain during urination.
    • Redness on the glans penis.
    • Genital itching.
    • A man often experiences pain during intercourse.
    • Sometimes the appearance of bloody discharge in semen or urine.
    • If pus is secreted from the penis, then it acquires a greenish tint.
    • The presence of an unpleasant odor from urine.

    Diagnostics

    • If a man turned to a urologist with complaints of pain and other signs characteristic of urethritis, the doctor will first suggest take tests.
    • If traces of the infectious nature of the occurrence of the inflammatory process are found in them, then additional consultation with a venereologist may be required.
    • The patient will be offered to undergo the following studies:
    1. a swab from the urethra,
    2. general analysis of urine and blood,
    3. ultrasound examination of the pelvic organs and renal system,
    4. urethroscopy
    5. urine analysis for bacterial culture inoculum.

    If, according to the results of studies, it turns out that many white blood cells are found in the blood, and bacteria are found in the urine, then there is a possibility of urethritis. If the tests show the presence of fungi, then the doctor will notify the patient that he candida urethritis.

    During bacterial urine culture, specialists will find out which antibacterial agent is best to influence this type of pathological process.

    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.

    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.

    How to clean kidneys with folk remedies, read our article.

    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.

    Herbal fees

    • 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:

    Symptoms of Urethritis

    One of the first symptoms of urethritis is painful urination.

    Contacting a specialist is desirable precisely at this stage, since it is likely to prevent the further spread of inflammation.

    If you continue to ignore the discomfort that occurs during urination, the next symptom is purulent discharge. In some cases, inflammation of the external opening of the urethra can be observed.

    • With total urethritis, inflammation of the entire urethra occurs. Symptoms may be similar to those of prostatitis. In the absence of timely treatment of the disease, the symptoms may disappear by themselves after a while. However, complications will follow.
    • Acute urethritis can be determined in the presence of sharp pains and burning sensation when urinating. The lips of the urethra are painted in a bright red color, swelling appears. Strong discharge from the urethra is observed.
    • After the acute form of the disease, subacute can occur. Discharge from the urethra can significantly contract or disappear altogether. Urine with subacute urethritis becomes transparent. Purulent threads may be present.
    • In the absence of timely treatment, urethritis can become chronic. Patients complain of neurotic phenomena. Small discharge from the urethra is possible. Exacerbations of the disease occur with alcohol, sexual arousal, or hypothermia.

    Urethritis is sometimes confused with prostatitis. Difficult and painful urination is characteristic of both diseases. This is why self-diagnosis is unacceptable. Also, do not take any independent actions to treat the disease.

    It is often very difficult for patients who decide to see a specialist to make a choice and decide which doctor is best to go to: a venereologist or a urologist. It is recommended to contact a venereologist for those for whom casual sexual intercourse is not uncommon.If the patient has a regular sexual partner or currently does not have a partner at all, you can first turn to a urologist.

    Types of urethritis

    Urethritis is divided into two groups - non-infectious and infectious. The latter variety can be triggered by two groups of microorganisms: nonspecific (E. coli, staphylococcus, etc.) and specific (provoking sexually transmitted diseases). Let us consider in more detail the main varieties of infectious urethritis.

    Gonorrhea urethritis

    The causative agent of the disease are gonococci, which enter the body during intercourse. In addition, infection can occur through common objects, such as a towel.

    Treatment of gonorrhea urethritis is carried out by a venereologist. Recently, the disease has been treated with cephalosporins, as it has been noted that gonococci have become less susceptible to traditional penicillin.

    After treatment, the patient must be tested for the presence of gonococci in his body. The patient is given the so-called provocation, which is repeated at regular intervals. Gonorrhea urethritis leaves no immunity.

    That is why there is a chance of re-infection.

    This type of urethritis is very rare. The disease can occur as a result of damage to the urethra by yeast. In most cases, the onset of the disease is the result of prolonged antibiotic therapy.

    In addition, candidiasis urethritis can be infected through sexual contact. A variety of the disease can be almost asymptomatic. There may be a whitish discharge from the urethra, itching and burning.

    If the patient takes antibiotics when making the diagnosis, the doctor cancels them and replaces them with antifungal drugs.

    Viral urethritis

    The most common cause of the disease is the urethroconjunctivitis virus. The virus has the ability to multiply in the epithelial cells of the cervix, vagina, urethra and conjunctiva. In this case, inflammation of the corresponding organ occurs.

