Gynecology

Urethritis: Symptoms and Treatment

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

Anatomical features of the male urethra

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

Male urethra consists of the following departments:

  • Prostatic department. So called part of the urethra, located in the prostate gland. Its length is about 4 cm. The second name of the prostatic department is prostate.
  • Membranous department. The second name is webbed. The length of this department is about 2 cm. It starts after the prostate gland and ends at the base of the penis. This part of the male urethra is the narrowest.
  • Spongy Department. The second name is spongy. The longest part of the urethra, located inside the shaft of the penis. Unlike prostatic and membranous, the spongy part is mobile. Ends with a hole, which is called meatus.

Urethritis classification

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

Classification by etiological indicators

  • Gonorrheal
  • Mycoplasma
  • Viral
  • Trichomonas
  • Bacterial
  • Mycotic
  • Ureaplasma
  • Chlamydia
  • Gardnerella
  • Mixed
  • Tuberculosis

  • Allergic urethritis that occurs when exposed to allergens
  • Traumatic urethritis caused by tears or urethral ruptures, as well as after various medical interventions (cystoscopy, catheterization)
  • Congestive urethritis. Venous congestion in the pelvis may lead to it.

Classification by specificity

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

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

Symptoms of urethritis

After infection, the first symptoms of urethritis occur after a certain time, depending on the incubation period of the pathogen: for gonorrhea for 3-7 days, for chlamydia for 7-14 days, for trichomoniasis and candidiasis for 14-21 days, for viral for several months, for tuberculosis for several years, with allergies - a few hours.

The most typical symptoms of urethritis in men are:

  • Pain, itching and burning during urination
  • The presence of discharge from the urethra

Other symptoms, such as hyperthermia, general weakness in urethritis is usually not observed. Depending on the pathogen that caused the disease, discharge from the urethra can be of a different nature. More often, white or green discharge appears in the morning, has an unpleasant odor and can form yellow crusts on the penis.

Also, with secretions, gluing and reddening of the external opening of the urethra can be observed. Lower abdominal pain can occur with various types of urethritis, but they are not a constant symptom.

The urination process is also disturbed, the onset of which is often accompanied by a sharp pain, turbid urine, the frequency of urge to urinate increases (see frequent urination in men, causes), the urine process ends with a sharp pain, sometimes with blood.

When acute urethritis becomes chronic, the symptoms of the disease may disappear altogether, discharge stops, only mild discomfort, itching in the urethra area, disturb, more intense symptoms appear only during periods of exacerbation.

When gonorrheal urethritis discharge greenish or gray-yellow, with trichomoniasis - whitish, with bacterial - purulent. The discharge may be absent or be very insignificant, and the man is concerned only with pain during intercourse, swelling of the penis, itching and burning during urination, blood in the urine or semen.

In the table below - the most typical symptoms of different types of urethritis.

Therapy for urethritis in men

As with any other disease, the choice of treatment for urethritis in men is based on diagnosis. Primary importance is attached to the results of laboratory studies. Indicators of general urine and blood tests, bacteriological urine culture, urethral smear tests, urethroscopy data are taken into account.


All medical procedures can be carried out on an outpatient basis, hospitalization is not obligatory, during treatment accuracy and consistency in performing medical appointments is important. If taking antimicrobial drugs is carried out irregularly, the patient will consume alcohol, interrupt the course of treatment, the disease may become chronic (see how to properly drink antibiotics).

It is clear that for medical treatment of urethritis in men drugs are selected by the doctor, the patient himself must observe certain rules for the entire period: exclude sex life, not consume alcoholic beverages, spices, spices, smoked meats and pickled foods, drink plenty of fluids and follow hygienic rules.

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

Treatment of gonorrheal, bacterial urethritis

Good effect in gonorrheal urethritis is achieved with the use of antibiotics cephalosporin group. Tetracycline, erythromycin, oletretrin, kanamycin can also be administered. As for the latter, it should be used very carefully, given the high toxicity of the drug. Preparations of prolonged action, such as bitsillin - 3, bitsillin-5, are appointed by short courses. Sometimes, with the complication of gonorrheal urethritis with other infections, several antibacterial drugs can be used at the same time, best of all Azithromycin and Gentamicin (see the symptoms and treatment of gonorrhea in men). Azithromycin is Sumamed, Zi-factor, Azitsid, Azitroks, Hemomitsin, Ecomed.

