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Urethritis in men: symptoms, treatment

Urethritis is an inflammatory disease of the urethra, which can be caused by a whole range of reasons.

You need to treat it under the supervision of a doctor, but hospitalization is not necessary at all.

It is possible to treat urethritis at home, timely arriving at the urologist and passing the necessary tests.

Next, try to figure out how to treat urethritis at home.

Urethritis: what is it like?

Urethritis is called inflammation of the urethra (urethra). The cause of the disease is getting into the urethra of pathogens of a bacterial, viral or fungal nature.

The patient experiences pain not only in the urethra, but also in the scrotum, lower abdomen and even in the lower back. Unpleasant sensations intensify when going to the toilet, the patient often experiences the urge to urinate, which does not bring relief.

A characteristic sign of urethritis is discharge from the urethra.

They can be plentiful or very insignificant, have a light yellow, milky white, brownish or bloody hue.

With a protracted form of the disease, the urethra sticks together, crusts appear on the glans penis, causing irritation and itching.

If untreated, the disease becomes chronic, in which unpleasant symptoms become less pronounced, but during exacerbations they make themselves felt with severe attacks. Long-term activity of pathogens damages the walls of the urethra, bacteria and viruses cause inflammatory diseases of other organs of the genitourinary system. The disease is highly contagious and sexually transmitted.

Specialists distinguish several varieties of the disease. Before proceeding with treatment, it is important to accurately determine the nature of the ailment.

Urethritis is divided into 2 large groups. Non-infectious species fall into one. The cause of the disease can be an injury to the urethra, an allergic reaction, or low immunity.

A larger group is infectious urethritis. They arise against the background of sexually transmitted diseases: gonorrhea, trichomoniasis, genital herpes. Tuberculous urethritis also falls into this group. When you pay attention to your own health, it is impossible to miss the alarming symptoms, depending on the nature of the disease, they appear on 3-7 days.

The main differences between urethritis and cystitis are described here.

Home treatment: is it possible?

The main tasks in the treatment of urethritis are to eliminate the causative agent of the disease and restore the tissue of the urethra. To cope with a sexually transmitted or tuberculosis infection can only a doctor with the appropriate qualifications. The issue of hospitalization is discussed individually, depending on the condition of the patients, the stage of the disease, and a number of other reasons.

Urethritis of the infectious group is treated on an outpatient basis, the patient receives a course of antibiotics in tablets or injections. The drugs are able to destroy pathogenic bacteria, eliminate inflammation and prevent relapse of the disease.

Do not self-medicate. With the wrong selection of drugs, the acute phase can turn into a chronic phase, which requires a longer and more complex treatment.

The doctor selects the necessary funds, he also calculates the course and dosage.

For a successful recovery, you need a set of tools, including oral drugs and funds for external exposure.

Therefore, before treatment of urethritis at home, consultation with a specialist is mandatory!

You can use them at home, it is important to be on time for examinations and strictly follow the doctor’s instructions. If necessary, the specialist will supplement the therapeutic regimen, replace an ineffective drug or medicine that gives negative side effects.

The choice of medicine: the right therapeutic complex

The selection of drugs depends on the nature of the disease. Acute urethritis of a non-infectious nature and any variants of bacterial infections are treated with antibiotics, selecting them according to the type of pathogen.

Chronic non-infectious urethritis requires a combination of immunostimulants and antibacterial agents, a good effect is given by homeopathic medicines.

Antibacterial drugs

The choice of antibiotics depends on the type of infection.

Before prescribing a medicine, it is recommended to conduct a sensitivity test, this will minimize side effects.

With gonorrhea urethritis, tetracycline, cephalospolin, and erythromycin groups are prescribed.

In complicated acute urethritis, 2 drugs can be used immediately, for example, Gentamicin and Azithromycin.

Microplasma or gardeninous urethritis requires the use of macrolides (e.g., Clarithomycin) and tetracyclines (Doxicelin). With chlamydial urethritis, Azithromycin helps, which is supplemented by immunostimulants and vitamin complexes.

Viral urethritis is not treated with antibiotics.

It is advisable to use a complex of specialized antiviral drugs: Riboverin, Acyclovir, Famciclovir.

For external treatment of affected areas, antibacterial aqueous solutions are used: Miramistin, Chlorhexylin and their analogues.

Preparations are suitable for washing, lotion, douching.

Immunostimulants

Strong antibiotics suppress not only pathogenic microflora, but also beneficial bacteria. Complex immunomodulators will help restore the body's defenses. They are taken after a course of antibiotics along with vitamins. The task of immunostimulants is to accelerate tissue regeneration, improve blood flow, stimulate the production of red blood cells, and accelerate lymph outflow.

Among the most popular means are Betaleikin, Ronoleukin, various interferons. Drugs are available in the form of capsules, tablets, injectable solutions.

Homeopathic remedies

In the chronic form of the disease, hormones may be prescribed to patients.

Pills, dragees and granules based on medicinal plants are well tolerated by the body, have a minimum of contraindications and are combined with other drugs.

Homeopathic medicines can relieve swelling and inflammation, soothe pain and burning, facilitate urine excretion.

Among the popular remedies are Cyston, Kanefron, Fitolizin and other drugs.

Folk remedies and methods

Tried alternative recipes that stimulate urination, prevent inflammation, and increase the body's defenses will help to supplement the drug regimen. Patients are recommended decoctions of medicinal herbs: lingonberry, raspberry and currant leaf, bear ears, nettle, chamomile, yarrow, shepherd’s bag, wheatgrass roots, linden blossom.

To prepare a decoction, a handful of dried or fresh raw materials is brewed with a liter of boiling water and infused in heat. Infusions and decoctions are taken before meals, a single dose - 100 ml.

Washing the affected areas with a decoction of chamomile, oak or willow bark, and nettle is useful. To enhance the effect, external procedures should be combined with a decoction inside.

Right lifestyle

A very important point is maintaining a balanced diet. From the menu it is recommended to exclude fast food, smoked meats and pickles, canned food, sausages. Spicy spices and seasonings. Food must be cooked in the oven, a double boiler or microwave, refusing to fry in a pan or deep-fried.Food should not irritate the gastrointestinal tract and provoke inflammatory processes.

Foods rich in sodium, potassium, calcium, magnesium and iodine will help speed up recovery: fresh vegetables and fruits.

Seafood, seaweed, dairy products. A full source of protein will be poultry and sea fish.

The menu includes natural diuretic and anti-inflammatory foods: fresh berries, watermelons, melons, zucchini, cucumbers, jelly and fruit drinks from cranberries, lingonberries, raspberries, black currants.

During treatment, all types of alcohol are strictly prohibited; quitting smoking will speed recovery and help to avoid complications.

During treatment at home, urethritis in men, the patient should lead a measured life, avoid stress and strain, as much as possible to relax. Refusal of sexual contact is recommended, as urethritis in any form is very contagious. It is necessary to observe the rules of hygiene, take a shower daily, use antibacterial wipes after each visit to the toilet. You should refrain from visiting the gym, bathhouse or pool.

Treating urethritis at home can bring very good results. In order for the therapy to be effective, it is important to observe the regimen of the day, follow the doctor’s instructions and in no case interrupt the treatment course.

What is urethritis in men

Urethritis in men is inflammation of the urethra, the channel through which urine comes out. The causes of its appearance are infection or mechanical injury. Infection occurs during sexual intercourse if the partner has an STD due to poor hygiene. Injuries appear due to medical procedures, urolithiasis. Often, the disease develops after hypothermia, when immunity is reduced and pathogenic microorganisms are activated. Possible complications: inflammation of the prostate gland, testicles, infertility.

5. Apple cider vinegar

Another effective home remedy for urethritis is natural apple cider vinegar. With it, you can eliminate bacteria that have accumulated in the urinary system. How to treat urethritis with apple cider vinegar? Mix 2 tablespoons of apple cider vinegar and a little honey in a glass of warm water and drink. Drink this natural remedy on a regular basis.

Symptoms and signs

Attentive attitude to the symptoms of the disease will help to avoid long-term treatment, to prevent its development. Key features:

  • Itching, acute pain during urine output, burning sensation.
  • Discharges that mostly have an unpleasant odor.
  • Occasionally, hyperthermia is observed.

The incubation period, after which the symptoms of the disease appear, depends on the type of illness and ranges from several hours (allergic) to several years (tuberculosis). An experienced specialist will prescribe the necessary tests to determine which species struck the man’s body and provide the necessary treatment.

  • Blood analysis.
  • Analysis of urine for white blood cells.
  • Research on sexually transmitted diseases.
  • Determination of the sensitivity of the pathogen to antibiotics.
  • Ultrasound of the pelvic organs.

6. Pineapple

Pineapples contain the bromelain enzyme, which has anti-inflammatory properties. Daily consumption of 150-200 grams of pineapple or freshly squeezed pineapple juice can reduce the symptoms present with urethritis.

Regular consumption of fresh pineapple and pineapple juice helps relieve inflammation and reduce the symptoms of urethritis.

7. Uncaria pubescent (cat's claw)

This somewhat unusual plant has antibacterial and antiviral effects, as it is a powerful immunomodulator that can help recover quickly from symptoms of urethritis. Feline claw can be taken in the form of food additives, which are widely available in the CIS countries, Europe and North America.

9. Green tea

The composition of green tea includes well-known antioxidants and compounds that enhance the immune system, which makes it an ideal natural remedy for eliminating pain during urination. If you drink 1-2 cups of green tea per day, the catechins and volatile components present in it will reduce inflammation and pain, while neutralizing the infection.

10. Cranberries

Cranberry juice is most often recommended for treating any type of urinary tract infection. It is highly recommended that you drink several glasses of cranberry juice daily, as these berries can prevent bacteria from attaching to the walls of the urethra. This property of cranberries has been widely studied, which also explains why cranberry extract is recommended in the treatment of cystitis and urethritis.

How to recognize the disease?

The duration of the incubation period, during which the symptoms of urethritis in men are not yet visualized, can range from several hours to three weeks. It all depends on the pathogen of the inflammatory process.

The most pronounced symptoms of the inflammatory process of the urethra include:

  • discomfort during urination,
  • itching and pain - as the disease progresses,
  • muddy color of urine
  • frequent, sometimes false, urge to the toilet,
  • various kinds of discharge with urine,
  • discomfort during intercourse,
  • increased sensitivity and redness of the head of the penis.

Deterioration of the general condition of the body, as a rule, is not observed. Against the background of discharge, which is characterized by an unpleasant odor. Crusts may form on the head of the penis. A harbinger of the development of the disease can be pulling pains in the lower abdomen, but in the future they do not accompany the inflammatory process.
The development of pathology into a chronic form significantly distorts the etiology of urethritis. Acute signs of urethritis in men subside, there remains only a feeling of discomfort and itching in the urethra. Only during the period of exacerbation do they make themselves felt in a more intense degree.

Causes of urethritis in men

  • sexually transmitted infections are the most common cause of urethritis in men who have an active sex life. If sexual intercourse is performed without the use of barrier contraception, then the probability of penetration of the pathogen into the urethra is very high,
  • urolithiasis - is much more often found in men than in women. Such a disease causes traumatic urethritis, for the reason that calculi, moving along the genitourinary tract, actively injure the mucous membrane and lead to the attachment of pathogenic microorganisms,
  • any trauma to the penis and severe physical exertion can cause the development of urethritis,
  • hypothermia is one of the most important provocateurs of exacerbations of chronic diseases (including extrapulmonary tuberculosis, viruses, infections), since in this case the protective functions of the body are significantly reduced,
  • a general decrease in immunity - smoking, alcohol abuse, overwork, lack of sleep, malnutrition leads to a natural depletion of the body's defenses,
  • medical manipulations (catheterization of the bladder, smear) - carry a risk of injury to the mucous membrane of the urethra, also urethritis can develop if the necessary disinfection measures are not followed,
  • nutrition - an abundance of acidic, spicy, salty foods leads to irritation of the mucous membranes, which contributes to the attachment of infection. Lack of fluid causes rare urination, respectively, there is no natural washing of the genitourinary tract from harmful microorganisms that can accidentally enter the urethra.