    Transmission is possible through sexual contact. The course of this type of disease is usually sluggish. Viral urethritis can be accompanied by joint damage. During treatment, some difficulties may appear. Broad-spectrum antibiotics are usually combined with corticosteroid hormones.

    Urethritis in women

    Contrary to the widespread belief that only men suffer from urethritis, the disease can often be found in women.

    However, given the fact that the urethra in the female body is much shorter than the male urethra, inflammation in women can be asymptomatic and painless.

    In this regard, the patient is not able to consult a doctor in a timely manner, which can lead to a chronic form of the disease. It is easiest to independently detect gonococcal urethritis, since it is accompanied by sharp pains and purulent discharge from the urethra.

    If the patient did not contact the specialist on time, she begins cystitis, that is, inflammation of the bladder. The symptoms of both diseases are so similar that urethritis can be mistaken for cystitis, as the main symptom is the frequent urge to urinate. The causes of urethritis in women can be:

    • genital infections
    • hypothermia
    • errors in diet
    • gynecological diseases.
    • Less common causes of urethritis include:
    • Medical intervention. When conducting cystoscopy and catheterization, an insufficiently competent doctor can damage the walls of the urethra or cause infection, which contributes to the development of the disease.
    • Irradiation. This reason is not common.However, radiation sickness can actually lead to cystitis or urethritis.
    • Urolithiasis disease. When crystals and sand formed in the kidneys pass through the urethra, they damage the walls of the urethra. The urethra becomes very vulnerable.

    Urethritis in women, as well as in men, has complications. In addition to cystitis, pyelonephritis becomes one of the main complications. In addition, chronic urethritis in the absence of the necessary treatment can lead to deformation of the urethra, its narrowing. Deformation complicates the process of urination.

    Treatment of urethritis in women involves 3 main stages:

    • At the first stage, it is necessary to remove the inflammation of the urethra itself,
    • At the second stage, the normal microflora of the vagina should be restored, especially if the urethritis was caused by a sexual infection,
    • At the third stage, all necessary measures are taken to restore the immune system. Increased resistance makes the body less susceptible to various kinds of infections.

    Prevention of urethritis in women has its own characteristics:

    • it is necessary to eliminate problems with stool - constipation and diarrhea,
    • a combination of anal and vaginal intercourse, as well as random sexual intercourse, should be avoided
    • a visit to the gynecologist should be regular, regardless of the presence of symptoms.

    Varieties of urethritis, treatment methods in men

    Urethritis in men is divided into infectious and non-infectious. Infectious urethritis can result from the activity of specific microorganisms (gonococci, gardnerella) and non-specific (staphylococci, streptococci, E. coli).

    Other causes of urethritis:

    • allergy,
    • narrowing of the channel,
    • stagnation in the pelvis.

    With non-infectious urethritis, conditionally pathogenic bacteria act in the urination channel; therefore, non-infectious disease quickly transforms into secondary non-specific urethritis with a bacterial nature.

    Nature of infection

    Urethritis can be diagnosed in everyone. Most often, infection occurs during intercourse. The disease proceeds in different ways, some patients do not notice any discomfort, others experience all the complications of urethritis.

    The first symptoms do not appear immediately after infection. It takes time for the pathogens of urethritis to begin to act. Nonspecific bacterial urethritis appears after several hours or even several months. This period is called incubation.

    Types of urethritis

    Most often, doctors divide urethritis into gonorrheal and non-neural. The former arise from the activity of gonococcus, while the latter are represented by infectious and non-infectious forms of urethritis.

    Infectious urethritis is also called bacterial, they are divided into specific and non-specific.

    Depending on the pathogen, they share:

    • trichomonas urethritis (trichomonas),
    • candida (yeast-like fungi of candida),
    • chlamydial (chlamydia).

    A non-infectious form of urethritis develops with a mechanical effect on the urethra during the diagnosis and treatment of diseases of the reproductive system. If allergies become the cause of urethritis, the number of opportunistic microorganisms increases, and the disease transforms into a non-specific infectious form.

    According to the type of clinical picture, acute and chronic urethritis are distinguished. In acute inflammation, discharge, itching and burning appear, sometimes symptoms of intoxication.