For the prevention of candidiasis with prolonged use of antibiotics, Pimafucin, Nystatin, Fluconazole, Levorin and other antifungal drugs in tablets are prescribed.

A very important aspect is the individual choice of drugs for therapy. Often, men suffering from gonorrheal urethritis turn to those familiar with the request to “beat injections”, use antibiotics without consulting and supervising the doctor. This is not acceptable, self-treatment with strong broad-spectrum antibiotics without a clear treatment regimen, control of cure can lead to the development of drug resistance of the pathogen and the transition of the disease to the chronic form.

In addition to antibiotics, the patient is prescribed vitamin preparations, as well as drugs that stimulate immunity. In order to make sure that the patient doesn’t have gonococcus in the patient’s body, after a complete cure, he must pass control smears three times. Only when receiving negative results can a man be considered healthy.

Chlamydial urethritis

The true infection with chlamydia in the territory of the Russian Federation is unknown. Statistics show that it is progressively decreasing and in 2015 amounted to 41 cases per 100,000 population. At the same time, European data give a figure of 184 cases per 100,000. Such discrepancies most likely speak not about the best sanitary-epidemiological climate here, but about the difficulties and insufficiency of diagnostics. The absence of clinical manifestations of urethritis (discharge, pain or discomfort during urination) or complicating orchepididymitis does not speak in favor of the absence of infection in the genital tract. Often, men complain about urethritis about the secondary manifestations of chlamydial infection: orchitis, arthritis. Thus, the indication for examination of this pathogen should not be the presence of a clinic for lesions of the urinary tract or genital organs, but the fact of unprotected sex or the presence of more than one sexual partner throughout the year. The only reliable method for the detection of chlamydia is PCR diagnostics, with which neither crops, nor microscopy, nor serological analyzes are comparable.

Therapy involves the course use of doxycycline, erythromycin, levofloxacin, ofloxacin, josamycin or a single dose of azithromycin. In this case, doxycycline is preferable to macrolides. A course of Josamycin is more effective than a single treatment with Azithromycin (see Chlamydia in men - symptoms, treatment).

Mycoplasma, as the cause of urethritis

Typical manifestations of infection are urethritis, often combined with balanoposthitis or complicated by arthritis and orchepididymitis. An indication for the start of treatment is the detection of genetic material during PCR scraping of the urethral endothelium. More recently, three groups of antibiotics were leading in the treatment of mycoplasmas: tetracyclines, macrolides and fluoroquinolones. Today, the parasite has developed resistance to almost all of these drugs. However, under the condition that sensitivity to Azithromycin or Josamycin is maintained, therapy is carried out by them. Under the condition of resistant mycoplasma strains, Moxifloxacin is used. With its inefficiency (resistance to it), the efficiency of Unidox Solutab is relied on by 30% or the French Pristinamycin is not registered with us.

Ureaplasmosis

With regard to ureaplasmas, tactics change all the time: they do not need to be treated and they are conditionally pathogenic, then they must be treated with any detection. Modern urology has so far settled on the opinion that there are two variants of the parasite (parvum and urealiticum) and, accordingly, it is necessary to approach them differentially. If Ureplasma urealiticum is diagnosed, it always entails the development of urethritis and it should be treated in full (although there is a clinic, although it does not exist - because it will be necessary). If Ureaplasma parvum is revealed, and the patient is not disturbed by anything, it is possible not to heal. In 95% of cases, ureaplasma urealytikum responds well to tetracycline therapy and is 100% wiped out with josamycin.

Viral urethritis

This is the same story that a man gets during oral sex. The cause may be adenoviruses or herpes simplex viruses of type 1 or 2. At the same time, about a third of men will have slimy, slimy discharges and dysuric disorders (cramps, burning during urination). That is, the clinical manifestations in the viral origin of urethritis are much less bright than in the bacterial process. In addition, bacteria will not be detected in culture cultures, and a significant number of mononuclear cells will be noted with a microscopy of smears. In the scrapings from the urethra will be determined by the virus.

A herpetic infection is treated according to the classic short or complete regimens of Acyclovir, Valaciclovir or Famciclovir.