Symptoms of urethritis in men

Symptoms of infectious urethritis usually occur 5-14 days after infection, and signs of non-infectious urethritis may appear much earlier.The main symptom of the disease is pain, burning along the urethra during urination, as well as after it. It is this symptom that most often causes a man to see a doctor. Also, the patient may be disturbed by mucous or purulent discharge from the opening of the urethra, redness and adhesion of the urethral sponges, especially in the morning, the appearance of blood in the urine or seminal fluid. A man suffering from urethritis can also experience pain or other discomfort during intercourse. General deterioration in well-being is usually not observed, however, in men with reduced immunity, mild symptoms of intoxication may occur (weakness, fever up to 37.5 ° C).

After 7-14 days, the described symptoms subside, if acute urethritis is not treated or treated incorrectly, then the disease will turn into a chronic form, the treatment of which is more complicated, long and expensive. With timely medical attention, acute urethritis is usually cured in 7-10 days without any consequences.

Symptoms of chronic urethritis are similar to those of an acute form of the disease. Without exacerbation, a man usually does not bother anything, however, when exposed to adverse factors, the inflammatory process escalates. The patient may be disturbed by mild pain in the urethra during and after urination, mild discharge from the opening of the urethra and other signs characteristic of acute urethritis, but they will be less intense.

In men, an asymptomatic course of urethritis also occurs, in which case it can be diagnosed by chance during examination for another reason. The first exacerbation of the disease can occur within a few months, and even years after infection.

11. Water

Drinking enough water is important for urinary tract infections. This is important because significant consumption of water leads to leaching of the infection from the urinary system. Drink 1.5-2 liters of pure water without gas daily - this will allow you to significantly reduce the duration of the disease and prevent the development of complications and chronic urethritis.

13. Juniper Berries

Despite the fact that these berries are not so well known and widespread, it was found that their use allows you to treat urethritis at home. Like cranberries, juniper berries have anti-inflammatory properties, strengthen the immune system and soothe painful irritation, preventing the spread of infection into the reproductive system.

Cypress essential oil or pine essential oil can be used in very small quantities, mixed with water, and then carefully applied to the opening of the urethra. The powerful antiviral and antibacterial components of these essential oils can quickly suppress the infection and eliminate pain.

Cypress oil has pronounced antibacterial properties, as a result, applying it to the urethral opening helps to suppress the infection that caused urethritis

Less caffeine and alcohol

These two substances are directly associated with exacerbation of symptoms of urethritis. Reducing the consumption of coffee and alcoholic beverages, as well as quitting smoking, improves blood circulation, gives your immune system relaxation and reduces inflammation throughout the body, including in the urethra.

Condom use

To prevent the spread of infection, you should use condoms during any kind of sexual contact (oral, vaginal or anal sex). Condoms help prevent the vast majority of sexually transmitted infections, and can also make sex less painful if you have sex during urethritis.Although many people do not like to use condoms, this is the safest way to protect yourself and your partner!

Warnings

The use of these natural remedies is a recommendation that is not always based on scientifically proven data. In any case, you need to take into account the many different causes of urethritis, and in order to avoid complications, before starting self-treatment, it is strongly recommended that you talk with your doctor and take all the necessary tests to identify the type of bacteria that caused the urethritis. Some of the infections may be more dangerous than others. Even if you plan to treat urethritis at home with natural remedies, your doctor may direct you in the right direction, helping you understand more about your particular case.

Urethritis in men is a urological disease in which the urethra is affected. The inflammatory process can begin under the influence of many factors. Urethritis is divided into two large groups: non-infectious and infectious.

Infectious urethritis can be caused by various specific pathogens (gardnerella, gonococcus), as well as non-specific (Escherichia coli, staphylococcus, streptococcus).

The most susceptible to this disease are those people who have an erratic sex life, suffer from urolithiasis, diabetes mellitus, and have undergone instrumental studies of the bladder and urethra.

Causes

Urethritis can be divided into the following types:

  1. Primary - the characteristic of the type is that the inflammatory process directly affects the urethra, which often occurs during sexual intercourse.
  2. Secondary - a characteristic of the type of infection in the urethra itself from the site of inflammation, which is usually found in neighboring organs (for example, in the prostate gland, bladder, seminal vesicles, as well as in other pelvic organs).

Depending on the causative microbial agents, specific and non-specific urethritis are distinguished.

Causes of non-specific lesion:

  • staphylococcal bacteria,
  • streptococcal microorganisms,
  • E. coli and other bacterial pathogens.

Specific urethritis is most often caused by those pathogens that cause sexually transmitted diseases.

Types of non-specific urethritis:

  • Gonorrhea (causative agent of gonococcus, Neisseria gonorrhoeae).
  • Mycoplasma (caused by mycoplasmas).
  • Ureaplasma (caused by ureaplasmas, Ureaplasma urealyticum).
  • Gardnerellosis (caused by gardnerella, Gardnerella vaginalis).
  • Trichomonas (caused by Trichomonads, Trichomonas vaginalis),
  • Mycotic (caused by fungi).
  • Chlamydial (caused by chlamydia, Chlamydia trachomatis).
  • Viral (caused by viruses, oculogenital chlamydosoonosis, herpes).
  • Bacterial (caused by staphylococci, streptococci, Escherichia coli, Proteus, Klebsiella, Enterococcus, Pseudomonas aeruginosa, Corynebacteria).
  • Mixed urethritis is caused by several different infections.

Types of non-infectious urethritis:

  • Traumatic - occurs after cystoscopy, urethroscopy, catheterization, bougienage, the introduction of foreign bodies into the urethra, after ruptures and tears of the urethra,
  • Allergic - occurs as an allergic reaction with intolerance to any substances,
    Congestive - occurs with venous congestion in the pelvic organs.

The hypothermia of the body provokes the onset of the disease, medical manipulations - catheterization of the bladder or a smear intake, penile injury, foci of chronic infection in the body. Symptoms of specific urethritis in men, as a rule, develop after intercourse.

Symptoms depending on type

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

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

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

Chronic urethritis

This disease can occur for many months or even years, but in the end, the patient still seeks medical help. Chronic urethritis in men is dangerous because complications, for example, or urethral stricture, can develop against its background.

Urethritis at the chronic stage is much more difficult to treat than at the stage of acute inflammation, since it requires the introduction of drugs directly into the urethra.

Diagnostics

At the first sign of urethritis, it is important to consult a urologist. In some cases, when the disease was promoted by a sexual infection, a consultation with a dermatovenerologist is prescribed.

A medical examination is sometimes insufficient to determine the diagnosis, especially if the disease is asymptomatic. The main research methods include urinalysis, which is considered the simplest. If urine is observed, this indicates an inflammatory process. Usually the analysis is given in the morning. To do this, take the first portion of the liquid. For examination for bacterial urethritis, a blood test is mandatory.

Additional methods for the study of urethritis of bacterial origin include:

  1. Three glass sample
  2. Urinalysis according to Nechiporenko,
  3. Urethroscopy
  4. Urine culture
  5. Polymerase chain reaction of secretions (PCR),
  6. If in the blood and urine there is an increased indicator of leukocyte cells, there is a protein in the urine (proteinuria), then this may indicate bacterial urethritis.

A mandatory method is a smear from the urethra, it can be bacteriological and microscopic. To prepare for such a diagnosis, sexual acts, the use of any antibiotics should be excluded the day before the procedure. In addition, you can not urinate about two hours before the smear.An ultrasound examination of the bladder, kidney, prostate and ureter can also be prescribed.

Treatment of urethritis in men

First of all, the doctor must identify the causative agent of the disease and only then deal with its treatment. After all, incorrectly prescribed drugs can easily transfer the disease from an acute form to a chronic one. Symptoms of the disease will disappear, and the man will believe that he has completely recovered, but with the slightest decrease in immunity, the urethritis will again aggravate.

  1. The main method of treating urethritis in men is the appointment of certain drugs, that is, the use of antibiotics. The most important thing is that pathogens are sensitive to them. To do this, you need to conduct a series of diagnostic studies.
  2. Simultaneously with antibiotic therapy, local antiseptic treatment is carried out, which consists in washing the head of the penis with antiseptic solutions (chamomile broth, furacilin solution and others). It is also recommended to carry out baths (lasting 15-20 minutes) using these products.

When treating urethritis in men, it is important to start the time of qualified therapy. If it is started on time and carried out correctly, then the disease will disappear without a trace.

Features of the treatment of various types of urethritis

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

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

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

Complications

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

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

Prevention

To minimize the risk of getting urethritis, men should follow these rules:

  • Avoid penile injuries
  • drink enough fluid
  • avoid frequent changes in sexual partners,
  • timely treat any disease
  • avoid hypothermia.

Active sex life brings not only pleasure, but also problems. They are most often associated with diseases of the genitourinary organs, sometimes viral, and in other cases bacterial. We will not dwell on the maxim that has gotten sore, that intercourse without a condom is like riding a rollercoaster without seat belts.Urologists daily face hundreds of different diseases, their symptoms and consequences. Some diseases develop in the genitourinary system secretly, and only after a long time they manifest recognizable symptoms. Others, on the contrary, “shine” with pathological symptoms from the very beginning, causing significant inconvenience, and limiting a person to his abilities. Urethritis in men also refers to such diseases. Inflammation of the walls of the urethra (which, in essence, is urethritis) takes place in the male half, of course, is more painful, but it is sometimes observed in women. The topic of today's review is how to treat urethritis in men, and what medications does modern pharmacy offer in this case.

General information

Inflammation of the walls occurs, most often, due to infection. In rare cases, the development of the disease was observed against the background of injuries received during the necessary medical procedures (for example, the introduction of a catheter or drugs). Infectious genital lesions has its own classification:

  • Specific urethritis - when the main cause of the disease is an infectious agent that is transmitted through sexual contact from partner to partner,
  • Nonspecific urethritis - causative agents of conditionally pathogenic quality become their root cause,
  • Primary urethritis - if the infection enters and develops immediately in the urethra,
  • The secondary option is when the infection enters the canal from a neighboring, infected organ.

Specific infectious urethritis is also divided, but their classification is due to the pathogen, which is the root cause of infection. We learn the main types:

Nonspecific urethritis is divided into: congestive, traumatic and allergic. To know how to treat urethritis in men, it is necessary to identify a harmful microorganism (bacterium or virus).

Complications of urethritis in men

Urethritis is a serious disease, do not be shy to consult a doctor with this problem, since untimely or incorrect treatment can lead to the development of serious complications. Perhaps the spread of infection to other organs, patients may develop, the inflammatory process can affect the testicles and their appendages. The most serious complication of urethritis in men is that which can lead to incurable infertility and sexual dysfunction.

Which doctor to contact

If you have symptoms of urethritis in men, it is recommended to consult a urologist. If this is not possible, the therapist or family doctor can treat this disease. If urethritis is caused by sexually transmitted diseases, the patient is examined by a venereologist. If urolithiasis has become the cause of inflammation, a nephrologist consultation is necessary. In case of recurrence of urethritis, it is recommended to visit an immunologist to exclude immunodeficiency conditions.

The most common urologist patients are men who seek treatment for urethritis. The disease manifests itself at any age, and passes with severe symptoms. Severe itching and pain during urination do not allow a man to wait out a relapse without going to the doctor. If the acute form of the disease is not started to be treated, then the inflammatory process will spread to the prostate gland and testicles, which will bring with it even more painful processes.

Symptoms and signs of inflammation of the urethra

The first symptoms of urethritis in a man appear, depending on the incubation period of the pathogen, from several hours (allergic) to several years (tuberculosis). The most typical of all types of urethritis are the following symptoms:

  • Burning, itching, pain during urination.
  • Purulent discharge.
  • Frequent urination.

Hyperemia or high temperature with urethritis, as a rule, is not observed.Allocations depend on the pathogen and are of a different nature. Often this is a green or white discharge with an unpleasant odor that appears in the morning and forms yellow crusts on the penis. With inflammation of the urethra, redness and adhesion of the external opening, pain in the lower abdomen, turbid urine can be observed.

