Urethritis in men - causes, symptoms, diagnosis, methods of treatment and prevention. Treatment of urethritis in men: drugs Cure for urethritis in men

- Inflammatory disease of the urethra. The cause may be venereal disease, bacterial, viral or fungal infection. Often, malaise occurs due to mechanical damage to the urethra, taking medications, and an allergic reaction.

At first, the disease manifests itself in an acute form, this can happen a few days after infection.

The patient experiences pain and burning during urination, purulent, clear or whitish discharge is possible, most often they appear in the morning.

With constant irritation, the skin itches and swells, causing constant discomfort.

If you do not treat urethritis with drugs, the disease becomes chronic.

The discharge may stop, but cloudy fragments in the form of drops or threads are observed in the urine.

The urethra sticks together, causing a lot of discomfort.

The patient experiences almost no pain, but the itching intensifies, sometimes becoming unbearable. When scratching, sores appear on the head of the penis, the skin swells and turns red.

You can’t start the disease, it doesn’t go away on its own.

An infection of the urethra can provoke a narrowing of the urethra, contribute to the occurrence of orchitis, epidermitis. The most serious complication is male infertility.

Before proceeding with the treatment of urethritis, it is necessary to accurately determine the nature of the disease. The patient takes tests, at the same time the doctor conducts a general examination, examines the scrotum, urethra and prostate.

If a venereal infection becomes the culprit of the problem, you need to contact venereologist. deals with other variants of the disease urologist. He prescribes a set of funds. Usually, when choosing how to treat urethritis in men, drugs are chosen as follows:

antibacterial;
anti-inflammatory;
painkillers and sedatives;
regenerating.

Medicines for urethritis in men should remove the infection and repair the affected walls of the urethra. Usually patients receive tablets and capsules, they can be supplemented with creams and ointments for urethritis in men.

As maintenance therapy medicinal herbs are used, from which they prepare strengthening, tonic, soothing decoctions and infusions, which are taken orally or used for compresses and baths.

Let's figure out how to cure urethritis without antibiotics and when you can't do without them.

When is it necessary to use antibiotics?

In inflammatory processes, the main drugs that treat urethritis are antibiotics.

When urethritis is diagnosed, the drugs for treatment and the course of their use are determined by the doctor and depending on the symptoms and stage of the disease.

In acute urethritis, 5-6 days of admission are sufficient; in the chronic form of the disease, treatment is continued for up to 10 days.

Antibiotic drugs for urethritis in men are used for a disease of a bacterial nature, with a viral nature of the disease they will not help. The most commonly used drugs are penicillin, tetracycline, fluoroquinolone group.

Antimicrobial agents can be added to this drug in the form of solutions with which the urethra is washed. Such therapy gives excellent results and promotes the fastest possible healing.

Treatment with antibiotics must be supplemented with immunomodulators and vitamin complexes..

Such drugs for urethritis in men compensate for side effects, eliminate indigestion, headache, dizziness and other unpleasant symptoms.

Treatment of urethritis in men: antibacterial drugs

Antibacterial therapy - a mandatory component of the treatment of urethritis. Preparations are used in the form of gels, aqueous solutions, tablets. The course is offered by a doctor, most of the drugs are well tolerated and have no contraindications.

Hexicon with urethritis. Antimicrobial agent containing chlorhexidine bigluconate. Available in the form of an aqueous solution suitable for baths, compresses and washings. There is also a water-based gel suitable for rubbing into affected skin and mini-compresses.

It has no contraindications, is easily tolerated by the patient and acts on an infection of any nature: bacterial, fungal, viral. It can be used as a maintenance agent, it goes well with oral drugs (antibiotics, immunomodulators).

Chlorhexidine with urethritis in men.

A popular antimicrobial drug in the form of a colorless aqueous solution.

Suitable for washing and baths, accelerates healing, destroys pathogenic bacteria.

There are no restrictions on the use of the drug in the treatment of urethritis in men, no side effects were noted.

Miramistin with urethritis in men.

Aqueous solution for local use. It suppresses the growth of pathogenic microflora, promotes tissue regeneration, and is well combined with antibiotics.

It is used for the treatment and prevention of candidal urethritis.

Treatment of urethritis in men with a medicine lasts 7-10 days, the urethra is washed 2 times a day. After a week break, the course can be repeated.

Rectal suppositories: local impact on the problem

In the treatment of urethritis, not only solutions and tablets for urethritis in men are used, but also external agents. Most often, these are drugs for the treatment of urethritis in men, such as creams and ointments, but rectal suppositories also give a good effect. They act locally, without causing irritation of the digestive tract.

This option of drug treatment of urethritis is suitable for men who have chronic diseases and who do not tolerate oral medications well. Contraindications for use will be malignant tumors of the anorectal region and individual intolerance to the drug.

Used for acute urethritis candles with belladonna extract, lidocaine or benzocaine.

Terzhinan with urethritis.

Vaginal suppositories for urethritis, but for men used rectally.

Help with the treatment of candidal forms of the disease.

No contraindications were noted, the treatment lasts up to 10 days, without causing addiction.

Immunostimulants and their role in therapy

Immunomodulators for urethritis are drugs that support the immune system and speed up the healing process. The task of immunostimulants in urethritis is to increase the body's resistance and minimize the side effects of potent drugs.

Homeopathy: does it help?

What else to drink with urethritis, which will help complement the effect of the treatment?

Homeopathy and phytotherapy - excellent addition to the main treatment course.

