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The inflammatory process in the urethra in men is called urethritis. Both men and women are susceptible to this disease, but more discomfort and difficulty in getting rid of the symptoms of the disease are manifested precisely in representatives of the strong half of humanity. Urethritis can pose a threat to normal functioning genital organs of a man, 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 appear in men. They appear as the following symptoms:

  • Unpleasant sensations during urination at all stages of emptying the bladder. Expressed in the form of burning, sharp pain or tingling.
  • The appearance of discharge from white to yellowish, often with bad smell. The discharge is more profuse on the first urination after waking up, and becomes scarcer during the day.
  • Redness of the foreskin;
  • If there is a posterior urethritis, men may have an admixture of blood.

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 declare themselves several years after infection, and with allergic - within a few hours after the allergen enters the body.

To prescribe therapy appropriate to the cause of development 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 the patient's blood and urine;
  • A smear or scraping for research on sexually transmitted infections;
  • Bacteriological culture and tests for the resistance of identified pathogens to antibiotics;
  • Ultrasound of the pelvic organs.

Treatment of urethritis in men

Before deciding how to treat urethritis in men, it is important to know exactly which pathogen is associated with inflammation. In total, there are two groups of urethritis, which are determined depending on the type of infection:

  1. Specific urethritis in men, the treatment of which is based on getting rid of pathogens such as gonococcus, chlamydia, trichomonas, mycoplasma and others.
  2. Nonspecific urethritis in men whose treatment is based on the fight against such infectious agents like E. coli, fungi, streptococcus and staphylococcus aureus.

According to the form of the course of the disease, urethritis is also divided into two groups:

  1. Acute urethritis. In men, treatment of this form takes from 7 to 15 days. At correct diagnosis and therapy full recovery comes quickly enough, and the disease itself does not pass into a more complex form.
  2. Chronic urethritis. Occurs in the case of incomplete treatment of the acute form of the disease. Chronic urethritis in men, the treatment of which is a set of measures to eliminate not only inflammation of the urethra itself, but also bacterial infection other organs related to the genitourinary system, lasts from 2 weeks to several months.

Due to the diversity of pathogens, antibiotics for urethritis in men are the most popular means, which should be started as early as possible. However, you should not start taking medications on your own, since in the presence of a pathogen that is resistant to a certain type of antibiotics, such self-treatment can result in serious complications. According to statistics, bacterial urethritis in men, the treatment of which was carried out without prior laboratory research to establish the type of pathogen, in 78% of cases ended with the transition of inflammation to prostate, and in 29% self-medication caused infertility in men.

So, what antibiotics for urethritis in men are most often prescribed:

  • Metronidazole group (Metronidazole, Seknidazole and others).

This group of drugs has shown its effectiveness in trichomonas urethritis in men, the symptoms of which are whitish discharge from the urethra and burning during urination. Besides, hallmark trichomonas urethritis is considered a feeling of "goosebumps" in the genital area.

  • Tetracycline group of drugs (Doxycillin)

Funds, main active substance which is tetracycline, treat gonococcal and non-gonococcal urethritis in men. In addition, therapy with drugs of this group lends itself to gonorrheal urethritis related to venereal diseases. In men, these types of diseases are characterized by the appearance of pus in the outlet of the urethra, hyperemia of the foreskin of the penis, the formation of small seals on the head of the penis.

  • A group of fluoroquinolones (Levofloxacin, Ofloxacin and others).

The drugs in this group are used to treat any type of bacterial urethritis in men.

  • Macrolides (Erythromycin and others).

This group of antibacterial drugs is used often enough to cure bacterial urethritis in men that is not amenable to therapy using drugs from other groups.

  • Drugs with antiallergic effect, antihistamines.

This group of drugs is used to treat not infectious urethritis in men, as well as additional therapy when using products that can cause an allergic reaction.

Particular attention is paid to the treatment of urethritis caused by fungi. Candidal urethritis in men, the treatment of which includes taking antimycotic drugs and the use of local remedies: ointments, creams and gels, completely disappears within a week, a maximum of 10 days.