How to treat urethritis in men - drugs

Before starting treatment, the doctor warns that during treatment of urethritis completely sexual contact, oral sex, masturbation are prohibited. If the disease is caused by a sexual infection, then treatment of the sexual partner is necessary. The diet should also be followed, excluding spicy, salty, pickled, fried, spicy foods. Drinking alcohol is strictly forbidden, and drinking water should be consumed daily at least 2 liters to improve metabolism and speed up recovery.

Antibiotics

It is impossible to cure urethritis without antibiotics. The type of medication, dosage and treatment regimen for urethritis is determined by the doctor, depending on the causative agent of the disease and based on the type of pathology. General antibiotics for urethritis are not prescribed, since each microorganism has its own sensitivity to drugs.

  • For the treatment of gonococcal urethritis, antibiotics such as Azithromycin and Cefipmaxon are prescribed.
  • For the treatment of trichomonas urethritis, Trinidazole, Metronidazole are more suitable.

Ointments and candles

In the complex of antibacterial therapy, local preparations (ointments and suppositories) are used that accelerate the healing process. For example, it will be effective in treating viral urethritis caused by herpes. Rectal suppositories are equivalent in effectiveness to injections, so urologists often prescribe them to treat different types of urethritis in men: Metronidazole, Hexicon, Indomethacin, Cifran.

Immunomodulators

These are substances that affect the functioning of the human immune system. It is known that the higher the immunity, the faster recovery will come. Immunomodulators are essential drugs for the treatment of urethritis in men. They are prescribed in addition to antibiotics so that they do not inhibit the immune system.

Effective drugs of domestic production: "Timalin," Mielopid.

Vitamins

During treatment of urethritis, the deficiency of vitamins in the body needs to be replenished, so doctors prescribe multivitamin complexes with vitamins A, E in complex therapy,

C, D and minerals. A proper diet can make up for the deficiency of certain vitamins, but not fully. For example, vitamin A is contained in the form of esters in products of animal origin, therefore, with a strict diet, its reserves cannot be replenished in the right rates.

Popular vitamin complexes for urethritis: Bio-Max, Pikovit Fort.

Treatment of urethritis folk remedies

It is impossible to cure urethritis in some folk ways. But decoctions and tinctures from herbs will help relieve the condition. We offer several folk recipes that will help with chronic urethritis and will be an excellent prevention of relapse:

  • Blackcurrant leaf infusion . An excellent replacement for the vitamin complex and antiseptic. Take 30 gr. Pour dry leaves with a glass of boiling water, leave for one hour, then strain. Drink three times a day before meals (15 minutes). If possible, eat fresh blackcurrant berries for food. The duration of admission is not limited.
  • Infusion of Oak Bark . It will help relieve burning and pain during urination. Brew boiling water (1 cup) a tablespoon of oak bark, leave for three hours. The resulting product should be drunk 1 tbsp. l 3 times / day before meals in the form of heat. Also, the infusion is used for men in the form of baths or lotions.
  • Cornflower flowers infusion . One teaspoon of dried flowers of cornflower pour boiling water, leave for an hour, then consume 2 tbsp. l before meals 3 times / day until the natural microflora is restored and the inflammatory process passes.

What to treat

Timely treatment will help to avoid possible complications. It is carried out using various medications - antibiotics, antiseptics, antioxidants, immunotherapy agents, vitamins, immunomodulators, topical agents. The dosage is prescribed by the doctor. It is important to follow proper nutrition, give up alcohol and cigarettes.

Tablets

Antihistamines will help to avoid allergic reactions, remove possible side effects:

  • Tavegil. It has a long lasting effect. It helps with different types of allergic reactions of the body. You need to drink the drug twice a day - in the morning and in the evening. Possible side effects: nausea, headache, dry mouth. It is contraindicated in children under one year old when taking MAO inhibitors.

Also useful are drugs that restore the digestive tract:

  • "Yogurt". It normalizes the intestinal microflora, improves the digestion process, and is useful for the prevention of dysbiosis. It is taken simultaneously with antibiotics that negatively affect the body. You need to consume from two to five tablets per day, along with food, for several weeks. In order not to reduce the effectiveness of the antibiotic, breaks between doses should be at least an hour and a half.

  • Vitamin B, the drug "B Complex" from "Biotech". Improves cellular metabolism, is useful in combination therapy for men. Take a tablet daily with food.
  • Vitamin PP or nicotinic acid. Helps in the treatment of infectious diseases. It should not be taken for hypertensive patients, allergy sufferers, or those with diabetes.

Other medicines

With urethritis, complex therapy is used, therefore, during treatment, as a rule, several types of drugs are prescribed at once.

  • Polyoxidonium for injection. Helps the body cope with infectious diseases. Assign in the form of injections of 6 mg daily for three days, then a day break, and again taking the drug. Five to ten injections of the drug are carried out.

Antiseptics for washing:

  • Methylene blue. A disinfectant is used as a 0.02% solution with water.
  • Hydrocortisone. If the entire urethra is affected, installations with this drug are used.

  • Acyclovir. Topical ointment, which will be especially effective in treatment if a man suffers from herpes urethritis. Apply to the lesion site five times a day, take from five to ten days.

Observance of preventive measures will help to avoid such serious treatment - reducing the frequency of sexual intercourse with unverified partners, using condoms, constant thorough hygiene, and a diet that excludes food that irritates the mucous membranes, drinking at least one liter of water during the day.

Treatment with folk remedies

  • Cranberry. The juice from this plant will help the body fight inflammation, prevent the formation of stones, which is useful for urethritis in men caused by urolithiasis.
  • Black currant. Three tablespoons of the leaves of the plant must be filled with two glasses of boiling water, insist. Take twice or thrice throughout the day. It is useful to make decoctions, compotes from the berries of this plant.
  • Parsley seeds. Pour a teaspoon of seeds with one liter of cool water, strain after eight hours. Tincture should be consumed three times during the day, three tablespoons each.

Depending on the causes of urethritis, it is divided into specific and non-specific. The first type of disease is caused by infections that are transmitted during sexual intercourse (pathogens - gonococcus, herpes, ureaplasma, trichomonas, chlamydia, mycoplasma, gardnerella). The emergence of a nonspecific species contributes to the violation of microflora caused by fungus, staphylococci, streptococci, Escherichia coli. Let us consider in more detail various types of disease

Thus, the following causes of urethritis in men are distinguished:

  1. The defeat of the human urethra by pathogenic bacteria that penetrate the urethra.Most often, prolonged use of a urinary catheter leads to this condition. This type of urethritis is called bacterial.
  2. The defeat of the urethra with chlamydial infection and other sexually transmitted diseases usually leads to chronic urethritis.
  3. Gonorrheal form of urethritis occurs when it is affected by gonococcus. A very high risk of contracting this infection through unprotected sexual contact with the carrier of the disease. You can catch gonococcus less often through household items that you need to use individually (underwear, towels, washcloths, etc.).
  4. The defeat of the urethra with fungi (candidiasis) leads to a long inflammatory process. These fungi themselves are not so dangerous, but their complications can cause a lot of problems to a person. This form of urethritis in men is called candidiasis.

Candidiasis can be caused by taking antibiotics, lowering immunity, drinking alcohol, malnutrition, or direct infection of a person from a pediatric fungus.

In addition, the following factors and diseases are distinguished, in which a man at times increases the risk of getting urethritis:

  1. The effect of various genital infections. In this condition, the disease easily penetrates the urethra of a person and causes severe inflammation. Also, cases of the transition of urethritis along with a sexual infection to a chronic course are quite common. Those men who often change sexual partners and practice unprotected intimate relationships are most at risk of catching such infections.
  2. An acute form of urolithiasis, which affects men more often than women. In this state, a person develops an acute traumatic form of urethritis, because the stones and "sand" that come out irritate and literally scratch the urethra.
  3. Earlier injuries of the penis can cause acute urethritis, which will be accompanied by circulatory discharge during urination.
  4. Severe hypothermia of the body can lead to acute and chronic inflammation of the urethra. Also, it is hypothermia that very often causes an exacerbation of existing sluggish chronic pathologies.
  5. Improper diet (especially frequent consumption of salty, sweet, spicy and sour foods) irritates the mucous membranes, making them more susceptible to infections. In addition, smoking and alcohol abuse reduces the body's defenses, which makes a man even more vulnerable to urethritis.
  6. Inadequate observance of intimate hygiene leads to the spread of pathogens in the genitals and a strong inflammatory process.
  7. Drinking an insufficient amount of fluid provokes rare urination, due to which the urethra cannot independently wash out all the pathogens that enter it.

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Trichomonas

The causative agents of Trichomonas urethritis are Trichomonas bacteria, which are sexually transmitted and can cause acute irritation. With the active influence of the pathogen, whitish or transparent discharge may appear from the glans penis. Patients experience classic symptoms, as well as a feeling of "goose bumps" in the genital area.

Candidiasis

Candidiasis or mycotic urethritis is a rare occurrence. It can appear in men who have a disease such as diabetes, or have undergone prolonged treatment with antibacterial agents. This species is characterized by curdled white or watery discharge, mild symptoms. May be complicated by prostatitis.

Nonspecific

Nonspecific urethritis is a disease that was caused by a pathogen different from specific bacteria (herpes, chlamydia, etc.), or several microorganisms at once. Now this area is not well understood, doctors are only looking for specific causes that cause this type of ailment.It can be an allergic reaction, prostatitis.

Acute gonorrhea

Gonorrhea urethritis in men is a sexually transmitted disease, which manifests itself as a result of infection with gram-negative diplococci. They not only affect the urethra and contribute to its inflammation, they also infect the mucous membranes of the genitourinary system. Gonorrhea urethritis is characterized by redness of the outlet of the urethra, purulent discharge, compaction on the head, acute pain, burning.

Gonococcal

Gonococcal urethritis may have an asymptomatic course or is characterized by pus, which is secreted from the urethra, the swelling of its outlet, and hyperemia. An asymptomatic course is dangerous - it can serve as a further infection of sexual partners. Therefore, men who have frequent sexual intercourse with different women should be examined regularly.

Video

Treatment of the disease can be quick and easy if you seek help in time. At the first suspicious symptoms, go see a urologist who will determine the cause of the anxiety and prescribe treatment.

The inflammatory process in the urethra in men is called urethritis. Both men and women are susceptible to this disease, however, representatives of the strong half of humanity are more discomfort and difficulties in getting rid of the symptoms of the disease. Urethritis can pose a threat to the normal functioning of the male genital organs, so it is important to identify the disease in time, establish the causes of urethritis and begin treatment.

To prevent complications and the spread of inflammation to tissues adjacent to the urethra, it is important to start treatment when the first signs of urethritis in men appear. They appear in the form of the following symptoms:

  • Unpleasant sensations during urination at all stages of bladder emptying. Expressed as burning, sharp pains or tingling.
  • The appearance of discharge from white to yellowish, often with an unpleasant odor. Allocations are more plentiful at the first urination after awakening, during the day they become poorer.
  • Redness of the foreskin
  • If posterior urethritis occurs, an admixture of blood may appear in men.

Symptoms of the disease do not appear immediately, since different types of urethritis are characterized by different incubation periods. So with tuberculous urethritis, obvious symptoms can manifest themselves several years after infection, and with allergic symptoms, within several hours after ingestion of an allergen.

To prescribe a therapy corresponding to the cause of the development of the inflammatory process in the urethra, a comprehensive study of the patient's history and a number of laboratory and instrumental studies are necessary. In the diagnosis of urethritis in men, the following methods are used:

  • Laboratory tests of blood and urine of the patient,
  • A swab or scraping for testing for sexually transmitted infections,
  • Bacteriological culture and tests for the resistance of the identified pathogens to antibiotics,
  • Ultrasound of the pelvic organs.

A brief description of the pathology

How does urethritis occur in men? The causes of the pathology, as a rule, are mechanical trauma or infection. Injury can occur during medical procedures or in the presence of urolithiasis. Infection can occur during sexual contact if the partner has an STD. Due to insufficient hygiene, urethritis in men can also develop (treatment: antibiotics and other medications for pathology should be prescribed only by a specialist). In this case, an examination by a doctor is necessary. Also, pathology can develop as a result of hypothermia. In this case, a decrease in immunity is noted. As a result of this, pathogenic microorganisms begin active activity and often freely penetrate the human body.If treatment of urethritis in men is not carried out on time, then complications such as inflammation of the prostate, testicles and even infertility are likely.