With a diagnosis of urethritis, medicines cannot cure it by themselves, but homeopathy is indispensable as a maintenance therapy. Herbal remedies have a diuretic, restorative, analgesic, anti-inflammatory effect, they soothe, relieve burning and itching.

Most patients tolerate drugs of this group perfectly, they especially recommended for immunocompromised patients who do not tolerate more aggressive drugs for urethritis in men.

Phytolysin with urethritis. The drug of plant origin, has antispasmodic, antimicrobial, analgesic, sedative effect. This medicine for the treatment of urethritis in men is available as an oral paste. The composition includes a complex of essential oils (pine, sage, mint, orange, as well as herbal extracts: lovage root, parsley, fenugreek seeds, hernia, goldenrod, birch leaves, mountaineer, wheatgrass, onion peel. The drug is not addictive, can be used for a long time.

cystone with urethritis - tablets for treatment with a completely natural composition. Includes 14 herbal ingredients: extracts of vernia, membranous rash, multi-leaved osma, reed saxifrage, strawflower, etc. The drug has anti-inflammatory, diuretic, antibacterial effects, can be used for treatment and prevention. It fits well into any therapeutic regimen, combined with antibiotics.

Kanefron with urethritis. A popular antibacterial agent used for urethritis of various nature. Produced in the form of coated tablets, it has a diuretic, analgesic, disinfecting effect. It has a completely natural composition: extracts of centaury, rosemary, lovage. No contraindications were found, the drug can be taken for 2-3 weeks, after a week's break, the course should be resumed.

Useful video

Read more about the treatment of urethritis in men with antibiotics in the video below:

With urethritis treatment with drugs - a painstaking process that requires the patient to discipline and trust the attending physician. The prescribed course must not be interrupted, otherwise the disease will recur. In case of a negative reaction to a particular drug, the urologist will select the appropriate equivalent, calculate the correct course. He will advise the necessary additions and correction of lifestyle.

Urethritis in men is an inflammation of the mucous membrane of the urethra, or urethra. The male urethra is different from the female - it is several times longer and has an S-shaped bend, which is the reason for significant differences in the course of urethritis in men and women.

Urethritis often affects young men.

Urethritis in men is an inflammatory infection of the urethra.

Causes of urethritis in men and risk factors

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

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

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

Predisposing factors for inflammation of the urethra are:

unprotected sexual contact with carriers of the infection;
non-compliance with the rules of personal hygiene;
injury to the urethra (including during medical procedures);
congestion in the pelvic organs;
metabolic disorders;
irrational nutrition;
Irritation of the urethra by chemicals found in body care products, spermicides, condoms, etc.

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

Forms of the disease

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

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

bacterial (caused by conditionally pathogenic microflora);
chlamydial;
trichomonas;
mycotic (candidiasis, fungal);
viral;
tuberculosis;
ureaplasmic;
mycoplasma;
gardnerella;
mixed.

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

allergic;
traumatic;
stagnant (congestive).

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

Depending on the localization of the pathological process:

anterior urethritis - in the anterior urethra, i.e., located closer to the outlet on the glans penis;
posterior - in the posterior urethra, i.e., it is located closer to the bladder.

Stages of the disease

Fresh (acute) urethritis occurs in three stages:

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

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

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

Exacerbation (symptoms are pronounced).
Remission (asymptomatic, but the inflammatory process is not resolved, it continues in an implicit form).
Unstable remission (poor clinical manifestations).

Symptoms of urethritis in men

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

Symptoms of urethritis in men are cramps, burning and itching when urinating, redness and sticking of the external opening of the urethra due to secretions that may be mucous or purulent in nature, as well as swelling of the glans penis. The nature of the discharge depends on the pathogen: gonorrheal urethritis usually occurs with a large amount of purulent or purulent-mucous discharge, candidal urethritis is characterized by whitish mucous discharge, in other forms of urethritis the discharge is more meager, in some cases it may be absent altogether (for example , with inflammation of the urethra of a viral nature). Urination is speeded up, pain during ejaculation is often noted, traces of blood are sometimes found in the urine and ejaculate. In the case of an acute course of the disease, the general condition also suffers, weakness, fatigue, aching joints and muscles appear, and body temperature rises.

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

Diagnostics

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

bacterioscopic examination of a smear of the contents of the urethra, stained by Gram;
bacteriological culture of urogenital secretions;
polymerase chain reaction;
direct immunofluorescence method, etc.

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

Treatment of urethritis in men

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

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

Regardless of what the results of the analyzes of the sexual partners of a patient suffering from infectious urethritis were, they are also indicated for antibiotic therapy.

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

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

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

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

In order to strengthen the immune system, vitamin preparations and immunomodulatory agents of plant origin are prescribed (preparations based on echinacea, magnolia vine, ginseng, eleutherococcus senticosus, etc.).

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

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

Reiter's syndrome, which is manifested by a combined lesion of the joints, organs of the urinary system and conjunctiva.

Forecast

With timely diagnosis and adequate treatment of urethritis in men, the prognosis is favorable. With the transition of the pathology into a chronic form, as well as with the appearance of complications, the prognosis for recovery decreases.

Prevention

Timely and adequate treatment of infectious diseases.
A timely visit to the doctor at the first signs indicating a possible inflammation of the organs of the genitourinary system.
Use of barrier methods of contraception in all cases of doubt.
Compliance with the rules of personal hygiene.
Rejection of bad habits.
Strengthening the body: a balanced rational diet, avoiding hypothermia, regular, but not excessive physical activity, etc.