    The chronic form of inflammation of the urethra is characterized by mild symptoms, which intensify without treatment. Relapses are inherent in this form.

    Causes of urethritis in men

    After infection with infectious urethritis pathogens, the symptoms do not manifest in full force. We need certain conditions that are required for the activity of harmful microorganisms.

    • single or periodic hypothermia,
    • penis injuries
    • heavy physical exertion,
    • chronic inflammation of any location,
    • urolithiasis (the presence of sand and stones that are excreted through the urethra and injure its walls),
    • unbalanced diet (abuse of spicy, salty, acidic and pickled foods, alcohol, these substances irritate the urogenital canal when they pass through it in a processed form),
    • chaotic sex life, frequent change of sexual partners, excessive sexual activity,
    • lack of water, which provokes a malfunction of urination (when urinating, it flushes bacteria from the bladder mucosa, protecting against inflammation of the urethra, the risk increases with an interval of several hours between urination),
    • surgical procedures in the pelvis.

    When a combination of several factors occurs, urethritis develops faster and remains for a long time.

    How to relieve pain

    The acute inflammatory process that occurs with recurrence of urethritis is accompanied by pain. Severe discomfort appears not only during urination, but also at rest. The development of pain is associated with reactive edema, which can be removed with non-steroidal anti-inflammatory drugs, antispasmodics, antihistamines. To restore the affected tissue of the urethral canal, reduce edema, physiotherapeutic procedures using antibacterial agents are indicated.

    In the presence of an inflammatory process in the urinary tract, elimination of signs of intoxication, improvement of general well-being, it is recommended to drink more pure water, cranberry juice.

    In the event that the doctor has prescribed diuretics or fees, it is necessary to fill the deficiency of potassium with infusions of raisins, dried apricots, prunes.

    Treatment of candida urethritis

    If the acute form of urethritis is accompanied by high fever, severe pain, the patient is hospitalized. Inpatient treatment includes bougienage, instillation, and injection.

    Alternative treatment

    Alternative methods are certainly good for chronic urethritis, but they should be used as adjuvants for therapy.

    In this case, medicinal plants are used that have antibacterial, anti-inflammatory, diuretic, analgesic effects.

    • Cranberry and lingonberry juice is recommended to drink without restrictions.
    • Decoction of chamomile and bearberry flowers: 1/2 teaspoon of dried flowers in a glass of boiled water, insist. Take 200 ml in the morning, afternoon and evening after a meal.
    • Lingonberry leaf broth: 2 tbsp. tablespoons of leaves pour 1 cup boiled water. Take the third part of a glass 2 or 3 times a day after meals.

    Illness during pregnancy

    Any infectious processes that occur in the female body during pregnancy can have a serious effect on the fetus. The degree of risk depends on the type of chronic urethritis and the type of pathogen.

    A disease caused by exposure to chlamydia or ureaplasma is considered dangerous. It is these forms of pathogenic microorganisms that easily penetrate into the amniotic fluid, causing a serious consequence in the form of the development of pathologies. The risk of contracting a baby during his birth is also great.

    When an infant becomes infected, conjunctivitis, pneumonia can occur.

    Less dangerous during pregnancy is considered non-infectious urethritis. In this case, the probability of infection of the fetus is low. In advanced cases, this disease requires antibiotic therapy, since other organs of the genitourinary system may be involved in the inflammatory process. For treatment, drugs from the group of protected penicillins are used.

    If a specific urethritis is detected, the woman is sent to a hospital and antibiotic therapy is carried out with drugs that do not have a toxic effect on the fetus.

    If gonococci are detected, patients are prescribed cephalosporins. Urethritis caused by trichomonads is treated with nitroimidazoles. If chlamydia is detected, pregnant women are shown medications from the penicillin or macrolide group.

    At the same time, topical preparations are prescribed.

    A non-specific form of the disease is treated on an outpatient basis using anti-inflammatory drugs, chamomile decoctions. To relieve the inflammatory process, it is recommended to drink sour fruit drinks, natural juices.

    To reduce discomfort, the external genitalia are treated with solutions with furacilin, chlorhexidine. A course of warm baths with chamomile decoction is also useful. With severe pain, women are prescribed antispasmodics (suppositories with papaverine, no-spa). Acute inflammation of the urinary tract is treated with plant uroseptics (kanefron, phytolysin).