General classification

There are different types of male urethritis. Depending on the provoking factors, the pathology can be specific or non-specific. In the first case, the disease develops due to the activity of pathogens such as herpes, gonococcus, trichomonas, ureaplasma, gardnerella, mycoplasma, chlamydia. Nonspecific urethritis develops as a result of imbalance in microflora. It, in turn, is a consequence of the activity of Escherichia coli, streptococcus, staphylococcus, fungi. Next, we consider some types of pathology in more detail.

Mycotic

Another name for the pathology is candidal urethritis. In men, it is relatively rare. Pathology occurs in patients with diabetes. Also, the mycotic form can also develop as a result of prolonged antibacterial treatment. Pathology is accompanied by white curdled or watery discharge and mild symptoms. A complication may be prostatitis.

Non-specific form

Pathology of this type is provoked by pathogens other than specific (chlamydia, herpes, and others), or by several microorganisms at once. This area is not well understood today. Experts are in search of probable causes of this pathology. Presumably, it may be a prostatitis or an allergic reaction.

Gonorrheal (acute form)

This pathology occurs due to the penetration of gram-negative diplococci into the body. These pathogens not only affect the urethra, but also infect the mucous membranes of the genitourinary system. With gonorrhea urethritis, redness of the outlet, a seal on the head, purulent discharge, burning, acute pain is noted.

Clinical picture

A vigilant attitude to the manifestations of pathology will prevent prolonged treatment of urethritis in men. The main signs of the disease include:

  • Burning, acute pain in the process of emitting urine, itching.
  • Discharge, which usually has an unpleasant odor.
  • Hyperthermia (occasionally).

The duration of the incubation period, after which signs of pathology are noted, depends on the form of the disease and can range from several hours (with allergic) to several years (with tuberculosis). If you suspect a disease, you should consult a doctor as soon as possible. The specialist will determine the type of pathology and prescribe therapeutic measures.

Therapeutic measures

How is urethritis treated in men? Drugs that are prescribed by a specialist are aimed at destroying the pathogen, eliminating the manifestations of the disease. The therapeutic course includes medicines of such groups as antioxidants, antiseptics, immunotherapy agents, immunomodulators, antibiotics. Medications are prescribed both topically and orally. Dosage and regimen is prescribed by a doctor. To eliminate and prevent side effects, antihistamines are recommended. During therapy, it is necessary to observe proper nutrition, abandon bad habits, exclude alcohol.

Means "Metronidazole"

This is an antimicrobial medication. Its action is aimed at destroying protozoan cells, disrupting the synthesis of bacterial DNA, which leads to their death. Means "Metronidazole" is effective for trichomonas urethritis. The medication is available in the form of tablets, suppositories, injection. Among the side effects are the following: abdominal pain, dryness and an unpleasant taste in the mouth, urinary incontinence and discoloration, allergies, headache, nausea, diarrhea. The drug is not prescribed to patients with organic lesions in the central nervous system, leukopenia, sensitivity to components, renal failure.

Medication "Secnidazole"

The drug causes the death of a pathogenic microorganism. The tool is effective in the fight against Trichomonas. The drug is produced in the form of granules. They are dissolved in water and taken orally. Possible side effects include diarrhea, nausea, leukopenia, stomatitis, an unpleasant taste in the mouth, ataxia, dizziness, and allergies. Means "Secnidazole" is not recommended for hypersensitivity, central nervous system lesions, blood pathology.

Medication "Doxycycline"

The tool helps to suppress the synthesis of protein by microorganisms. With the use of the drug "Doxycycline", urethritis in men of the gonococcal and non-gonococcal type is treated. The product is available in the form of a solution for injection and oral administration, as well as in tablet form. The drug can provoke disturbances in the digestive system, anemia, allergic reactions, thrombocytopenia. The remedy is contraindicated in case of insufficiency of liver function, to patients under 8 years of age, hypersensitivity, leukopenia.

Medication "Moxifloxacin"

The tool has the ability to inhibit the activity of many pathogens. The drug belongs to the category of medicines with a wide spectrum of action. The drug is available in the form of tablets, a solution for injection. Among the most frequent negative effects of the drug should be noted: a change in taste sensitivity, dizziness and pain in the head, dyspepsia. The medicine is not prescribed for severe diarrhea, hypersensitivity, epilepsy, under the age of 18 liters.

Means "Ofloxacin"

The drug has the ability to destabilize the DNA of pathogenic microorganisms. The drug belongs to the category of agents of a wide spectrum of activity. A medication can be prescribed for any form of urethritis. The product is in the form of capsules. Side effects include allergic reactions, violation of smell, hearing and taste, disorders of the central nervous system and gastrointestinal tract. It is not prescribed after head injury, with epilepsy, under the age of 18 liters, after a stroke, in the presence of hypersensitivity.

Medication "Levofloxacin"

This drug inhibits DNA synthesis. Available in the form of a solution for injections, tablets. Means "Levofloxacin" is recommended for different types of urethritis in men. Possible side effects include hypoglycemia, low blood pressure, gastrointestinal tract disorders, and CNS disorders. The drug is contraindicated for epilepsy, under the age of 18 liters., Lesions field of treatment with quinolones.

Medication "Fluconazole"

This drug is effective for candida urethritis. The tool actively destroys the fungus. A medication is available in the form of capsules, a solution for infusion and oral administration, tablets, syrup. Side effects include a change in taste, nausea, flatulence, headache, dizziness. Not recommended at the same time as Astemizole and Terfenadine.

Means "Dioxidin"

A medication is prescribed when other drugs are not effective. The product is available in the form of ointments, aerosols, solution for injection, intracavitary and external use. The medicine can cause allergies, digestive upsets (with intracavitary and intravenous use), fever, dermatitis (with local use). The drug is not prescribed for allergies to components, adrenal insufficiency.

The problem of urethritis often worries representatives of the stronger sex. This disease is an inflammatory process that occurs in the urethra. It can cause serious health problems. Therefore, it is important to begin treatment of urethritis in men in a timely manner. For this, it is necessary to remember the characteristics of the disease, the symptoms and the main methods of therapy.

Who is at risk?

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

  • Long stay in a stressful situation.
  • Hypothermia of the body.
  • Failure to comply with intimate hygiene standards.
  • Excessive drinking.
  • Prolonged fasting or malnutrition.
  • Vitamin deficiency.
  • The presence of chronic diseases.

In the presence of such factors, health should be carefully monitored. Strictly follow all the rules for the prevention of the disease.

Try to avoid having sex with unverified partners. Always use contraception.

Symptomatology problems

Symptoms of urethritis in men may vary slightly depending on which particular microorganism caused the problem. There are a number of common signs:

  • Increased urge to urinate.
  • Swelling in the urethra.
  • Itching and burning in the genitals.
  • Urination may be accompanied by a small amount of blood.
  • Attacks of sharp pain in the urethra are tormented.

If urethritis is associated with a gonorrhea infection, then it may be accompanied by purulent discharge from the urethra. In this case, urine due to the presence of pus will be cloudy. An admixture of blood can be detected in semen.

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

A distinctive feature of the trichomonas form of the disease is the persistent severe itching in the area of ​​the glans penis. It exacerbates during urination. A bright secret comes out.

With ureaplasma urethritis, severe burning and itching of the genital organs is observed. White or greenish tones appear. Uncomfortable sensations are amplified several times with the use of alcoholic beverages.

Chlamydial urethritis is accompanied by severe pain and burning during urination. Scanty discharge appears. Often this form of the disease proceeds without severe symptoms, so it quickly flows into the chronic stage.

Treatment of the disease at home. Is it possible to?

In addition to medical treatment, recovery is often observed after using several alternative methods.

Remember: before starting treatment, you should follow a diet. For this, refuse salty and spicy. Eliminate all irritants and allergens, food additives and preservatives from the diet. For a while, forget about pastries and sweets, alcohol and smoking, strong coffee and tea. An important factor in the treatment is the sufficient consumption of water - at least 1.5 liters per day.

Lime decoction

To get rid of burning and cuts, prepare a decoction of linden. To do this, take 40 g of linden and fill it with half a liter of hot water. Insist 10 minutes, cover, strain thoroughly. Drink 2 hours after dinner, 250 ml.

Accurate Diagnostic Techniques

Urethral inflammation in men can cause serious health effects. 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 to confirm:

  • A selection of the urogenital smear is carried out, which is then sent to the laboratory for research. This may be bacteriological culture or PCR.
  • General urine analysis. Such an analysis helps determine the degree of damage to the urinary tract.
  • Blood analysis.
  • Urethroscopy - an examination of the urethra using a special probe. Can only be performed after acute urethritis in men has receded.
  • Ultrasound procedure. Allows you to study pathological changes in the bladder, prostate gland 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 only be carried out if there is a suspicion of chronic urethritis.

Only after a full medical examination, the doctor can conclude about the nature of the disease and its severity. Once the causative agent is identified, you can proceed to the development of a specific treatment methodology.

Blackcurrant leaves

How to cure urethritis with this tool? Take 60 g of leaves and fill them with 500 ml of water. Infused broth for half an hour. Drink half a glass every 4 hours (in addition to night time). Infusions of blackcurrant leaves are known for their ability to heal almost all diseases of the genitourinary system.

Herbal tea No. 1 (calamus root and peppermint)

Get the calamus root, peppermint, dioecious nettle in the pharmacy. Take 1 tsp. each remedy and pour 500 ml of boiling water. Insist 20 minutes. Take 1 glass in the morning and evening.

Important: in the treatment it is important to use those drugs that have anti-inflammatory, diuretic and antimicrobial effects.

Herbal harvest No. 3 (Dandelion, parsley, anise and juniper fruit)

Mix dandelion, parsley, anise, juniper fruits, steel root, taking 10 g of each product. Pour 1.5 liters of boiling water. Insist for half an hour. Drink a glass in the morning and before bedtime.

Pathogens that cause infectious urethritis

Depending on the type of microorganisms that enter the urethra and cause the inflammatory process, urethritis is divided into specific and non-specific.

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

Microorganisms that cause non-specific infectious urethritis:

  • staphylococci,
  • streptococci,
  • E. coli
  • less often - others

A specific infection in the urethra, usually cause microorganisms that cause sexually transmitted infections.

Types of specific infectious urethritis:

  • gonorrheal
  • Trichomonas
  • candida
  • mycoplasmal
  • chlamydial.

Viral Infectious Urethritis It is caused, as a rule, by herpes viruses.

Herbal harvest number 5 (St. John's wort, field horsetail, wheat grass, caraway seeds and sage)

In the same amount (1 tsp each), take St. John's wort, horsetail, wheat grass, caraway seeds and sage. Pour a liter of boiling water. Insist for 60 minutes. Strain through cheesecloth. Drink half a glass 2-3 times a day.

Ways of infection with infectious urethritis

Infection with urethritis can occur through sexual or hematogenous routes.

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

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

Drug treatment

After it became clear that such urethritis 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 become the cause of the inflammatory process.
  • Probiotics Not only pathogenic microflora suffers from antibiotic treatment, but also bacteria necessary for human health. Probiotics can help restore 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. They help restore normal outflow of urine.
  • Immunomodulators. The body’s immune system is severely affected by the disease. It can be restored with the help of specialized drugs, as well as vitamin and mineral complexes.

It is impossible to terminate a 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 read the instructions for the medication before starting therapy.

If a man suffering from urethritis has a regular partner, then she also needs to undergo treatment. Otherwise, re-infection is likely. At the time of treatment, it is better to refrain from sexual intercourse or use a condom.

Herbal harvest number 8 (fennel fruits, motherwort and black poplar buds)

Fennel fruits, motherwort, buds of black poplar, rhizome of madder madder, immortelle flowers, heather grass are taken in an amount of 5 g. They are poured with 1 liter of boiling water and infused for about 60 minutes. Filter and use 3 times a day for half a glass.