Video from YouTube on the topic of the article:

The development of urethritis is due to a number of factors, the most common causes are hypothermia, trauma to the genital organs, frequent sexual intercourse with new partners, improper diet, insufficient water intake, stressful situations, diseases of the urinary system.

If such a disease is detected in men, the treatment of urethritis with drugs and other effective means should be started immediately.

Methods of treatment

If you experience discomfort at the time of urination, with redness of the genital organs, the appearance of various secretions, you should undergo an examination.

In addition to the analysis of urine and blood, a smear from the urethra should be taken, which will help to correctly establish the diagnosis. After diagnosis, you can start treatment with drugs, folk remedies, or use complex treatment.

To cure urethritis, you should:

Get rid of the causes of the development of the disease. The results of the tests will show the presence of the pathogen, to get rid of the infection, the doctor will prescribe certain drugs.
Strengthen immunity. So that the patient's body can independently cope with harmful bacteria.
Resume the normal functioning of the walls of the urethra. Such measures are taken in the advanced form of the disease.

How to treat urethritis in men? Medicines are chosen in accordance with the type of disease, the course of the disease.

While taking medication, the patient should not eat spicy and salty foods, completely exclude alcoholic beverages.

After the symptoms of urethritis have passed, it is impossible to stop treatment, you need to complete the course of therapy to the end, otherwise incomplete treatment can provoke the transition of the disease into a chronic form.

Drugs used to treat urethritis in men:

antibiotics;
probiotics;
drugs with a diuretic effect;

immunomodulators;
drugs of the antihistamine group;
vitamins.

During treatment, you should refrain from sexual intercourse, or use barrier-type contraceptive methods.

Antibiotic treatment

The first step in the treatment of urethritis is antibiotic therapy. The choice of drug depends on the type of disease and its causative agent.

With chlamydia-type urethritis and gonorrhea, the patient is prescribed the following medications:

Erythromycin;
Tetracycline;

Gentamicin;

In severe cases of the disease, the doctor may prescribe several drugs at once. It is impossible to prescribe antibiotics on your own, as well as change the dosage established by a specialist.

It is important to complete the full course of treatment with antibacterial agents. In combination with drugs of the antibacterial group, the patient is prescribed antimicrobial agents (Seknidazole, Metronidazole).

It is important to know that antibiotics are powerless with viral urethritis, in which case antiviral drugs are used.

This is a new generation antibacterial drug, is the most effective remedy for today. It is often used for purulent urethritis.

The release form of the drug is a white powder, which is diluted with lidocaine and water for injection, administered intramuscularly. The daily dose is 1 g, for one injection you need 2 g of lidocaine and water.

The medicine is administered once a day, the course of treatment lasting 10 days.

This medicine for urethritis is a worthy alternative to the previous drug, it can be used if for some reason treatment with Ceftriaxone is not possible.

The substance can be administered in combination with other drugs if the disease is severe or there are concomitant diseases. The drug gives a good effect when taken in combination with Gentamicin.

Available in the form of the following drugs:

Azitrox;
Ecomed;
Hemomycin;
Azicide;
Sumamed.

The drug is well tolerated, effective in the treatment of chlamydial urethritis.

Preparations in tablets

Treatment with antibacterial agents can cause candidal urethritis. To avoid such consequences, patients are prescribed antifungal drugs in the form of tablets:

Nystatin;
Pimafucin;
Levorin;
Fluconazole;
Flucostat.

In order to avoid an allergic reaction of the body to the drugs used, the patient is prescribed antiallergic drugs:

Suprastin;
Tavegil.

The use of antihistamines is relevant for allergic urethritis.

A practicing urologist-andrologist will tell about allergic reactions that cause burning and itching in the urethra in men in this video.

Probiotics

After treatment with antibacterial agents, it is imperative to take probiotics. They contribute to the normalization of microflora.

Most often prescribed:

Acipol;
Linex;
Bifidumbacterin.

In addition to probiotics, it is worth eating yogurt as often as possible, they also contribute to the restoration of microflora.

Immunomodulators and vitamins

To restore the normal functioning of the body and increase resistance to diseases, immunomodulators are taken.

The most effective is Polyoxidonium, it is used in the process of taking antibacterial agents and after undergoing a course of treatment. Vitamin therapy involves taking Duovit, Gepon or Ribomunil.

Kanefron - herbal medicine

One of the additional methods of treatment is taking Canephron. It has a diuretic and antimicrobial effect, removes inflammation and significantly reduces pain.
The substances contained in the preparation contribute to the normalization of kidney function. Taking the drug together with antibiotics, their effect is enhanced.

This drug is also used to treat prostatitis - watch the video below and find out the details.

This drug has contraindications, it is not used in patients who have intolerance to the individual components of the drug.

homeopathic remedies

In the chronic form of urethritis, patients often resort to homeopathy. How to treat urethritis in men with homeopathic remedies?
Experts in this field are sure that such treatment is not inferior in effectiveness to antibiotics.

However, during treatment, an exacerbation of urethritis is possible, after which a complete recovery occurs.

Preparations used in homeopathic therapy:

People who have been treated in this way claim the effectiveness of such treatment. But you can not use these drugs on your own, you should always consult with your doctor.

Antiseptics

To get rid of pathogenic microorganisms, Hydrocortisone and Methyl blue (0.02%) are prescribed. The first drug for the greatest effectiveness is administered directly into the bladder.