    Recovery phase

    After the completion of the first stage, based on the use of antibacterial drugs, rehabilitation measures are carried out, which include:

    1. Normalization of healthy microflora of the vagina and intestines. The use of antibiotics during the treatment of chronic urethritis becomes the cause of the development of dysbiosis. Imbalance of beneficial bacteria often leads to the appearance of candidiasis, requiring the administration of antifungal medications.
    2. Improving the body's defenses. The use of adaptogens, drugs with an immunomodulatory effect can reduce the susceptibility of patients to various infections that cause the development of inflammatory processes.

    Suppositories for urethritis in men

    To prevent relapse of chronic urethritis, it is important to prevent stool problems: frequent constipation or diarrhea increase the risk of exacerbations of the disease. Sexual acts must be protected. Intimate contacts without condoms can cause re-infection and the development of specific urethritis.

    If the patient identifies chlamydia, trichomoniasis, ureplasm, antibacterial treatment is prescribed to the sexual partner.

    An important condition in the recovery phase is a regular visit to the urologist, gynecologist. Timely examination helps prevent the development of relapses and complications.

    When undergoing treatment, the patient must follow a certain diet aimed at eliminating food that causes increased secretion of the mucous membrane of the urinary canal. During this period, it is important to remove spicy dishes with spices and seasonings from the diet. Alcohol consumption at the main and rehabilitation stages of treatment is contraindicated.

    During and after the course of therapy, patients should avoid hypothermia. Cold temperatures can adversely affect the body and cause exacerbations of chronic urethritis.

    Treatment of inflammatory diseases of the genitourinary tract requires full compliance with the doctor's prescriptions. During the course of therapy, the patient should avoid unprotected sex, carry out daily hygiene procedures.

    If any signs of inflammation of the genitourinary system appear, it is necessary to undergo an examination. Neglected forms of urethritis can cause the development of numerous complications. The lack of timely therapy leads to pyelonephritis, prostatitis, cystitis.

    In turn, these diseases increase the risk of renal failure, problems with potency, infertility.

    Symptoms of genitourinary tract inflammation

    The main symptoms by which urethritis can be recognized in men are: pain or cutting sensations when urinating, burning, discharge from the urethra. With nonspecific bacterial infection, the discharge will be abundant, mucopurulent. Usually they have a blue-green color and an unpleasant odor.

    Lack of discharge is also possible.In this case, the disease is accompanied only by unpleasant sensations during urination.

    In men, the urethra is narrower and longer; they earlier experience manifestations of urethritis. Also in men, the symptoms are usually more acute. In women, the symptoms of the disease are not so pronounced, often the course of urethritis goes unnoticed.

    A characteristic feature of urethritis in men will be the sticking and redness of the edges of the opening of the urination channel. Similar symptoms are often observed in the morning.

    There are cases when urethritis in men does not appear. The patient has no pain and signs of damage to the urethra. The absence of symptoms does not mean that you need to ignore the problem and wait for its self-healing. Urethral inflammation does not go away by itself.

    Despite such an abundance of unpleasant symptoms characteristic of inflammation, there are no cases of urethritis (fever, weakness, headaches).

    Treatment of chronic urethritis in women

    Chronic urethritis in women has its own characteristics, including etiological reasons:

    • Genital infection
    • Microtrauma: birth, during intercourse, with the establishment of spirals,
    • Hormonal changes during menopause.

    Treatment of chronic urethritis in women is carried out in the same way as men - the main therapy is the correct selection of an antibiotic. The duration of therapy depends on the severity of the disease, the etiological cause, the activity of microflora, the sensitivity of the body.

    In addition to the main etiopathogenetic treatment, recommendations are given for observing the correct lifestyle, which prevents the development of exacerbations of chronic urethritis. Correction of the hormonal status of a woman is carried out, rational supportive immune therapy is selected.

    Can chronic urethritis be cured?

    Chronic urethritis can be cured, although this is a rather difficult task. Specialists of the Open Clinic network conduct a complete diagnosis of the urinary system, as often chronic urethritis is accompanied by other pathologies in this area.

    It is necessary to select combination therapy based on many factors. Not the last of which is your interest in treating this problem. Timely contacting a specialist will help to avoid the development of complications, as well as the chronicity of this process.

    Why should you come to us?