Important: with exacerbation of urethritis and acute forms of the disease, courses on the use of herbs should be continued for a month. Then follows a 2-week break. After the specified time, the course is repeated and has been going on for 2 months. There is a break again. In chronic forms of urethritis, treatment can last from a year to several years.

Carrot and cranberry juice

These products, or rather juice from them, have incredible effectiveness. They are able to fight various forms of urethritis. Therefore, do not forget to use at least once a day for half a glass of freshly squeezed juice of cranberries and carrots.

Classification of urethritis

The clinical picture and treatment methods depend on the type of infectious agent that caused the inflammation, stage of neglect and intensity of the disease, the presence of concomitant diseases and provoking factors. That is why the appointment of an effective and adequate treatment depends on the nature of the pathology.

Classification of urethritis by etiological indicators

Non-infectious urethritisInfectious urethritisNoncommunicable diseases include:

  • congestive urethritis - may appear due to venous stasis in the pelvis,
  • traumatic urethritis - appears against the background of ruptures and tears of the urethra, as well as after surgical interventions (catheterization, cystoscopy),
  • allergic urethritis - develops due to exposure to allergens.
Each type of infectious urethritis has its own specific type of pathogen, and only with mixed urethritis, inflammation can occur against the background of the action of two or more pathogenic organisms:
  • tuberculous
  • mixed,
  • gardnerellosis,
  • chlamydial
  • ureaplasmic
  • mycotic,
  • bacterial,
  • Trichomonas
  • viral,
  • mycoplasmal
  • Trichomonas.
Classification according to severity of symptomsClassification by the course of the diseaseChronic urethritis is divided into periods without exacerbations and the acute stage:
  • urethritis is weakly active,
  • moderate degree of disease activity (urethritis),
  • a high degree of activity of inflammation of the urinary canal.
Fresh urethritis is divided into:
  • torpid
  • subacute
  • acute.
Classification by disease specificityClassification by the onset of the disease
  • specific - these are sexually transmitted infections (chlamydia, trichomoniasis, gonorrhea) and tuberculosis,
  • non-specific - the causative agent of the infection are microorganisms that are constantly present in the body, but are suppressed by a healthy immune system.
  • primary - the disease occurs as an isolated pathology,
  • secondary - develops due to the presence of other diseases in the body.

In most cases, the causative agent of urethritis is chlamydia and gonococcus, while in about 50% of cases it is not possible to detect these infectious agents in the study of the material.

Currant berries

The berries from this plant are an excellent anti-inflammatory and diuretic. This is very important in the treatment of any type of urethritis. Cook decoctions, compotes, infusions from currant, and also eat it raw. This will cure urethritis not only in men, but also in children and pregnant women.

Remember: for urethritis, eat celery, carrots, beets, cranberries, parsley, lingonberries. These products are able to overcome the ailment.

Forms of the disease

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

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

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

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

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

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

Depending on the localization of the pathological process:

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

Stages of the disease

Fresh (acute) urethritis proceeds in three stages:

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

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

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

Complaints made by the patient

Symptoms of urethritis do not occur immediately after infection. First, the incubation period passes, the duration of which can be from several minutes to two months in the case of nonspecific urethritis. Specific infections have a shorter time frame.

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

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

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

Common signs of acute urethritis:

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

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

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

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

If the disease has become chronic, then the symptoms of the disease may disappear altogether, there is no discharge, and the patient may be disturbed only by mild itching and discomfort in the urethra. More pronounced symptoms are observed only during periods of exacerbation of the disease.

Purulent discharge

With bacterial urethritis, purulent discharge is observed, with trichomoniasis - whitish, with gonorrhea urethritis - gray-yellow or greenish. Also, the discharge may be insignificant or completely absent, however, the man will be disturbed by blood in semen or urine, burning and itching at the time of urination, swelling of the penis, pain at the time of intercourse.

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

Traumatic urethritisSymptoms depend on the nature of the injury - it is burning and pain when urinating. Allergic urethritisAlso, pain and burning, however, a feature is the presence of allergic edema. Congestive urethritisClassical symptoms are often completely absent. It manifests itself in different types of sexual dysfunction.

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

Disease Diagnostic Methods

Urethral swab in men - an effective diagnosis of the disease

At the first sign of urethritis, it is important to consult a urologist. In some cases, when the disease was promoted by a sexual infection, a consultation with a dermatovenerologist is prescribed.

A medical examination is sometimes insufficient to determine the diagnosis, especially if the disease is asymptomatic.The main research methods include urinalysis, which is considered the simplest. If there is an increased level of white blood cells in the urine, this indicates an inflammatory process. Usually the analysis is given in the morning. To do this, take the first portion of the liquid. For examination for bacterial urethritis, a blood test is mandatory.

Additional methods for the study of urethritis of bacterial origin include:

  • Three glass sample
  • Urine analysis according to Nechiporenko
  • Urethroscopy
  • Urine culture
  • Polymerase chain reaction of secretions (PCR)

If in the blood and urine there is an increased indicator of leukocyte cells, there is a protein in the urine (proteinuria), then this may indicate bacterial urethritis.

A mandatory method is a smear from the urethra, it can be bacteriological and microscopic.

To prepare for such a diagnosis, sexual acts, the use of any antibiotics should be excluded the day before the procedure. In addition, you can not urinate about two hours before the smear. An ultrasound examination of the bladder, kidney, prostate and ureter can also be prescribed.

Stages of treatment

Treatment of urethritis in men should be carried out as soon as possible, since this disease does not pass on its own. Even non-infectious urethritis easily passes into a nonspecific form (when opportunistic bacteria are activated).

In the absence of proper therapy, urethritis becomes chronic and unpleasant complications are ensured in the future. Do not rely on knowledge of traditional medicine. A urologist knows how to treat urethritis, whose consultation in case of illness will be indispensable.

Therapy includes several stages.

Treatment of bacterial, gonorrhea urethritis

The antibiotics of the cephalosporin group demonstrate excellent results in the treatment of gonorrhea urethritis. In addition to them, kanamycins, oletetrins, erythromycins, tetracyclines can be prescribed. In this case, kanamycins must be used with extreme caution, since these drugs are highly toxic. Drugs with prolonged action - bicillin-5 and bicillin-3 should be prescribed in short courses.

In some cases, if gonorrhea urethritis is complicated by other infections, the simultaneous use of several antibacterial drugs is practiced. In such cases, it is best to use the complex of "Gentamicin" and "Azithromycin" ("Ecomed", "Hemomycin", "Azitroks", "Azicide", "Zi-factor", "Sumamed").

In order to prevent the occurrence of candidiasis, due to prolonged antibiotic therapy, Levorin, Fluconazole, Nystatin, Pimafucin and other antimycotic drugs are prescribed. The most important aspect of treatment is the individual selection of drugs.

Quite often, men who suffer from gonorrhea urethritis ask friends to “give injections” and use antibiotics uncontrollably and without consulting a doctor.

  • Such self-medication is unacceptable, since prolonged use of strong anti-inflammatory drugs without a clear treatment regimen and cure control can lead to the transition of urethritis to a chronic form and the development of resistance of the pathogen to drugs.
  • In addition to antibiotics, the patient should take immunostimulating drugs and vitamins.
  • To fully convince that the body has freed itself from gonococcus and is completely cured, it is necessary to pass control smears three times.
  • Only after receiving negative research results can we assume that the patient is completely healthy.

Gardnerellosis, ureaplasma and mycoplasma urethritis

These types of urethritis are treated with antibiotics, lincosamines, fluoroquinolones, macrolides and tetracyclines. The tetracycline group, and specifically doxycycline, is considered the most effective.The macrolide group (clarithromycin) also gives excellent results. Immunostimulants are also prescribed.

For any specific urethritis, simultaneous therapy of both sexual partners is necessary.

  • If a man is diagnosed with trichomonas urethritis, when selecting drugs, they turn to metrogil, trichopolum and metronidazole.
  • If the urethritis has a chronic form, antibiotic therapy is added to the treatment.
  • In the case of inadequate treatment, infertility may develop.

Treatment of candidal urethritis in a man requires a completely different approach. The main drugs to combat this pathology are antimycotic drugs like Pimafucin, Nystatin, Clotrimazole, and Fluconazole.

Qualitatively selected treatment of the underlying disease is important, which is the cause of candida urethritis.

The only antibiotic that actively fights the causative agent of this infection is azithromycin.

  • If the drug is incorrect in case of chlamydial urethritis, serious complications can occur - inflammatory diseases, epididymitis, Reiter's syndrome, infertility.
  • If the patient has an individual intolerance to azithromycin, doxycycline, levofloxacin, erythromycin, ofloxacin, clarithromycin are used as an alternative.
  • Also, immunostimulating drugs and vitamins should be used in the complex.


Viral urethritis

Treatment is with antiviral drugs. The sooner treatment is started, the faster recovery will occur. Among antiviral drugs, preference is given to: “Herpevir”, “Famciclovir”, “Riboverin”, “Acyclovir”.

Using antibiotics with this form of pathology is impractical because they are not able to fight viruses.

Treatment of non-specific chronic male urethritis is not as fast as with infectious ones. The chronic course of the disease is often aggravated by concomitant pathologies, and the signs of the disease are mild or may be absent altogether.

  • Therefore, treatment of chronic urethritis should begin with the use of immunostimulants.
  • Only this approach allows you to activate the body's defenses to fight infection.
  • After receiving the result, antibiotic therapy is selected individually.
  • The main feature of the treatment of non-specific forms of urethritis is the lack of need for treatment of a sexual partner.

For allergic urethritis, antihistamines must be used. If urethritis is caused by stagnation of blood in the pelvic area (congestive), it is necessary to eliminate the cause of this stagnation. With traumatic urethritis, in addition to antimicrobial therapy, surgical intervention may also be required.

Antibiotics can be prescribed for:

  • the installation of the drug through catheter injection into the urethra,
  • intravenous infusion in 0.2% of cases of acute urethritis,
  • intramuscular injection in 18%,
  • oral administration in 81%,
  • the use of only one antibiotic - monotherapy 41%,
  • two - 41%
  • three - 13%
  • four antibiotics - 5% of cases.

The most popular antibiotics for acute male urethritis, which are prescribed by a doctor depending on the type of pathogen

Trichomonas urethritis in combination with atypical agents

Ornidazole6%Doxycycline3%Josamycin6% Josamycin6%Ciprofloxacin4%Ceftriaxone8% "Azithromycin"9%"Metronidazole"10%Ornidazole14% Doxycycline21%"Azithromycin"15%"Secnidazole"15% "Metronidazole"36%Ceftriaxone61%Fluconazole24% Doxycycline25% "Azithromycin"29%

Non-coconut urethritis, which is caused by atypical agents

Urethritis of unknown etiology

Clarithromycin3%Clarithromycin3% "Secnidazole"3%Ciprofloxacin3% Josamycin5%Tinidazole3% "Metronidazole"6%Nimorazol3% Doxycycline12%Josamycin4% Ofloxacin12%"Secnidazole"4% Fluconazole24%Fluconazole9% "Azithromycin"35%Ceftriaxone10% Doxycycline18% "Metronidazole"18% "Azithromycin"24%

Traditional treatment of the disease

Proper and effective treatment of bacterial urethritis can only be prescribed by a doctor.

Treatment of bacterial urethritis is aimed at the destruction of pathogenic microflora. After the diagnosis, with the help of which the presence of a certain type of bacteria is determined, the specialist selects antibacterial drugs. In this case, complex therapy is needed.

Most often prescribed antiseptics - drugs for external use. These are such medicines:

  • Protargol
  • Dioxidine
  • Miramistin
  • Collargol
  • Furatsillin

Silver nitrate based products are excellent. These drugs relieve itching and reduce pain. With their help, urethral rinses, the so-called instillations, are done. Herbal preparations Phytosoline and Kanefron have a good effect.

In addition, ointments are used in the treatment, which help the regeneration of the tissues of the urethra.