Ointments

With viral urethritis, ointments are used to get rid of pathogens. The most effective is Acyclovir ointment, which helps to relieve inflammation of the urethra.
The dermatovenereologist tells about the use of this drug and its features in this video:

Folk methods of treatment

With this disease, you can supplement drug therapy with folk remedies. Medicines prepared on a plant basis should have an antimicrobial and anti-inflammatory effect. With urethritis, you need to drink as much as possible, so medicines from natural ingredients are prepared in the form of decoctions, juices and infusions.

Cranberry

Cranberries help relieve inflammation and have an anti-inflammatory effect. It is better to use fresh cranberries, drink freshly squeezed juice daily throughout the course of treatment.

Black currant

The leaves and berries of this plant help to quickly relieve inflammation. It is better to use fresh leaves for making tea, but you can also use dried leaves. Linden is added to the decoction and drunk before going to bed.

Milk with parsley

A drink with a powerful diuretic and antibacterial effect can be prepared from milk and parsley. To do this, you need fresh parsley leaves (80g), they need to be finely chopped, pour milk and simmer in the oven for one hour. The medicine is drunk every hour for 1 tbsp.

Decoctions, baths and lotions

A decoction of cranberries, chamomile, St. John's wort and black elderberry is good for urethritis. All of the above herbs must be taken in equal proportions, for example, 2 tbsp. The resulting mixture pour 500 ml. boiling water and insist for 7 hours.

The resulting medicine should be taken daily, for three months, drink 5 times a day.

In the same way, a decoction of cumin, sage, couch grass, horsetail and St. John's wort is prepared.

When getting rid of urethritis with medications, treatment with baths and lotions can be carried out in parallel. The use of hemp milk for douching gives a well-defined effect. Before starting the procedures, hemp milk must be diluted with water.

After completing the full course of treatment, it is necessary to prevent the transition of the disease to the chronic stage. To do this, you can use decoctions that help strengthen immunity.

To prepare a decoction, you need to take in equal parts bearberry (leaves), birch buds (preferably young), corn stigmas, flowers and home violet roots.

Pour all the ingredients (1 tablespoon each) with one liter of warm boiled water, leave for a quarter of an hour. The whole broth should be drunk during the day in three approaches.

Prevention

In order for such a disease as urethritis to bypass you, you need to follow simple rules. It is worth leading a healthy lifestyle, avoiding hypothermia and stressful situations, and not overloading yourself with excessive physical exertion.

It is worth regularly performing simple physical exercises that stabilize blood circulation in the pelvic area.

Men who care about their health and plan to have children should eat well. The diet should consist of fruits, vegetables, lean meats, cereals. A huge impact on the functioning of the genitourinary system is exerted by alcohol and smoking, which should be abandoned.

To prevent the development of inflammatory processes, you should:

to have sexual contact with a new partner only with a condom;
drink at least two liters of water daily;

adhere to basic hygiene rules;
refuse products that can injure the mucous membrane.

At the first signs of the disease, you should immediately consult a doctor, otherwise running urethritis can cause complications and become chronic.

You will learn more recipes for the treatment of urethritis by watching this video.

Content

Men of different ages who are faced with urethritis often turn to a urologist. This disease is manifested by severe symptoms in the form of pain and burning during urination, which brings discomfort. If left untreated, the acute form of the disease can turn into a chronic one, which will give serious complications to the male genitourinary system. Familiarize yourself with the types and principles of treatment of urethritis.

What is urethritis in men

Inflammation of the urethra in men is called urethritis. Under the urethra understand the urinary canal in the form of a thin hollow tube with a bend, the length of which is 16-24 cm, and the width is up to 8 mm. Pathogenic microbes, viruses or fungi are able to settle in the walls of this duct and cause an inflammatory process on its mucous membrane. Pathology is more common in men who have an active sex life, neglecting barrier contraceptives.

Due to the special structure of the male urethra, the pathogenic microflora multiplies rapidly. This leads to swelling of the mucous membrane, retention of urine outflow, and complications are acute pain, intoxication. Urethritis is manifested by severe pain, accompanied by the spread of infection up the genitourinary organs in the absence of treatment.

Causes of urethritis

A specific inflammatory process in the urethra is caused by genital infections. It affects young men who often change sexual partners or who have sex without using a condom. The main causative agents of specific urethritis are trichomonads, Candida fungi, mycoplasmas, gonococci, chlamydia. Other causes of the disease:

severe hypothermia - leads to acute inflammation, exacerbates chronic pathology;
urolithiasis - injury to the mucous membrane of the urethra when moving sand or stones;
catheterization, cystoscopy - diagnostic and therapeutic procedures that can cause complications;
allergic reactions - inflammation against the background of the penetration of foreign agents into the body;
cystitis, prostatitis, pyelonephritis - inflammatory diseases of the genitourinary system of men;
chronic foci of infection in the body;
congestion in the pelvic organs;
Neglect of personal hygiene;
weakening of the immune system against the background of stress, psycho-emotional stress, malnutrition, beriberi or hypovitaminosis, bad habits.

Nonspecific urethritis is caused by microbes: E. coli, staphylococcus aureus, streptococcus. The disease takes a chronic form as a result of:

weakness of the immune system;
spread of pathology to other organs;
incorrect or incompletely completed treatment of acute urethritis.

Species

There are several types of classification of the disease, depending on various factors. Known Species:

According to the infectious agent - specific and nonspecific urethritis in men. The first type is caused by bacterial (including gonorrheal), viral, fungal pathogens. Nonspecific urethritis is a purulent inflammation, the development of which is promoted by staphylococci, streptococci, E. coli. The disease develops against the background of a cold, problems with the gastrointestinal tract. Mixed urethritis can cause tubercle bacillus.
According to the course of the disease - chronic and acute urethritis in men. The latter is characterized by severe pain, severe itching and burning. The chronic process starts with improper treatment or its absence, its symptoms are not pronounced, but it is more dangerous.
According to the features of the flow - primary and secondary urethritis. The primary one is formed in the urethra, while the secondary infectious agent enters the urethra from another inflammatory focus.
According to the localization of inflammation on the wall of the urethra - total, anterior, posterior.