Other bacterial urethritis

Urethritis can be caused by virtually any bacterial flora, including menigococci and hemophilic bacilli. But today, the problem of urethritis associated with bacterial vaginosis in the sexual partners of patients is more interesting. In general, bacterial vaginosis is considered to be a variant of dysbiosis, which is treated in a woman and does not threaten a man. However, a link was found between the inflammatory changes in the male urethra and the main groups of bacteria present in the vaginal microflora during vaginosis. These are not only gradnerella, but also clostridia, leptotrichia, and megasphere. It is proved that these microorganisms facilitate infection with other sexually transmitted infections. Most often, Gardnerella type 4 vaginalis and Clostridia are associated with male urethritis. With the exclusion of the main pathogens (chlamydia, mycoplasmas, trichomonads, ureaplasmas) and the impossibility of further verification of the infection, doxycycline is traditionally prescribed.

Antibiotics may be prescribed as:

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

The most commonly used antibiotics for acute urethritis in men who are prescribed by a doctor depending on the causative agent:

Treatment of Candida Urethritis

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

Additional treatments

In addition to the basic course of antibacterial drugs that affect the suppression of the acute symptoms of the disease, other therapies are widely used, such as local and physiotherapy.

Local procedures involve the introduction of drugs directly into the urethra. For urethral instillations use Miramistin, Dioxidin, as well as drugs hydrocortisone. Local treatment procedures give good results, being a component of the complex therapy of urethritis.

Physiotherapy treatment is used only for chronic urethritis, in acute inflammatory processes, they are contraindicated. Prescribed electrophoresis, UHF, laser therapy, magnetic therapy. But all these methods require systematic and competent medical supervision.

Why there is urethritis in men - the causes of the disease

Urethritis appears for a variety of reasons, in addition to infection with sexually transmitted infections, certain conditions, provoking factors, contribute to the multiplication of pathogens, consider all possible causes:

  1. Genital infections - a high risk of urethritis in men who have an active sex life (not protected sexual intercourse). In this case, an STI easily penetrates the urethra, causing rapid or sluggish inflammation.
  2. Urolithiasis (kidney stones) more often affects men than women. This disease leads to traumatic urethritis, as the stones on the way out easily traumatize the walls of the urethra, causing irritation and activation of conditionally pathogenic microorganisms.
  3. Any injuries of the penis, as well as debilitating physical labor can be a trigger in the development of urethritis.
  4. Hypothermia is the most important provocateur of any exacerbations of chronic diseases (including latent infections, viruses, extrapulmonary tuberculosis), since it reduces the body's defenses.
  5. The overall decrease in immunity - malnutrition, lack of sleep, overwork, alcohol abuse, smoking lead to the depletion of the body's natural defenses.
  6. Medical manipulations (smear, urinary catheterization) can injure the mucous membranes, and if the rules for disinfection are not followed, the infection can be introduced.
  7. Food - the abundance of salty, spicy, acidic foods cause irritation of the mucous membranes, contributing to the addition of other infections. Inadequate fluid intake leads to rare urination and does not allow for the natural cleansing (washing) of microorganisms that have accidentally entered the urethra.

How to avoid complications

According to statistics, every second man after 50 years suffers from prostatitis. And we do not think that the representatives of the stronger sex associate this pathology with the urethritis that was once transferred. However, prostatitis often occurs against the background of an existing infection of the urinary system. Уретрит может способствовать развитию везикулита, орхита, баланопостита, колликулита, приводя к нарушению половой функции, бесплодию и синдрому Рейтера. Во избежании осложнений уретрита, мужчине следует:

  • Отказаться от беспорядочных половых связей, соблюдать гигиену интимной жизни
  • Timely treat any chronic pathologies
  • Avoid hypothermia
  • Empty the bladder for any urge to urinate, do not "tolerate"
  • Do not get involved in alcohol, fatty, spicy, salty foods.
  • Eliminate intense, excessive exercise

Urethritis - the main symptoms:

  • Itching in the vagina
  • Blood in urine
  • Painful urination
  • Burning sensation when urinating
  • Urination
  • Itching when urinating
  • Purulent discharge
  • Redness of the genitals

Urethritis is an inflammatory disease in which the urethra (or urethra) is affected. Urethritis, the symptoms of which occur on the background of exposure to viruses or bacteria that provoked this inflammation, may in its own course correspond to the nature of the infection or non-infectious process.

general description

The urethra itself is the channel through which the discharge of urine to the outside, from the bladder. Primarily, urethritis is diagnosed in sexually active young patients, and it is the sexual transmission route that determines the greatest number of patients seeking appropriate medical care.