Effective in the treatment of urethritis is the use of antibiotics inside. Depending on the specific causative agent of the disease, a specialist may prescribe the following groups of such drugs:

  • Macrolide series of antibiotics: Erythromycin, Azithromycin, Clarithromycin.
  • Cephalosporins: Cephritriaxone, Cefazolin.
  • Tetracycline group: Doxycycline, Tetracycline.
  • Fluoroquinolones: Pefloxacin, Levofloxacin, Abactal, Ofloxacin.
  • Sulfonamides may also be used.

It is better to give preference in this disease to broad-spectrum antibiotics. Usually these are drugs for internal use or medicines in the form of injections:

  • With a disease caused by Trichomonas, Trichopol, Metrogil, Metronidazole, Trichomonacid, Tinidazole are suitable.
  • If gonorrhea provoked urethritis, then it is better to use cephalosporin, macrolide or fluoroquinolone drugs. These are antibiotics such as Azithromycin, Gentamicin, Cefuroxime, Cefotaxime, Azitrox, Summamed, Erythromycin, Oleandromycin, Spiramycin, Cefaclor, Rifampicin.
  • Chlamydia is more effective in macrolides, tetracyclines, and fluoroquinolones. Azithromycin is the most popular in the treatment of urethritis, which is caused by chlamydia.
  • If the disease is not started, then you can try to use Monural, which helps to eliminate the inflammatory process during the day.

Antibiotic therapy course

The course of antibiotic therapy is up to ten days. It is important to remember that when using antibiotics, probiotics should be used that help restore intestinal microflora. These are drugs such as Linex, Lactovit, Bifidumbacterin.

Additional methods of treating the disease ::

  • Antihistamines such as Suprastin or Tavegil are used to relieve swelling of the genital organ and itching.
  • The use of immunostimulants and vitamin-mineral complexes is also recommended. These include Timalin, Duovit, Ribomunil, Gepon. Such funds help increase defenses and restore the urethral mucosa.
  • For the treatment of bacterial urethritis, the following physiotherapeutic procedures may be prescribed: magnetotherapy, electrophoresis, or UHF.

However, these methods are not carried out in the acute course of the disease. To speed up recovery, you must also adhere to a special diet and abstain from sexual activity during treatment. After treatment, a second examination should be taken.

Additional treatments

In addition to the basic course of treatment with antibacterial drugs that suppress the acute symptoms of the disease, other therapeutic methods are also widely used, which relate to local and physiotherapeutic procedures.

Kegel's special exercises will help strengthen the muscles of the pelvic floor

Local procedures involve administering drugs directly to the urethral opening.Urethral installations are performed using a hydrocortisone, Dioxidin and Mirimistin preparation. Local treatment gives a good result, provided that it is used in combination with other drugs.

Physiotherapeutic treatment is used exclusively in cases of chronic urethritis, it is strictly contraindicated to use these methods in acute inflammatory processes. Magnetotherapy, laser therapy, UHF, electrophoresis can be prescribed. However, all these methods should be carried out only systematically and only under the supervision of specialists.

Forecast

Men can cure urethritis only if all the recommendations of a specialist are observed.

The correct medication and the passage of all necessary procedures, in most cases, has a successful outcome.

Otherwise, the disease may become chronic (desquamative) in nature.
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Urethra anatomy in women and men

In women, the urethra has a length of only 1 - 2 cm and a sufficiently large width. Therefore, the causative agents of infection that get here, practically do not linger, but penetrate immediately into the bladder, causing cystitis (inflammatory lesion of the wall of the bladder), or excreted with the flow of urine. Due to the large width of the lumen, even significant swelling of the mucous membrane of the urethra in women does not lead to a significant violation of the outflow of urine.

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

Parts of the urethra in men :

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

Urethritis - inflammation that affects the urethra, discomfort during urination and discharge from the urethra with an unpleasant odor.

The disease can affect both the male and female genitourinary system, however, due to the anatomical features of the body in men, the course of the disease is much more severe, and the symptoms are more severe earlier. This is due to the length and narrowness of the channel.

Treatment of urethritis in men is dictated by the form of the disease. The latter, in turn, is explained by the nature of the occurrence of infection: infectious or non-infectious.

Infectious group (genital infections) is more common and is classified by the nature of pathogens:

  • specific (gonorrheal, etc.)
  • nonspecific (provoked by chlamydia, ureaplasam, trichomonads, various viruses, mycoplasmas, etc.).

Pathologies related to non-infectious can be triggered by injuries of the urethra (including those associated with exposure to foreign bodies - catheters, etc.), allergic reactions, and narrowing of the urethra.

The treatment regimen for urethritis in men

It should not be delayed with treatment of urethritis in men - the disease alone will not disappear. In a short time, even a non-infectious form of the disease transforms into a non-specific one when microorganisms of opportunistic flora are activated.

At the first stage, the doctor directs the patient for examination to determine the causative agent of the infection.Diagnostics includes a number of procedures. In addition to standard seeding of biological material, PCR analysis, ELISA techniques and determination of antibody titers that give a response to specific bacteria show effectiveness. During the examination, a specialist evaluates the condition of the scrotum, urethra and prostate for complications.

The treatment regimen for urethritis in men is selected taking into account two tasks. Firstly, it is necessary to remove the focus of inflammation from the body, thus stopping the infection. Secondly, it is required to restore the walls of the urethra.

To achieve the first goal, the patient is prescribed a course of antibiotic therapy. In parallel with antibacterial drugs, enzymes, multivitamins and immunomodulators should be taken. These funds are auxiliary and help to avoid complications and side effects of drugs, such as dysbiosis, nausea, vomiting, dispersion disorder, etc.

To the main course add procedures for the introduction of antiseptic solutions into the urethra. This method leads to the death of up to 80% of bacteria. The composition of drugs of this type includes substances aimed at the restoration of damaged walls of the channel.

Antimicrobials for the treatment of urethritis

Antibiotics are the basis for the treatment of urethritis in men of any etiology. The range of antibacterial drugs used in the course of antimicrobial therapy is quite wide. Most often, patients are prescribed medications from the group of macrolides, fluoroquinolones, tetracyclines, penicillins.

Candida infection requires antimicrobial agents. In complicated cases, two different types of antibiotics are used at once. The course of antibiotic therapy lasts about 10 days. It is important to follow all the appointments and recommendations of a specialist. It is impossible to stop treatment early - this leads to the addiction of bacteria to an antibiotic and dangerous transformation of the disease into a chronic form.

How to treat urethritis in men and which antibiotics to prescribe, the doctor decides based on the results of diagnostic tests. The examination reveals the susceptibility of bacteria to various types of drugs.

In recent years, tetracycline antibiotics have been used to combat ureaplasmas with consistently high results. This medicine is from the second generation of tetracyclines, which has proven itself in European clinics. It surpasses analogues in a number of indicators and has many advantages:

  • has a direct effect on the focus of inflammation,
  • non-addictive pathogenic bacteria,
  • used in smaller dosages, in shorter periods, minimizing the risk of side effects.

The result of medical manipulations depends on the correct selection of tablets. Assess the result allows analysis, which is carried out after completion of the course and should show the absence of pathogens. When bacteria are detected in the crop, a re-treatment scheme with the use of antibiotics from another series is thought out.

Strong antimicrobials seriously affect the intestinal microflora, often lead to allergies and gastrointestinal tract disorders. Probiotics make it possible to prevent the effects of antibiotic therapy. Other mitigating measures include:

  • local procedures with antiseptic action to prevent the spread of infection,
  • immunomodulatory drugs for accelerated recovery,
  • taking multivitamins and enzymes,
  • uroseptic instillations into the urethra.

Folk remedies for the treatment of urethritis

Treatment of urethritis in men with folk remedies can only be perceived as an addition to the course of antibacterial therapy. The main effect of the use of decoctions and infusions from rhizomes, shoots and inflorescences of plants is to provide anti-inflammatory, antispasmodic, antimicrobial and diuretic effects.

A positive result is given by decoctions of linden blossom. Fresh cranberries, lingonberries, parsley and celery should be included in the diet. The inflammatory process in the urethra helps to reduce the infusion of wheatgrass rhizomes.

Since it is rare to cure urethritis in men while it is in acute form, and the disease often goes into a chronic stage, folk remedies are used to mitigate the effects of drugs and overall body strengthening.

In the stages of exacerbation, fees from medicinal plants are used in monthly courses. In the chronic course of the disease, the use of folk remedies can last up to two years with interruptions.

The most effective antibiotics

Antibiotics are selected based on the causative agent of the disease. In some cases, pathogenic microflora can be resistant to drugs. This can be clarified using a special analysis. But sometimes you can’t wait for the results, since precious time for treatment will be missed. In this 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 a concomitant infection occurs, then the simultaneous administration of several medications is recommended. A good result is given by a combination of Azithromycin and Gentamicin.
  • Candidiasis urethritis in men is treated with a combination of antibiotics and antifungal drugs. The most commonly used are nystatin or clotrimazole.
  • The ureaplasma, gardnerellosis and mycoplasma forms of the disease are treated with antibiotics of the macrolide or tetracycline group.
  • 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. Poor treatment and atypical urethritis. In this case, an integrated approach with the mandatory use of means to restore the immune system is required.

Drug therapy

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

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

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

Antiviral

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

  • Riboverin. Stops the process of synthesis of viral cells. Contraindicated in heart failure, severe anemia, depression, liver and kidney diseases.
  • 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 irritability, the appearance of hallucinations. The drug is forbidden to take with individual intolerance to its components.
  • Herpevir. 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 for individual intolerance to components and impaired liver and kidney function. The duration of therapy with such a tool is no more than 10 days.
  • Valacyclovir. 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.

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

Ethnoscience

To maintain immunity, fight the inflammatory process, and mitigate the acute signs of urethritis, you can use some methods of alternative medicine. You can use them after agreement with the doctor. The most popular of them:

  1. It is necessary to grind fresh parsley leaves, pour a tablespoon of raw materials with 500 ml of boiling water, leave for several hours under a lid, filter. With exacerbation, you need to take a mixture of 50 ml every two hours.
  2. On a glass of boiling water, you need to take a teaspoon of chopped yellow zelenchuk (has antiseptic and antimicrobial properties). It will take 15-20 minutes to infuse the mixture, then it is drunk warm instead of tea during the day. As a substitute for zelenchuk, currant leaves are well suited.
  3. Decoction of oak bark. It is 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, insisted for half an hour, filtered. The tool is used to flush the urethra.
  4. Cornflower infusion will restore the balance of microflora, destroy pathogenic microorganisms. You need to brew a tablespoon of flowers with a glass of boiling water, leave for an hour, strain. Take a mixture of 50 ml before each meal.

Complications of male urethritis

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

  • pyelonferitis (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 dysfunctions and infertility. If untreated, gonococcal urethritis, accompanied by congestion in the urethra, will result in a complex lesion of the joints, organs of the urinary system, irreversible damage to the urethra.

Diagnosis of the disease

Examination of the genitals is also carried out, as well as manifest symptoms. More frequent characteristic symptoms are painful urination and discharge from the urethra.

In order to identify the causative agent of the disease, the following tests are necessary:

  • Blood analysis. It is necessary to identify and determine sexually transmitted infections.
  • Analysis of urine. Determines the general condition of the body and the presence of an infectious process.
  • Smear analysis from the urethra is needed to determine the microflora and the type of microorganisms that caused inflammation.

Types of Male Urethritis

Male urethritis is divided into several types and types. It can be infectious and non-infectious, primary and secondary, that is, it gets from already infected organs into the urethra. Classification of urethritis in men is carried out according to its characteristics (types of pathogen).

Urethritis is an inflammatory process that occurs in the urethra (on the wall of the urethra). Often this ailment is observed in a strong half of humanity, while in women, urethritis occurs along with cystitis. If you do not resort to treatment on time, then this can lead to more serious consequences. We will talk about how to treat urethritis at home, in our article.

Antiseptic

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

  • Chlorhexidine. This product is a liquid that has neither color nor odor. This tool has an antimicrobial effect, helps stop the inflammatory process. Chlorhexidine is recommended for flushing the anterior and posterior parts of the urethra. This procedure helps get rid of accumulating 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 fight pathogenic microflora of any kind. 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.
  • Furatsilin. Rinsing is carried out in a similar manner. The regular conduct of such procedures will allow you to 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 are mandatory carried out before sampling for laboratory research.