Symptoms of urethritis in men

Signs of urethritis in men differ depending on the nature of the inflammation. In the chronic type of the disease, the swelling of the urethra disappears, the discharge becomes smaller in volume. In the absence of therapy, bacterial strains will penetrate into the prostate gland and seminal vesicles, leading to the development of prostatitis, epididymitis, vesiculitis and other complications. The acute course is characterized by symptoms:

profuse purulent discharge from the urethra of a yellow-green color;
subfebrile condition - a persistent increase in body temperature;
increased urge to urinate;
swelling of the urethra;
itching, burning, sharp pain;
bleeding at the end of urination.

Diagnostics

Suspecting signs of urethritis, a man should contact a urologist for advice and analysis. The doctor takes into account complaints, examines the genitals, studies the causes of the disease. In laboratory diagnostics, bacterial culture is carried out from the urogenital tract. This helps to identify the type of microbe causing the disease. Using the PCR method (polymerase chain reaction), the pathogen is quickly and accurately determined from a urological smear.

A man takes a urine and blood test to determine the level of damage to the urinary tract, rheumatic tests are taken. Microscopy of a smear from the urethra is performed to study the material at the cellular level. Of the instrumental methods, ureteroscopy is used, which is performed after the weakening of the acute process to examine the walls of the urethra. It is possible to conduct ultrasound diagnostics to visualize the bladder, prostate, kidneys. In a chronic process, urethrography is performed - an x-ray study of the urethra after the introduction of a radiopaque substance into it.

Treatment of urethritis in men

Most cases of diseases are successfully treated at home, but for some therapeutic procedures, a man will have to visit the hospital. Only severe forms of the disease require hospitalization of the patient. Principles of treatment of urethritis:

refusal of sexual activity during therapy;
maintaining water balance, drinking plenty of water;
refusal of alcohol;
antibiotic therapy;
means of immunotherapy;
local treatment after the acute process subsides (instillation (introduction) of drugs into the urethra itself, the use of ointments);
nutrition correction: rejection of fatty, fried, spicy, smoked, pickled, salty foods, carbonated drinks;
hypothermia, stress should be avoided.

Medical therapy

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

With nonspecific urethritis - Doxycycline, Erythromycin, Clarithromycin, Tetracycline, Ceftriaxone, fluoroquinolones, sulfonamides.
With specific inflammation of the urethra - Spiramycin, Oletetrin, Doxycycline, Cefodizim, Cefotaxime, Cefoxitin, Rifampicin, Spectinomycin.
With gonorrhea - Miramistin, Natamycin, Nitazol, Chlorhexidine, Tinidazole, Cidipol, Metronidazole, Furazolidone, Cefaclor, Fuzidin, Spiramycin.
With candidal urethritis - Amphotericin, Levorin, Clotrimazole, Nystatin.
With chlamydia - fluoroquinolones, Doxycycline, Levomycetin, Azithromycin.
With trichomonas form - Metronidazole, Nitazol, Trichomonacid. The last drug is administered by insertion into the urethra. A 1% solution is used. The procedure is carried out every day in a course of 5-6 days.
With mycoplasmosis - Tetracycline.
With the herpesvirus form of the disease - Penciclovir, Acyclovir, Ganciclovir, Ribavirin.

Chronic gonorrheal urethritis requires the introduction of an antibiotic solution into the urethra. Therapy is supplemented by taking drugs based on adrenal hormones (Prednisolone, Dexamethasone). Therapy can be supplemented by washing the urethra with antiseptics, prescribing immunostimulants (Timalin, Mielopid), multivitamins (emphasis on vitamins A and E). Physiotherapy is applied outside the stage of exacerbation - magnetotherapy, electrophoresis, laser exposure, treatment with ultrahigh-frequency pulses are carried out.

ethnoscience

To maintain immunity, fight the inflammatory process, mitigate the acute signs of urethritis, you can use some methods of traditional medicine. They can be used after consultation with the doctor. The most popular of them:

You need to chop fresh parsley leaves, pour a tablespoon of raw materials with 500 ml of boiling water, leave for several hours under the lid, filter. In case of exacerbation, it is required to take a mixture of 50 ml every two hours.
In a glass of boiling water, you need to take a teaspoon of crushed yellow Zelenchuk (it has antiseptic and antimicrobial properties). It will take 15-20 minutes to insist the mixture, then it is drunk warm instead of tea during the day. As a substitute for Zelenchuk, currant leaves are well suited.
Decoction of oak bark. Used for purulent discharge, swelling, itching. It has an astringent and antiseptic effect. A tablespoon of raw materials should be brewed with a glass of boiling water, leave for half an hour, strain. The tool is used to wash the urethra.
Cornflower infusion will restore the balance of microflora, destroy pathogenic microorganisms. It is necessary to brew a tablespoon of flowers with a glass of boiling water, leave for an hour, strain. Take the mixture should be 50 ml before each meal.

Complication of male urethritis

If the disease is not treated or treated insufficiently, this can lead to the further development of the inflammatory process. From the focus of chronic infection, pathogens will enter other organs and tissues, causing:

pyeloferitis (inflammation of the kidneys);
cystitis (inflammation of the bladder);
orchitis (inflammatory process in the testicles);
prostatitis;
balanoposthitis (inflammation of the head and foreskin of the penis).