Symptoms of urethritis in women, by the way, are sometimes extremely difficult to distinguish from the symptoms that manifest themselves in cystitis. Actually, cystitis in women, which, as the reader probably knows, is a disease accompanied by inflammation of the bladder, is often a companion of urethritis, due to which, to some extent, it becomes more difficult to isolate both topical variants of the disease. The reason for this is the similar nature and symptoms. The difference is the actual localization of the inflammatory process and the symptoms that appear in both cases - the main symptoms of cystitis are based on increased urination, while urethritis urination is only combined with certain unpleasant sensations. However, it is impossible to deny the possible relationship of both of these diseases, because urethritis may develop against the background of cystitis, or, conversely, serve as the basis for its future development. These options are due to the ascending or descending path of infection.

The disease is not life threatening, but its appearance, as can be supposed, is the cause of a certain kind of adjustment in life for the period of manifestation.

It should be immediately noted that due to the location of the urethra, which in women is somewhat shorter, urethritis in men develops almost unhindered. The urethra in men has several physiological contractions and bends, which determines for them a greater predisposition to urethritis. Returning to the peculiarities of the urethra in women, it remains to be noted that it, as is already clear from the comparison, is straightforward and rather short, which ensures practical rinsing of the actual infection during urination.

So to say, in a “pure” form, urethritis is detected only rarely in patients. By “pure” form, in particular, it is meant that this disease is such that in the genitals there is no typical inflammation. The first symptoms of urethritis necessarily require a visit to a doctor. The reason for this is the possible aggravation of the course of this disease in the future, which, in turn, may manifest itself in a slightly different form. Thus, exposure to viruses or pathogenic bacteria against the background of urethritis with such aggravation of it can provoke infection of the prostate gland or epididymis in men.

Mostly urethritis develops as a result of infection with one or another venereal disease, which, as already noted, contributes to the main method of infection - sexual contact. Also as a factor provoking urethritis is a violation of the rules provided for personal hygiene. In addition to these reasons, which, however, occurs somewhat less frequently, the introduction of microbes into the urethra is also possible, which is a result of several other reasons. In particular, in this case, inflammation of the organs located above, or the introduction of microbes through the lymphatic and blood vessels from the foci of inflammation relevant to the body, is meant. Examples of such foci of inflammation can be identified inflammatory processes in diseases of the teeth, inflammation of the tonsils (what happens with tonsillitis), etc.

Urethritis can be gonococcal (specific urethritis) or, respectively, non-gonococcal (non-specific urethritis), there is a more advanced version of its classification.

Causes of Urethritis

The causes of urethritis, we generally outlined a little higher. With a more detailed consideration of the reasons are determined on the basis of compliance with the classification.

First of all, urethritis can be specific or nonspecific.

Specific urethritisdiagnosed in those cases if it is triggered by infections that are transmitted through sexual contact. As such infections can be distinguished herpes virus, gonococcus, ureaplasma, Trichomonas. More rarely, it is mycoplasma, chlamydia, gardnerella, etc. A specific urethritis is similarly defined as gonococcal urethritis(based on the nature of its own occurrence, as can be understood from the definition of this form).

As for the following form, and this non-specific urethritisthen conditionally pathogenic microflora is considered here as an influencing factor. As examples, you can select staphylococci and streptococci, Escherichia coli, various varieties of fungi.

Specific urethritis also defines a separate group in them, this non-gonococcal urethritis.This group is characterized by the fact that urethritis in it is provoked by various types of viruses and infections, but with the exception of gonococci. In turn, this group defines two other forms of urethritis, and this infectious urethritisor non-infectious urethritis.And if with infectious urethritis questions, in principle, does not arise in terms of the specifics of its occurrence, and it is determined on the basis of the name itself, then a non-infectious urethritis, of course, can provoke a corresponding reader interest.

The basis for the development of non-infectious urethritis can be a physical lesion of the urethra. For example, it may be a stroke or a diagnostic procedure resulting in such a lesion, thermal or chemical exposure. In accordance with the traumatic nature of non-infectious urethritis, it is also defined as traumatic urethritis.Non-infectious urethritis, among other things, can also be allergic. Allergic Urethritisaccording to the specificity of allergy, it can act as a reaction of the body, which occurs in response to food, medicinal or other allergens. In some cases, urethritis is diagnosed in patients with diabetes mellitus and other type of disorders associated with metabolism.