Urethritis Treatment Methods

In order to recover from this ailment, it is necessary to stop the spreading infection in the body, removing the focus of inflammation. It is also important to restore the functionality of the urethra. The purpose of treatment is dictated by the form of the disease.

At infectious urethritis undergo antibiotic therapy (Azithromycin, Metronidazole, Doxycycline, Ceftriaxone), with non-infectious urethritis (allergic, traumatic, congestive) eliminate the cause of inflammation. When allergic urethritis antihistamines are used (Suprastin, Tavegil). At traumatic urethritis surgical intervention is possible, the injection of uroseptic drugs directly into the urethra aimed at restoring the urethral mucosa is also effective. congestive urethritis , it is necessary to increase physical activity, which will eliminate blood stasis in the pelvis. Also, drugs are used to eliminate venous insufficiency (Aescusan, Venza).

Do not forget about the restoration of microflora after antibiotic therapy, probiotics (Linex, Bifidumbacterin) will help in this. Also, for faster recovery, immunomodulators (Cycloferon, Uro-Waxon) should be taken.

The diet should be adjusted to reduce the consumption of foods that irritate the urethral mucosa (acidic, spicy, spicy foods and also foods with preservatives).

Disease definition

After patients have specific symptoms of urethritis (pain, burning in the urethra, a feeling of incomplete emptying of the bladder, etc.), they go to the clinic, where, in fact, the disease is diagnosed. Diagnosis is carried out by a number of procedures - blood, urine analysis, polymerase chain reaction, bacteriological culture, determination of the level of oxalates, which help establish the type of urethritis.

Burning and other symptoms of the disease that appeared in the urethra do not force all patients to go to the clinic. Some patients deliberately delay a visit to a medical institution, but with a late diagnosis, the disease is more difficult to treat. In this case, the doctor will resort to a more complex scheme of pathology therapy, treatment is possible at home.

The use of ointments and suppositories in the fight against urethritis

The use of topical preparations gives a good result in the treatment of the disease. These include ointments and suppositories for rectal administration. Among the most effective drugs can be identified:

  • Acyclovir. It is used in the treatment 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 glans penis three four times a day. Sometimes, after its use, manifestations of an allergic reaction in the form of redness, peeling and rash can be observed. Apply this ointment with extreme caution to people prone to spontaneous bleeding.
  • Hexicon. Available in the form of suppositories, which are administered rectally. Their soft base helps the active substance to spread quickly on 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 on the mucous surfaces. In case of an overdose, the appearance of headaches, convulsions, upset gastrointestinal tract, clouding of consciousness.

The effectiveness of such drugs is quite high. Experts recommend their use in the treatment of urethritis.

The scheme of treatment of the disease

After the diagnosis has been carried out, the doctor determines the scheme by which the treatment of the disease will be carried out. The main goals that need to be solved in the treatment of urethritis are stopping the site of inflammation and restoring the normal state of the walls of the bladder and urethra. With the start of treatment, burning in the urethra also goes away.

If non-specific urethritis is treated only with antibiotics, then patients are threatened with dysbiosis, vomiting and nausea, dispersion.

Because urethritis often develops due to bacteria, antibiotics will be used in the treatment

To stop the inflammatory focus, the doctor prescribes antibiotic therapy, along with which patients should also take enzymes, immunomodulators and multivitamins. Such auxiliary groups of drugs weaken the side effect of antibiotics on the body and help strengthen its immunity.

Men are simultaneously prescribed urethral rinsing with antiseptics, which can eliminate about eighty percent of pathogenic bacteria, and women are given baths with a decoction of chamomile or a weak solution of potassium permanganate, candles in the vagina and anus. Their doctor may be allowed to do at home.Already from the first procedures, burning in the urethra weakens much more.

A comprehensive effect on inflammation in the urethra is the use of such groups of drugs:

  1. antibacterial agents (depending on the causative agent of the infection),
  2. immunomodulators (Gelon, Timalin, aloe extract, Ribomunil),
  3. homeopathic remedies
  4. traditional medicine with proven effectiveness (herbal remedies).

Together with antibiotics, it is necessary to take drugs that stop the negative effects of antibiotics.

The principles of antibiotic therapy

The basis in the treatment of urethritis is antibiotics. It is these drugs that can eliminate the further progression of the infectious process. In order to act on the causative agent of the disease, doctors have a wide range of drugs - tetracyclines, penicillins, macrolides, fluoroquinolones. Their use is based on the results that the diagnosis gave.

If the diagnosis determines the presence of a fungal infection, the doctor additionally prescribes antifungal drugs. If the patient has a complicated course of the disease, an acute phase, he is prescribed several antibiotics at once. This helps to fight the infection in those conditions when the disease is started, or there are concomitant pathologies of the genitourinary system, such as cystitis.

Antibiotic therapy should last at least ten days. This is a general principle for the treatment of all diseases with such drugs, since an interrupted course of treatment does not give the expected effect and the disease may reappear at any opportunity. Especially often this happens in the autumn-winter period, when the risk of hypothermia is high, and the immune system weakens in patients. In patients, cystitis and burning in the urethra appear again, but may not be as pronounced as before. Thus, the disease becomes chronic.

If the cause of urethritis is ureaplasma, then treatment with Minolexin is necessary

The choice of a specific drug depends on the type of infection that caused the disease. With urethritis provoked by ureaplasma, the drug Minolexin, which belongs to the group of second-generation tetracyclines, has recently been widely prescribed. This tool has passed sufficient testing in European medical institutions and has been successfully used in domestic clinics, but is contraindicated in breastfeeding.

The consequences of antibiotic treatment for the body do not always go unnoticed. A significant proportion of patients have serious problems with the gastrointestinal tract, as well as allergic reactions to drugs. Therefore, when treating with antibiotics, doctors adhere to the following principles:

  1. combine general therapy with local treatment,
  2. immunomodulating drugs are prescribed in parallel,
  3. prescribe multivitamins, enzymes at home,
  4. with breastfeeding, gentle therapy is prescribed.

When breastfeeding, care should be taken when choosing drugs.

Drugs for the treatment of the disease

Nonspecific urethritis, or the second name “non-chronic”, is one of the most complex types of ailment, since there are certain difficulties in its treatment, and diagnosis does not always give the correct results. Non-chronic urethritis occurs as a reaction to a change in diet, an allergy to medications, etc.

Since urethritis is most provoked by sexual infections, then we list the drugs for this type of ailment. A practitioner prescribes various drugs from different groups for each type of urethritis. Consider the main arsenal of drugs in the treatment of urethritis.

Acceptance of drugs is carried out according to the scheme prescribed by the doctor. For example, when breastfeeding, the list of drugs is significantly adjusted.If necessary, the specialist can also prescribe herbal remedies and homeopathic treatment at home, prescribe a diet to reduce the level of oxalates and urates in the urine.

The video will focus on urethritis and its treatment:

Active sex life brings not only pleasure, but also problems. They are most often associated with diseases of the genitourinary organs, sometimes viral, and in other cases bacterial. We will not dwell on the maxim that has gotten sore, that intercourse without a condom is like riding a rollercoaster without seat belts. Urologists daily face hundreds of different diseases, their symptoms and consequences. Some diseases develop in the genitourinary system secretly, and only after a long time they manifest recognizable symptoms. Others, on the contrary, “shine” with pathological symptoms from the very beginning, causing significant inconvenience, and limiting a person to his abilities. Urethritis in men also refers to such diseases. Inflammation of the walls of the urethra (which, in essence, is urethritis) takes place in the male half, of course, is more painful, but it is sometimes observed in women. The topic of today's review is how to treat urethritis in men, and what medications does modern pharmacy offer in this case.

Re-examination

At the final stage, it is necessary to re-examine and take tests to exclude the presence of a disease in the body.

The course of treatment of urethritis lasts from two weeks to a month, it all depends on the severity of the disease and compliance with the prescribed therapy. Urethritis very rarely requires inpatient treatment, so at home an important role is played by the correct intake of prescribed drugs, rejection of sexual relations and diet.

Symptoms of the disease

Non-infectious is manifested in the early 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.

Antibiotic treatment

The use of antibiotics for the treatment of urethritis is based on the diagnostic results, taking into account the identified pathogen. Also take into account the age of the man, the presence of chronic diseases and the cause of the development of urethritis. Antibiotics are started as early as possible, observing the norms and regimen of the drug. They are more popular due to the convenient use of tablet preparations. The purpose of antimicrobials depends on the type of bacterial urethritis, therefore, they are most often used:

At trichomonas urethritis Metronidazole, doxycycline.

  • Metronidazole - has an antibacterial, trichomonacid and antiulcer effect. It is rapidly absorbed by the body creating bactericidal concentrations. Not recommended for men with liver disease. Be sure to simultaneously treat sexual partners.
  • Doxycycline - a broad-spectrum antibiotic. Be sure to take with meals with plenty of fluids. It is recommended to avoid exposure to sunlight during use.

At gonococcal urethritis prescribe cephalexin, azithromycin, metronidazole.

  • Cephalexin - a broad-spectrum antibiotic.It is highly concentrated in the kidneys, so it is often prescribed for diseases of the genitourinary system.
  • Azithromycin - creates high concentrations in the foci of inflammation exerting a bactericidal effect. Plus, this drug is in preserving bactericidal properties within 5 to 7 days after administration, this made it possible to prescribe short courses of treatment (from three to five days).

At non-gonococcal urethritis helps azithromycin, fluconazole, ofloxacin.

  • Fluconazole - has a pronounced antifungal effect, is used to treat infections caused by fungal microorganisms. It has good tolerance. It can be taken regardless of the meal. Use with caution in renal failure.
  • Ofloxacin - effective in relation to microorganisms resistant to most antibiotics. It is used for urethritis due to its ability to be excreted in urine by 80% and remains in it for up to 24 hours. While taking the drug, it is not recommended to use drugs that reduce the acidity of the stomach, which contributes to a decrease in the effectiveness of therapy.

At urethritis of unknown cause prescribe Azithromycin, Metronidazole, Doxycycline, Cephalexin.

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.

  • 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.

Acute urethritis

The main thing with acute urethritis is a quickly started treatment. In men, acute urethritis is often treated with a ten-day course of doxycycline. This is due to its activity against a significant number of microorganisms and bacteria. The use of azithromycin is also effective. This course of treatment lasts from one to five days. This short course of taking the drug has fewer side effects, but is ineffective in infectious processes in the prostate.

In acute urethritis, a painful manifestation of symptoms is characteristic, therefore, painkillers (No-shpa, Baralgin) are included in the therapy. The bed rest will also facilitate the patient's condition.

For patients with urethritis, an examination for the presence of sexually transmitted diseases is mandatory.

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.

Bacterial urethritis

Therapy of bacterial urethritis is underway antibacterial drugs to which the sensitivity of the pathogen is proven laboratory. Also underway restorative therapy to stimulate immunity and local urethral lavage for its complete purification from pathogens and products of their vital activity.

Often men are exposed to bacterial urethritis after endoscopic procedures or the use of a catheter, therefore it is important to observe the sterility of all objects in contact with the urethra. With prolonged use of the catheter, timely rehabilitation of the urethra is necessary.

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.

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.