Inflammation of the prostate gland (prostatitis) can lead to diseases of the reproductive system, lead to sexual dysfunction and infertility. If you do not treat gonococcal urethritis, accompanied by congestion in the urethra, it will end with a complex lesion of the joints, organs of the urinary system, and irreversible damage to the urethra.

Prevention

To minimize the risk of urethritis, men need to follow certain rules. Prevention measures:

avoid injury to the penis;
maintain water balance;
avoid frequent change of sexual partners, promiscuity;
timely treat any infectious and inflammatory diseases;
avoid hypothermia;
observe personal hygiene;
use barrier methods of contraception;
do not tolerate the urge to urinate, empty the bladder on time;
increase immunity, play sports, temper;
avoid stress, overexertion;
give up alcohol, smoking;
stick to proper nutrition.

Video

Did you find an error in the text?
Select it, press Ctrl + Enter and we'll fix it!

The problem of urethritis often worries the representatives of the stronger sex. This disease is an inflammatory process that occurs in the urethra. It is important to start treatment of urethritis in men in a timely manner, since the inflammatory process can spread to the bladder, prostate and testicles.

Reasons for the development of urethritis and its varieties

Urethritis can be classified according to various criteria. If we consider the nature of the course of the disease, then the following groups are distinguished:

Primary. The inflammatory process is localized in the urethra. Infection occurs during sexual contact with the carrier of the infection.
Secondary. The infection enters the urethra from neighboring organs. This may be the prostate gland, bladder or seminal vesicles.

The main causes of inflammation are the activity of pathogenic microflora. Based on this characteristic, the following types of the disease can be distinguished:

Viral. This form is provoked by viruses entering the urethra.
Bacterial. Associated with the vital activity of staphylococci, Pseudomonas aeruginosa, streptococci, enterococci and other bacteria.
Mixed. It is activated under the influence of a mixed type infection.

Based on the type and characteristics of microorganisms that provoke urethritis, the following types of the disease can be distinguished:

Gonorrheal. Called gonococcus.
Mycoplasma. The development of urethritis is associated with the vital activity of mycoplasmas.
Grandiose. Provoked by gardnells.
Ureaplasmic. Called by ureaplasmas.
Chlamydial. This type of disease is provoked by chlamydia.
Trichomonas. Provoked by the vital activity of Trichomonas.
Candidiasis. Associated with Candida infection.

Infection occurs during sexual contact with an infected partner. Sometimes urethritis can be triggered by trauma to the urethra. This happens during an accident or improperly performed medical procedures, such as catheterization, dilution or ureteroscopy.

Depending on the characteristics of the course of the disease, two of its main forms are distinguished:

Sharp. It is manifested by bright symptoms, which are detected after infection. The incubation period can be up to several weeks.
Chronic. It becomes the result of untimely or incorrect treatment of the acute stage. With this form of urethritis in men, treatment can be lengthy and difficult.

Who is at risk?

Not a single man is immune from urethritis. The incubation period of the disease can range from several hours to several weeks. Experts note several factors that can increase the likelihood of developing the disease:

Prolonged stay in a stressful situation.
Hypothermia of the body.
Failure to comply with the rules of intimate hygiene.
Excessive consumption of alcoholic beverages.
Prolonged fasting or malnutrition.
Vitamin deficiency.
The presence of chronic diseases.

In the presence of such factors, it is necessary to carefully monitor health. Strictly follow all the rules for the prevention of the disease.

Try to avoid sexual contact with unverified partners. Always use contraception.

What are the symptoms?

The symptoms of urethritis in men can vary somewhat depending on which microorganism is causing the problem. There are a number of common features:

Increased urge to urinate.
Swelling in the urethra.
Itching and burning in the genitals.
Urination may be accompanied by the release of a small amount of blood.
Excruciating attacks of sharp pain in the urethra.

If urethritis is associated with a gonorrheal infection, then it may be accompanied by purulent discharge from the urethra. In this case, the urine will be cloudy due to the presence of pus. The semen may contain blood.

Signs of urethritis in men of the viral type are usually mild. This is due to the slow progress of the disease. In some cases, there is the development of conjunctivitis and inflammation of the joints.

A distinctive feature of the trichomonas form of the disease is the incessant severe itching in the region of the glans penis. It worsens during urination. A light secret is separated.

With ureaplasma urethritis, there is a strong burning sensation and itching of the genital organs. A white or greenish discharge appears. Discomfort increases several times with the use of alcoholic beverages.

Chlamedic urethritis is accompanied by severe cutting and burning during urination. There are scanty discharges. Often this form of the disease occurs without severe symptoms, so it quickly flows into the chronic stage.

How to diagnose a disease?

Inflammation of the urethra in men can cause serious health consequences. Therefore, when the first signs of a problem appear, you should immediately consult a doctor. Only a specialist can make an accurate diagnosis. The following methods are used for confirmation:

A urogenital smear is taken, which is then sent to the laboratory for examination. This can be bacteriological culture or PCR.
General urine analysis. This analysis helps to determine the degree of damage to the urinary tract.
Blood test for inflammation.
Urethroscopy - examination of the urethra using a special probe. It can be carried out only after acute urethritis in men has receded.
Ultrasound procedure. Allows you to study pathological changes in the bladder, prostate and other nearby organs.
Urethrography is an X-ray examination of the urethra. To obtain a clearer picture, a contrast agent is injected into the patient's blood. Such an examination can be carried out only if there is a suspicion of chronic urethritis.