    Online Clinic Network:

    • Treatment of chronic urethritis is carried out in accordance with international standards.
    • A complete examination of the genitourinary system is carried out to identify the causes of chronic urethritis.
    • An individual treatment regimen is being developed to effectively cope with the problem.
    • We treat both men and women based on the individual differences between the male and female body.
    • We achieve high and stable results.

    Causes of urethritis

    The disease can be caused by various reasons: with the introduction of infection and without it.

    Urethritis can be classified into 2 subspecies. The division depends on the type of microorganisms that provoke inflammation. Infectious urethritis is caused by specific pathogenic microorganisms. Urethritis is diagnosed as specific and non-specific.

    Risk factors for non-specific infectious urethritis are most often:

    • streptococci - thyroid bacteria,
    • E. coli - introduced from the intestine,
    • staphylococci - spherical bacteria.

    Specific urethritis is caused by bacteria - pathogens that spread during sexual contact:

    • gonorrhea,
    • chlamydia
    • Candida - fungal infection
    • Trichomonas
    • mycoplasma.

    Viral urethritis is caused by viruses of a non-specific disease - herpes.

    The occurrence of infectious urethritis occurs through the hematogenous pathway and after unprotected sexual intercourse.

    Factors causing non-infectious urethritis:

    1. Urolithiasis, during which sand and small stones formed in the kidneys penetrate the urethra. This causes irritation or damage to its mucous membrane.
    2. Injury of the urethra during medical research or the introduction of a foreign object.
    3. Tumors arising in the urethra.
    4. Acute reactions to an allergen.
    5. When the channel for urination narrowed and stagnation of urine occurred in it. This symptom is characteristic of prostatitis or prostate adenoma.
    6. When blood stasis occurs in the venous vessels of the pelvis.

    Sexual contact with an infected person is fraught with the occurrence of an infectious disease such as specific urethritis. In chronic inflammation in the body, an infection with a flow of lymph or blood can reach the urethra.

    The development of urethritis in men is facilitated by many adverse factors. Separately, we can distinguish a decrease in immunity that occurs as a result of vitamin deficiency, under the influence of serious illnesses and malnutrition, in which the body lacks useful substances or does not observe a meal regimen.

    1. Any foci of inflammation in the body affect the inflammatory process: for example, caries, tonsillitis, tonsillitis.
    2. Any diseases associated with the excretory system.
    3. Violation of a healthy lifestyle, abuse of alcohol.
    4. Genital injuries and general hypothermia, stress, constant and sudden, neglect of personal hygiene - all this can trigger a disease.

    There are acute urethritis when the disease lasts no more than two months, and chronic, in which the disease lasts longer.

    The main signs of acute urethritis:

    • itching, burning, pain, or pain when urinating,
    • difficulty urine outflow, acute delay is possible,
    • purulent-mucous discharge from the urethra,
    • adhesion and redness of the lips of the external opening of the urethra in the morning.

    The disease is not accompanied, as a rule, by an increase in temperature, a feeling of weakness.

    It is necessary to seek medical help if symptoms of the disease manifest. It is possible to completely recover and avoid complications if you start treatment on time.

    How to prevent exacerbation of the disease

    During treatment, you should avoid eating food that, when disposed of, irritates the urethra. It includes high-fat dishes made with lots of spices and salt, sour food.

    Be sure to observe a special drinking regime - drink 1.5-2.0 liters of fluid during the day, no less. It is recommended to refrain from sexual intercourse and avoid hypothermia, adhere to hygiene rules.

    If you disrupt the diet and carelessly take medication, the disease will surely turn into a chronic condition, and it will be difficult to cure it.

    In chronic urethritis, inflammation covers the channel through which urine is withdrawn. The patient is constantly experiencing discomfort, itching and burning in the urethra is felt regardless of the process of urination. Discharge from the urethra is observed scanty, mucopurulent, only in the morning, if specifically squeezed. Without pressure, pus and mucus secretion does not flow independently.

    Short periods of improvement in health are replaced by exacerbations: painful frequent (up to 15 times per hour) urination in small doses, purulent threads and blood in the urine are specific. Complications may occur if adequate treatment is not started.

    Alternative medicine can offer its own medicines. Decoctions and infusions of parsley, blackcurrant, blue cornflower and green zelenchuk will help as a complement to antibiotic therapy.

    Do not self-medicate, violate recommendations for sexual activity.