But these options do not complete our classification. In addition to the options already listed, urethritis can be primary or secondary. Primary urethritisis an independent disease that develops directly in the urethra, while secondary urethritisis the result of the complication of a disease. Infection in secondary urethritis occurs mainly from the bladder, from the vagina or from the prostate gland, etc.

Based on the considered classification options, urethritis, in accordance with the reasons that provoked it, can also be divided into two groups, and this sexually transmitted urethritisand non-venereal urethritis.As has already been highlighted, urethritis can be gonorrheal or non-gonorrhea, and both of these options can be attributed to venereal urethritis, provided that the route of infection was sexual.

Urolithiasis can provoke urethritis, which is caused by the movement of sand or stone along the urethra, as a result of which its walls are affected. As causes provoking urethritis, you can also note significant physical exertion, especially sexual life (excessively active sex life, or, conversely, sex life is not permanent). Certain foods also contribute to the development of urethritis, and these are salted foods, sour, spicy or pickled foods. In fact, there may be a lot of factors, and those of which we have listed are only the basis.

The duration of the incubation period of the disease (and this is the time interval between infection and the appearance of the first symptoms) is determined on the basis of the specific pathogen that provoked urethritis. On average, the incubation period for gonococcal urethritis is about 3-10 days after infection has occurred (the actual contact), although an abbreviated version of it is not excluded. Thus, certain strains provoke the development of urethritis as early as 12 hours after contact. However, the manifestation of this disease is not excluded even after 3 months after that - here, of course, we are talking about another kind of strain that defines such a scenario.

Urethritis: symptoms

As the main manifestation characterizing the course of urethritis, purulent discharges appearing from the urethra act. Such secretions can be either yellow green or pale yellow.

Symptoms of acute urethritis are characterized by the occurrence of itching, burning and soreness, all these manifestations are noted at the very beginning of the act of urination, again, the appearance of purulent discharges. The edges of the external opening of the urethra begin to inflame and, as the process progresses, stick together. At the same time, the development of urethritis is possible without the concomitant appearance of purulent discharges, but with the listed symptoms accompanying directly the act of urination.

Urethritis, the symptoms in men with which manifest themselves in a rather sharp form, in women manifest differently. Thus, the symptoms of urethritis in women are less pronounced, in some cases they may not be detected at all.

Types of urethritis are characterized by their own features of the course, despite the already mentioned features, depending on the stage of the flow, several typical forms are defined, we will dwell on them in more detail.

Acute Urethritis: Symptoms

This variant of urethritis is accompanied by a characteristic urination soreness and burning sensation. These symptoms are also combined with copious secretions, which, as already noted, appear from the urethra. Sponges of the external opening of the urethra redden, swelling is noted, the inflammatory process is concentrated in the area of ​​the wall of the urethra. Slight pressure leads to the expiration of purulent discharge. After a night of sleep on the clothes you can find purulent spots. Feeling the urethra allows you to select some of its density.

In general, the sensations that the patient experiences in urethritis are characterized by the scale of the inflammatory process within the urethra (this is the posterior urethritis, the anterior urethritis, or full urethritis), the relevance of complications is also taken into account. Thus, some patients may experience a burning sensation or itching in the urethra, while others, in particular, experience pain during urination.

If the acute variant of the flow of torpid urethritis (the low-symptom form of this disease) is considered, then the urge to urinate is frequent, in the area of ​​the urethra there is pain, the body temperature rises. The completion of urination in this case becomes the appearance of a minimum amount of bleeding, they are defined as terminal hematuria. There is also a swelling of the urethra. In general, the course of torpid urethritis, if it is not about its acute form, is characterized by its own monotony, such a flow has no sharp boundaries, as a result of which it passes into the chronic form of gonorrhea.

Subacute urethritis: symptoms

This form is characterized by a gradual reduction in swelling and pain in the urethra. Purulent discharge or have scanty character, or disappear altogether. In some cases, the presence of discharge in the morning (they have the form of a crust, due to which the external opening is glued in the urethra). The urine also changes: it becomes more transparent, there are slight purulent threads in its composition.