Only after conducting a full medical examination, the doctor can draw a conclusion about the nature of the disease and its severity. After the pathogen is identified, it is possible to proceed to the development of a specific treatment method.

Medical treatment

After it became clear what urethritis is in men, you should understand the methods of its treatment. Therapy is carried out with the mandatory use of medications. This is the only way to stop the development of inflammation and cope with the pathogen. The following groups of medicines are used:

Antibiotics. With their help, it is possible to defeat microorganisms that cause the inflammatory process.
Probiotics. Not only pathogenic microflora suffers from antibiotic treatment, but also bacteria necessary for human health. Taking probiotics will help restore the natural balance.
Antiviral drugs. Their use is necessary in the treatment of urethritis associated with the entry of viruses into the male body.
Diuretic drugs. Helps restore normal urine flow.
Immunomodulators. The immune system of the body is severely affected by the disease. It is possible to restore it with the help of specialized preparations, as well as vitamin and mineral complexes.

It is impossible to stop the course of treatment arbitrarily prescribed by a doctor. Even if the obvious symptoms of the disease have disappeared, this does not mean a complete cure. Untreated urethritis passes into the chronic stage. Strictly adhere to the recommended dosages. Carefully study the instructions for the medication before starting therapy.

The most effective antibiotics

Antibiotics are selected based on the causative agent of the disease. In some cases, pathogenic microflora can be resistant to the effects of drugs. This can be found out with the help of a special analysis. But sometimes it is impossible to wait for results, as precious time for treatment will be lost. In such a situation, experts recommend the use of broad-spectrum antibiotics. These include Ceftriaxone, Azithromycin and others.

There are several methods for treating urethritis in men with antibacterial drugs. Everything will depend on the form of the disease:

Therapy of bacterial urethritis in men is carried out with the help of antibiotics of the cephalosporin group. If there is a concomitant infection, then the simultaneous administration of several medications is recommended. A combination of Azithromycin and Gentamicin gives a good result.
Candidal urethritis in men is treated with a combination of antibiotics and antifungal drugs. The most commonly used are Nystatin or Clotrimazole.
The ureaplasma, gardnerella and mycoplasma forms of the disease are treated with antibiotics of the macrolide group or tetracyclines.
Chlamydial urethritis is best treated with Azithromycin. This medicine quickly copes with the pathogen and helps to prevent the development of complications.

It is pointless to treat viral forms of the disease with antibacterial agents, since they will not have the desired effect. Poorly amenable to therapy and atypical urethritis. In this case, an integrated approach is required with the mandatory use of funds to restore the immune system.

Antiviral

Viral urethritis at first may not manifest itself. Vivid signs are observed only when the disease begins to progress. At this time, there are sleep disturbances, a significant increase in body temperature, weakness, lack of appetite. Use for the treatment of urethritis in men can drugs:

Riboverin. Stops the process of synthesis of viral cells. Contraindicated in heart failure, severe anemia, depression, liver and kidney disease.
Acyclovir. Available in the form of tablets and ointments. When taken orally, it is enough to take 400 mg of the drug 3 times a day. In this case, the duration of therapy should not be more than 10 days. Side effects are manifested in the form of dizziness, shortness of breath, allergic reactions, increased excitability, the appearance of hallucinations. The drug is forbidden to take with individual intolerance to its components.
Gerpevir. It is produced in the form of tablets, ointments, as well as powder for the preparation of an injection solution. It is forbidden to use it in case of individual intolerance to the components and violation of the functionality of the liver and kidneys. The duration of therapy with this remedy is no more than 10 days.
Valaciclovir. Russian-made tablets that have successfully passed all the necessary clinical trials. They have a small list of side effects. These include headaches, vasculitis, tachycardia, increased blood pressure and some others.

Read also related

Is the use of Miramistin effective in urethritis?

If after passing the main course of treatment, the manifestations of the disease do not disappear, then continuation of therapy is possible. Taking drugs should be carried out under the strict supervision of the attending physician.

Antiseptic

Simultaneously with the main treatment program, experts recommend the use of antiseptic preparations that help to cope with pathogenic microflora. It is advisable to use the following drugs for the treatment of urethritis in men:

Chlorhexidine. This tool is a liquid that has neither color nor odor. This tool has an antimicrobial effect, helps to stop the inflammatory process. Chlorhexidine is recommended to wash the anterior and posterior urethra. This procedure helps to get rid of the accumulated mucus and bacteria. To carry it out, you will need a large syringe with a rubber tip. It is filled with a solution. The tip is attached to the opening of the urethra, and the drug is slowly injected inside.
Miramistin. Helps to fight pathogenic microflora of any kind. It is necessary to use this tool in strict accordance with the instructions. If the recommended dosage is seriously exceeded, it can cause burns or irritation. The solution is injected into the urethra in an amount of 2-3 ml.
Furacilin. Washing is carried out in a similar manner. Regular carrying out of such procedures will free the urethra from microorganisms and stop the development of the disease.

After washing with any drug, it is recommended to refrain from urinating for an hour. Such procedures must be carried out before taking a sample for laboratory research.