    Because of this, the process of male life is much more complicated.

    Antibiotic treatment of urethritis

    The basis for the treatment of urethritis in men is antibiotic therapy. Based on the test results, the doctor can choose the tools that will help a particular patient.

    Laboratory research data allows you to immediately prescribe adequate treatment and not waste time evaluating the effect of a particular drug. In the case of urethritis, this is extremely important, because without proper treatment, the disease is very complicated.

    Depending on the severity of the urethritis, the course of treatment can be a couple of days or weeks. Often, therapy can be carried out at home without bed rest. Hospitalization with urethritis is needed when a severe purulent complication develops.

    Treatment of different types of urethritis

    1. Bacterial. With minor manifestations of urethritis, doctors prescribe Monural to slow the inflammation. The drug is prescribed for a day, then stronger medications are prescribed. If the patient has chronic urethritis, strong antibiotics are required.
    2. Candidiasis.

    With urethritis caused by fungi, you need to take antifungal agents. Therapy is supplemented with vitamins and immunomodulatory drugs. Allergic. Before prescribing therapy, you need to conduct an examination and find out the cause of inflammation. First you need to exclude all contacts with the allergen.

    If the harmful effects continue, even the most powerful therapy will not eliminate inflammation. The consequence of injury. If a strong influence was exerted on the genitals of a man, sexual contact must first be excluded to enable injuries to heal on their own. When prescribing treatment, the doctor takes into account the causes of urethritis.

    After studying the pathogenic microorganisms that caused inflammation in a particular patient, the doctor can understand the specifics of the disease and choose a drug.

    The best antibiotics for urethritis

    1. Ofloxacin. The components of the drug are able to penetrate the DNA of microorganisms, affect the process of their division. This principle allows you to destroy pathogenic bacteria and fight inflammation in the urethra. Ofloxacin is well absorbed, therefore, it is active only within an hour after administration. It takes 7-10 days of antibiotic treatment.
    2. Doxycycline.

    This is a drug from the tetracycline antibiotic group. It does not allow microbes to multiply, blocking protein synthesis in their cells. Doxycycline is able to fight many types of bacteria, germs and infections. The effect of the drug begins only two hours after administration. Ciprofloxacin.

    The active substances of the drug fight microorganisms by influencing the process of development. This antimicrobial antibiotic has many side effects, therefore it is prescribed with caution. The course of treatment with ciprofloxacin is an average of 10 days.

    In acute and chronic urethritis, doctors prescribe different antibiotics, therefore it is strictly forbidden to engage in self-medication. You can take any drugs only after a thorough examination and clarification of the diagnosis.

    Prevention of inflammation of the urethra

    In the case of urethritis, we can say that this is just the disease that is easier to prevent. You need to carefully choose partners and observe sexual hygiene.

    It is advisable to have a regular partner, and with unplanned contacts use condoms. If you have symptoms of urethritis in your sexual partner, you need to refrain from sex and persuade him to visit a doctor.

    If the patient requires cystoscopy or any other intervention in the urethra, you need to choose an experienced doctor who will carefully carry out the procedure. If the canal is injured during surgery, urethritis may develop.

    When wearing a urinary catheter, you need to constantly change the device and carry out antibiotic therapy.

    Possible complications

    Urethritis is a disease dangerous by its consequences.Many patients are not even aware of the presence of the disease and cannot prevent complications.

    Complications in men:

    • transition to a chronic form,
    • orchitis (inflammation of the entire structure of the testicles and their membrane),
    • vesiculitis (infectious pathology of the seminal vesicles, which is always a complication of another disease of the genitourinary system),
    • prostatitis (inflammatory focus in the prostate gland),
    • balanitis, balanoposthitis (inflammation of the head of the penis and foreskin),
    • urethral stricture (narrowing of the urethra).

    Complications in women:

    • imbalance of the vaginal microflora,
    • cystitis,
    • inflammatory pathologies of the genitourinary system.

    The body can deal with inflammation and bacterial activity. However, this pathology is quite complex, and immunity can not always get rid of pathogens.

    Repeated urethritis rarely covers only the urethra. Bacteria provoke prostatitis, vesiculitis and epididymitis. These diseases, without proper treatment, can lead to infertility.

    Watch the video: Mayo Clinic Minute: Treating Urinary Tract Infections (February 2020).

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