Chronic urethritis: symptoms

The transition to the chronic form takes place with an ineffective therapy for the disease or in the absence of proper treatment as such. The appearance of complaints (exacerbation of urethritis) in this case is preceded by the influence of provoking factors, against the background of which the appearance of a certain amount of purulent discharge is noted. These factors include hypothermia, the use of alcohol by the patient, etc. Basically, the symptoms of chronic urethritis coincide with the manifestations characteristic of the torpid form of urethritis, which we previously identified. The course of the disease can be long-lasting, which implies not only months, but also years, which, ultimately, can cause a visit to a doctor (if this was done before, before the disease went to this form). The long course of this form of urethritis can provoke a stricture of the urethra, in which the urethra in the lumen begins to narrow, causing urination to be accompanied by a change in urine flow (it becomes weak) and soreness.

Total Urethritis: Symptoms

The peculiarity of this form of urethritis lies in the fact that the urethra is completely subjected to inflammatory damage. Symptoms of total urethritis are characterized by similarities with the symptoms of prostatitis. With acute total urethritis, urge to urinate have an irrepressible nature of manifestation, the completion of urination is accompanied by pain. In the urine marked bloody and purulent components.

Diagnosing

Diagnosis is based on the physical examination of the patient with symptoms, indicating a possible urethritis. Inspection is carried out after 1-3 hours since the last act of urination. The diagnosis of acute urethritis or chronic urethritis is established on the basis of swelling and redness of the urethra, as well as on the basis of purulent discharge.

In the future, a Gram swab is made if there is a suspicion of the relevance of gonorrheal urethritis. Diagnosis of the disease is also supported by the results of urinalysis in the detection of leukocytes in the sediment, analysis of scraping the urethra and vagina (the presence of chlamydia is determined). If necessary, a scraping can be made from the rectal area.

Urethritis treatment

The definition of measures for drug therapy is based on the nature of the disease. The main treatment measures used are washing with the use of antiseptic preparations, which are oriented directly to the area of ​​the urethra, and antibiotics can also be used. Efficacy in the treatment of urethritis determines the use of erythromycin and tetracyclines. An additional effect is achieved through physiotherapy procedures (warming applications, electrophoresis, etc.), local treatment (for example, sit-down baths based on herbal decoction), receiving immunostimulants and immunomodulators.

A diet is required during treatment. It specifically excludes salty, smoked and spicy foods, alcohol. At the acute stage of the manifestation of the disease, the ration is based on products of lactic acid origin, and abundant drinking is also shown. The effect of negative provocative factors (physical overload, hypothermia) is excluded, the restrictions apply to sexual life within this period.

If urethritis is not treated, there is a risk of the development of already marked prostatitis (in a chronic form), and in some cases of epididymitis, and this disease already later becomes the cause of infertility (obturative form). Vesiculitis may also develop.

The main method of preventing urethritis is the implementation of the barrier method, which consists in contraception using condoms, which is especially important during sexual intercourse with non-regular partners. Also important point in the prevention of gonorrhea is proper hygiene measures.

If you suspect the relevance of urethritis, you should visit a venereologist, with non-specific urethritis, the patient is sent to a urologist.

If you think you have Urethritis and the symptoms characteristic of this disease, the urologist can help you.

We also suggest using our online disease diagnostics service, which selects possible diseases based on the entered symptoms.

Cystitis is a fairly common disease resulting from inflammation of the mucous membrane of the bladder.Cystitis, the symptoms of which in the overwhelming majority of cases are experienced by women from the age of 16 to 65, can be diagnosed in men - in this case, the disease most often develops in people 40 years and older.

Urethritis in women is an inflammatory disease that affects the walls of the urethra. In the absence of timely treatment, the pathological process quickly from the acute form becomes chronic, which leads to the development of other diseases.

The prostate gland is responsible for producing the liquid part of the seminal fluid, and also helps to throw out this fluid during ejaculation. Glandular hyperplasia of the prostate gland is a benign growth that is formed from the glandular epithelium of the prostate. Its inner part grows in size, which can grow from the size of a chestnut to the size of an orange.

Cystitis in men is a disease of an infectious or non-infectious nature, characterized by an inflammatory process in the bladder mucosa. According to statistics, women often encounter cystitis, but, nevertheless, sometimes men also have to experience all the “charm” of this pathology.

A kidney tumor is a pathological process that is characterized by the proliferation of organ tissues, which manifests itself in the form of obvious qualitative changes in the structure of this organ. The degree of danger of the pathological process in a kidney tumor will depend on the type of neoplasm - malignant or benign. To establish the nature of such a disease is possible only through a comprehensive examination, which necessarily includes CT (computed tomography) and MRI.

With exercise and temperance, most people can do without medicine.

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