The use of ointments and suppositories in the fight against urethritis

A good result in the treatment of the disease gives the use of topical drugs. These include ointments and suppositories for rectal administration. Among the most effective drugs are:

Acyclovir. It is used in the complex therapy of viral urethritis. Ointment lubricates the head of the penis and the entrance to the urethra, has an antiviral and drying effect.
Indomethacin. It is applied to the head of the penis three to four times a day. Sometimes after its application, manifestations of an allergic reaction in the form of redness, peeling and rash can be observed. Apply such an ointment with extreme caution should be people who are prone to the appearance of spontaneous bleeding.
Hexicon. Available in the form of suppositories, which are administered rectally. Their soft base helps the active substance spread quickly over the mucous surfaces, which ensures its uniform distribution. Sometimes after using the drug, itching and burning appear. These are signs of an allergic reaction.
Diclovit - rectal suppositories. They have an anti-inflammatory effect and relieve pain. Apply this medicine twice a day. After the introduction of the suppository, it is recommended to lie down for 30 minutes so that the active substance is evenly distributed over the mucous surfaces. In case of an overdose, headaches, convulsions, disorders of the gastrointestinal tract, clouding of consciousness may occur.

The effectiveness of such drugs is quite high. Experts recommend using them in the complex therapy of urethritis.

Immunomodulators

It is possible to cure urethritis only if the immune system is strong. To restore it, it is sometimes not enough to eat fresh vegetables and drink vitamin-mineral complexes. In this case, experts prescribe immunomodulators. You can start taking them after the first symptoms of the problem appear. Among the popular drugs are:

Gepon. Available in the form of a solution or powder. No side effects have been identified.
Cycloferon. It is considered one of the safest drugs designed to stimulate the immune system. Among other things, it also has an analgesic effect.
Uro-waxon. Available in the form of capsules for oral administration. Its use is prohibited in case of individual intolerance, as well as in childhood. Among the side effects are: nausea, headaches, skin rashes and some others.
Polyoxidonium. This drug is able to quickly restore the shaken immune system. In addition, it helps to eliminate toxic substances from the body, which are formed during the life of pathogenic microflora. This medicine is available in the form of powders, tablets or suppositories. Contraindicated in case of individual intolerance, as well as under the age of 12 years.
Likopid. One of the most modern drugs, which is often recommended for use in antibiotic therapy. Produced in tablet form. Contraindicated in congenital metabolic disorders, exacerbation of autoimmune thyroiditis, as well as in case of individual intolerance to the active substance.

Such funds will help to quickly defeat the inflammation of the urethra. Before using them, carefully read the attached instructions. It is not recommended to use immunomodulators without a doctor's prescription.

Folk methods of treatment

With urethritis, treatment in men can be supplemented with folk recipes. Using them as part of complex therapy will help speed up and facilitate the healing process. Among the most effective means are:

Linden decoction. When the urethra becomes inflamed, there are severe cramps and a burning sensation. Lime blossom decoction will help relieve unpleasant symptoms. To prepare it, it is enough to steam two tablespoons of the dried color with two glasses of boiling water. Boil the composition for 10 minutes. After that, it remains only to filter. Take this remedy for a glass a day. It is better to do this overeating at bedtime, as, among other things, it has a calming effect. Linden decoction will help you relax and fall asleep peacefully.
A decoction of cornflower. Urethritis is well treated with a decoction of blue cornflower. For its manufacture, a spoonful of dried raw materials is steamed in a glass of boiling water. It is necessary to insist the product under the lid until it cools completely. The resulting infusion is filtered and taken three times a day in the amount of two tablespoons.
A decoction of wheatgrass. When symptoms of urethritis appear, therapy can be started with the help of couch grass. In the manufacture of a decoction, it is necessary to strictly adhere to the recommended dosages. Four tablespoons of crushed wheatgrass root should be mixed in a glass of cold water and left overnight to infuse. After that, pour the liquid into the bucket. Pour boiling water over the remaining roots and hold under the lid for about 10 minutes. Combine the infusion and liquid, mix thoroughly. Take this remedy tediously half a glass four times a day.
Infusion of several herbs. Prepare a collection of horsetail, wild rose, elderflower and juniper berries. Mix all components in identical proportions. Pour two tablespoons of the prepared composition with two cups of boiling water and leave to infuse in a tightly closed container for an hour. After that, filter the infusion. It should be taken one glass daily. To prepare such a tool for the future does not build. It must be fresh. Such an infusion will not only help to cope with inflammation, but also has an immunostimulating effect.
Decoction of medicinal plants. Mix equal amounts of harrow root, parsley, juniper berries, dandelion roots and anise. Scroll the resulting composition through a coffee grinder to obtain a homogeneous powder. Steam a tablespoon of the prepared product with a glass of boiling water. After 30 minutes, it can be filtered. Drinking such an infusion is tedious before breakfast and after dinner, one glass each.
Infusion of currant leaves. Treatment of inflammation of the urethra in men is possible only if the immune system is strong. A blackcurrant leaf will help support it. To prepare a decoction, it is better to use dried raw materials. Steam 30 grams of raw materials in a glass of boiling water. After an hour, filter the liquid. Drink it 15 minutes before meals three times a day. This tool can be used throughout the treatment.
Infusion from oak bark. The tool helps to cope with inflammation and get rid of burning sensations and other unpleasant sensations. To prepare it, it is enough to steam a tablespoon of raw materials with a glass of boiling water. Three hours later, you can drink it three times a day. The same infusion can be used for washing the genitals.
Healing collection. At home, you can treat urethritis with a decoction of juniper, calamus root, rosehip, mint, nettle and elderberry. All ingredients are taken in equal quantities. Place two spoons of this composition in a tightly closed container and pour two and a half glasses of boiling water. Insist for 30 minutes. After that, drink the decoction in a glass in the morning and evening.