Folk treatment methods

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:

  • Lime decoction. When the urethra becomes inflamed, severe cramps and a burning sensation appear. A decoction of linden blossom will help to remove unpleasant symptoms. To prepare it, it is enough to steam two tablespoons of dried color with two glasses of boiling water. Boil the composition for 10 minutes. After that, he will only have to filter. Take this tool in a glass a day. It is better to do this overeating, as, among other things, it has a calming effect. Lime decoction will help to relax and sleep peacefully.
  • Cornflower broth. Urethritis is well treated with the use of a decoction of blue cornflower. For its manufacture, a spoonful of dried raw materials is steamed in a glass of boiling water. 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.
  • Broth of wheatgrass. When symptoms of urethritis appear, therapy with creeping wheat grass can be started. When making a decoction, it is necessary to strictly adhere to the recommended dosages. Four tablespoons of chopped wheatgrass root should be mixed in a glass of cold water and left overnight for insisting. Then pour the liquid into the bucket. Pour the remaining roots with boiling water and hold under cover for about 10 minutes. Combine the infusion and the liquid, mix thoroughly. Take such a tool tediously in half a glass four times a day.
  • Infusion of several herbs. Prepare a collection of horsetail, wild rose, elderberry and juniper fruit. Mix all components in identical proportions. Two tablespoons of the prepared composition, steam with two glasses of boiling water and leave to infuse in a tightly closed container for an hour.Then filter the infusion. It is necessary to take it one glass daily. Harvesting 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.
  • A decoction of medicinal plants. Stir in equal quantities the root of steel, parsley, juniper, dandelion roots and anise. Scroll the resulting composition through a coffee grinder to obtain a uniform 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 urethral inflammation in men is only possible with a strong immune system. A blackcurrant leaf will help to support it. To prepare the broth, it is better to use dried raw materials. Steamed in a glass of boiling water 30 grams of raw materials. After an hour, filter the liquid. Drink it 15 minutes before meals three times a day. Such a tool can be used throughout the treatment.
  • Infusion of oak bark. The tool helps to cope with inflammation and get rid of burning and other unpleasant sensations. To prepare it, it is enough to steam a tablespoon of raw materials with a glass of boiling water. After three hours, you can drink it three times a day. The same infusion can be used to wash the genitals.
  • Healing fee. At home, you can treat urethritis with a decoction of juniper, calamus root, rosehip, mint, nettle and elderberry. All ingredients are taken in equal amounts. 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 a decoction in a glass in the morning and evening hours.

Such funds in some cases can provoke the appearance of an allergic reaction and other side effects. Therefore, before using them, you must always consult a specialist.

Diet food

At home, urethritis therapy should be complemented by proper nutrition and a healthy lifestyle. This is especially important when several organs become inflamed at the same time. Follow these guidelines:

  • Try to eat more foods that have anti-inflammatory effects. These include carrots, celery, parsley, lingonberries and cranberries.
  • Minimize the consumption of oily, excessively salty, spicy and smoked foods.
  • Try to drink as much clean water as possible. It will help reduce the concentration of harmful bacteria in the urine. This will reduce the symptoms of the problem.
  • To increase immunity, eat more fresh vegetables and fruits. Drink juices, jelly and stewed fruit. Cranberry juice and tea with the addition of wild rose should be a mandatory part of the diet.
  • The use of alcohol is strictly prohibited. Coffee, tea and cocoa can be drunk occasionally in minimal quantities.
  • Do not use foods that have an irritating effect on the urethra. These include spices, spices, garlic, onions, spinach, horseradish and radishes.

Proper nutrition should be supplemented by moderate physical activity and a complete rejection of bad habits. Try to spend more time outdoors.

Possible complications

After a full medical examination, a specialist will determine how to treat urethritis. Only a doctor can name specific drugs and their dosages. Failure to comply with his recommendations can trigger complications:

  • The disease will develop into a chronic form. Pathogenic microflora will slowly damage the prostate gland. This will lead to problems with potency. The probability of infertility is high.
  • It provokes inflammation of the testicles.This disease is called orchitis. It is accompanied by pain, swelling and severe redness. Poor therapy. If you do not diagnose the problem in time, an abscess may occur. The reproductive function of men is significantly affected.
  • Balanoposthitis - inflammation of the skin of the penis. It is accompanied by severe redness, swelling of the foreskin, swollen lymph nodes, general weakness, fever and other unpleasant symptoms. It will take a long treatment. In some cases, surgical intervention is necessary.
  • Damage to the kidneys. The inflammatory process can move up the urinary system and reach the kidneys. This provokes the development of cystitis in men.

After properly cured urethritis, the development of complications is observed quite rarely. In order to avoid negative consequences, it is necessary to start therapy when the first symptoms appear.

Preventive actions

It is necessary to identify symptoms in men with urethritis and start treatment as soon as possible. Only in this way can a complete cure be guaranteed. But it’s much easier to prevent the disease. To do this, you must adhere to the basic rules of prevention:

  • Carefully monitor personal hygiene. Stop wearing synthetic underwear. In such underwear, skin breathing is difficult, it is possible to create a greenhouse effect, which contributes to the rapid reproduction of pathogenic microflora. Better give preference to pants made of good quality cotton fabric.
  • It is strictly forbidden to use other people's hygiene items, such as towels or bedding. Through them, transmission of infection is possible.
  • Give up promiscuous sexual intercourse. It is much more pleasant and safer to have one sexual partner. By contact with potential carriers of infection, you can protect yourself with a condom. But such protection does not give 100% of the result.
  • Have a medical examination regularly. Urethritis in the early stages can occur in a latent form. It will be possible to identify it only through laboratory diagnostics. Surveyed once every six months. Visit a urologist even if you have no prerequisites for the development of sexually transmitted diseases.
  • If infection is detected, treatment should be timely and complete. Untreated diseases can cause serious complications.
  • Protect yourself from hypothermia and overheating.
  • Excessive physical exertion, as well as genital injuries, can increase the likelihood of rapid infection. Try to adhere to the correct daily routine and avoid dangerous situations.
  • Eat right, exercise and give up bad habits. Keep track of your immune system. Eat more fresh vegetables, berries and fruits. Drink more pure mineral water.

Now you know if urethritis can be controlled. This disease is fraught with negative health consequences. Therefore, it is extremely important to contact a specialist when detecting the first alarming symptoms. This will help maintain men's health and reproductive function.

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

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

Treatment methods

If you experience unpleasant sensations at the time of urination, with redness of the genitals, 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 the diagnosis, you can proceed to treatment with drugs, folk remedies or use complex treatment.

To cure urethritis should:

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

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

When taking medications, the patient should not eat spicy and salty foods, completely eliminate alcoholic beverages.

After the symptoms of urethritis have passed, it is impossible to stop treatment, you need to undergo a 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
  • diuretic drugs

  • immunomodulators
  • antihistamine drugs
  • vitamins.

During treatment, it is worthwhile to refrain from sexual intercourse, or apply barrier-type contraception methods.

Pills

Antibacterial treatment can cause candidal urethritis. To avoid such consequences, patients are prescribed antifungal medications in the form of tablets:

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

The use of antihistamines is relevant for allergic urethritis.

The allergic reactions that cause burning and itching in the urethra in men will be described by a practicing urologist andrologist in this video.

Probiotics

After treatment with antibacterial agents, probiotics should be taken. They contribute to the normalization of microflora.

Most often prescribed:

In addition to probiotics, you should use yoghurts as often as possible, they also contribute to the restoration of microflora.

Kanefron - a herbal medicine

One of the additional treatment methods is taking Kanefron. It has a diuretic and antimicrobial effect, removes inflammation and significantly reduces pain.
The substances that are contained in the drug contribute to the normalization of the kidneys. 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 for patients who have intolerance to certain 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 confident that such treatment is not inferior in effectiveness to antibiotics.

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

Drugs used in homeopathic therapy:

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

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.

Varieties

The symptoms and treatment of the disease are affected by factors and pathogens that caused it, concomitant ailments, and the severity of the course of inflammation. When drawing up a treatment regimen, the urologist finds out the nature of the urethritis that arose in a particular man.

By etiology, the disease is divided into two types:

By the nature of the current, they distinguish:

At the beginning of development, they distinguish:

  • primary (occurs independently),
  • secondary urethritis (appears against the background of other pathologies).

According to the specificity of the disease, the forms are divided:

  • non-specific (the infection is caused by bacteria, viruses, allergens, pathogen fungi that the body resists),
  • specific (occurs against the background of genital infections (STIs): gonorrhea, trichomoniasis and others).

Antiseptics

To get rid of pathogenic microorganisms, hydrocortisone and methyl blue (0.02%) are prescribed. The first drug is injected directly into the bladder for maximum effectiveness.

With viral urethritis, ointments are used to get rid of the causative agents of the disease. The most effective is Acyclovir ointment, which helps relieve inflammation of the urethra.
About the use of this drug and its features tells the doctor dermatovenerologist in this video:

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.

Alternative methods of treatment

With this disease, drug therapy with folk remedies can be supplemented. Herbal medicines must have antimicrobial and anti-inflammatory effects. 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.

Gonorrheal form of the disease

Gonorrhea infection is suppressed using cephalosporins - effective antibiotic drugs. They fight the disease using tetracycline, erythromycin. If necessary, for the treatment of specific urethritis, the doctor opts for long-acting antibiotics: Bicillin-3, Bicillin-5.

If another infection (for example, a bacterial one) joins the gonorrheal form, different antibiotics are used together. Combine Azithromycin with Gentamicin and other medicines.

In order to prevent candidal urethritis, the patient is recommended to use antifungal agents: Pimafucin, Nystatin. To strengthen the protective mechanisms of the body, immunostimulants and multivitamins are prescribed.

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.

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.

Decoctions, baths and lotions

A decoction of lingonberry, chamomile, St. John's wort and black elderberry is good for urethritis. All of the above herbs should be taken in equal proportions, for example, 2 tbsp. Pour the resulting mixture into 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 caraway, sage, wheatgrass, horsetail and hypericum is prepared.

With the disposal of urethritis with medications, treatment with trays and lotions can be carried out in parallel. The use of hemp milk for douching gives a pronounced effect. Before starting procedures, hemp milk should 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. For this, you can use decoctions that help strengthen immunity.

To prepare the broth, you need to take bearberry (leaves), birch buds (preferably young), stigmas of corn, flowers and roots of domestic violets in equal parts.

All ingredients (1 tablespoon each) pour one liter of warm boiled water, leave for a quarter of an hour. All the broth you need to drink during the day in three sets.

Chlamydial urethritis

This kind of disease is treated with antibiotics. There are several methods of antibiotic therapy:

  1. The patient is prescribed a single use of Azithromycin.
  2. The patient takes a course of Doxycycline, Erythromycin, Levofloxacin, Ofloxacin, Josamycin.

If we talk about effective treatment of urethritis, then Josamycin is stronger than Azithromycin, and macrolides (Erythromycin) are weaker than Doxycycline.

Trichomonas variety

Treatment of chronic trichomoniasis, as well as acute, involves the use of antibiotics. Two drugs are used for therapy: Tinidazole and Metronidazole .

They are prescribed in large doses, which are taken once. Metronidazole is prescribed for course therapy. The dosage is then reduced to average. The duration of treatment is seven days.

Bacterial and viral species

The disease can appear against the background of various bacterial microflora. Treatment of nonspecific urethritis is carried out in the traditional way: the patient is prescribed a potent antibiotic, Doxicillin.

Viral urethritis occurs if the mucous membranes of the urinary tract affect:

  • adenovirus
  • herpes virus type 1 and 2.

Treatment of such non-specific urethritis in men is carried out according to classical methods. The patient is prescribed Acyclovir, Valaciclovir, Famciclovir.

Non-infectious forms

The treatment of non-infectious urethritis is influenced by factors that triggered its appearance. The doctor chooses methods that can eliminate the root cause and restore the functions of the urethra.

  1. Allergic urethritis is suppressed by antihistamines and glucocorticoids. Drugs relieve an allergic reaction, edema, inflammation.
  2. Traumatic urethritis is stopped by physiotherapeutic procedures and the introduction of drugs that eliminate inflammation into the urethra.
  3. Congestive urethritis passes after the elimination of the root cause - stagnation of blood in the pelvis. In this case, hemorrhoids are treated, constipation, increase motor activity.

Means for local treatment

All baths should be taken after washing. The hygienic procedure will wash off pathogenic secretions, harmful microbes. This will enhance the healing effect of herbal baths. They are treated until recovery.

Urethritis is a serious pathology. Against its background, orchitis, balanoposthitis, prostatitis, sexual dysfunction, infertility develop. Timely comprehensive therapy, including medications and folk remedies, helps to restore health, avoid serious complications. Treatment is carried out on an outpatient basis under the supervision of a physician.

You can take cod liver oil supplements to treat urethritis at home. This helps strengthen immunity, which allows the immune system to more effectively fight against a viral or bacterial infection that caused urethritis.

Watch the video: Male Urethral Stricture Disease: Signs, Symptoms and Treatment (February 2020).

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