Antibiotics for urethritis in men, as well as other drugs intended to alleviate the symptoms of the disease, should be taken only after they have been prescribed by a doctor! Otherwise, time may be lost, which may cause various complications.

Urethritis in men is urological disease, in which it is affected urethra. 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 (E. coli, staphylococcus, streptococcus).

Most susceptible this disease those people who lead a disorderly sexual life, suffer from urolithiasis, diabetes, was subjected instrumental research bladder and urethra.

The reasons

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 - the specificity of the type in the infection entering the urethra itself from the focus of inflammation, which is usually found in neighboring organs (for example, in the prostate gland, bladder, seminal vesicles, and also in other pelvic organs).

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

The reasons non-specific lesions:

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

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

Kinds non-specific urethritis:

  • Gonorrheal (pathogen gonococcus, Neisseria gonorrhoeae).
  • Mycoplasma (caused by mycoplasmas).
  • Ureaplasmic (caused by ureaplasmas, Ureaplasma urealyticum).
  • Gardnerella (caused by gardnerella, Gardnerella vaginalis).
  • Trichomonas (caused by Trichomonas, Trichomonas vaginalis);
  • Mycotic (caused by fungi).
  • Chlamydia (caused by chlamydia, Chlamydia trachomatis).
  • Viral (caused by viruses, oculogenital chlamydozoonosis, herpes).
  • Bacterial (caused by staphylococci, streptococci, Escherichia coli, Proteus, Klebsiella, Enterococcus, Pseudomonas aeruginosa, Corynebacterium).
  • Mixed urethritis is caused by several different infections.

Kinds non-infectious urethritis:

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

The onset of the disease is provoked by hypothermia of the body, medical manipulations - catheterization of the bladder or sampling of a smear, injuries of the penis, foci of chronic infection in the body. Symptoms of specific urethritis in men usually develop after intercourse.

Symptoms of urethritis in men

Depending on the type of pathogen that provoked this disease and its stage, the picture of symptoms can change from violent manifestations to an asymptomatic course.

Symptoms of infectious urethritis usually appear 5-14 days after infection, but signs of non-infectious urethritis may appear much earlier (see photo). In men main symptom- this is pain, burning along the urethra during urination, as well as after it.

Also, a person may be disturbed by mucous or purulent discharge from the opening of the urethra, gluing and redness of the sponges of the urethra, especially in morning time, there may be seminal fluid or blood in the urine.

If you do not miss the symptoms of urethritis and turn to a specialist in time, then the acute form is treated in 7-10 days without any complications. However, if acute urethritis is not treated, then the symptoms will subside, and the disease will become chronic in 1-2 weeks.

Symptoms depending on the type

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

Non-infectious urethritis

Traumatic Symptoms depend on the nature of the injury - it is a burning sensation and pain when urinating.
Allergic Also pain and burning, however, a feature is the presence of allergic edema.
congestive The classic symptoms are often completely absent. Manifested by various types of sexual dysfunction.

Infectious urethritis

tuberculous In most cases, it occurs against the background of tuberculosis of the kidneys or genital tuberculosis. There is a penetration of mycotic tuberculosis bacteria into the urethra with urine flow. Asymptomatic (sweating, fatigue, subfebrile condition).
gardnerella The incubation period is from one week to several months. In most cases, it is present as a component of mixed urethritis.
Chlamydial There are no cuts and burning, slight discharge. In most cases, it proceeds according to the chronic type.
Ureaplasmic Most often accompanies trichomoniasis or gonorrheal urethritis. The incubation period is about 1 month. There is a 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 intake.
mycotic The incubation period is about 20 days, there is burning and itching. The discharge is watery or mucus, sometimes a pale pink color.
Bacterial Purulent discharge. Symptoms are gone. The incubation period can last several months.
Trichomonas Is different constant itching in the area of ​​​​the head of the penis, the presence of a grayish-white discharge and difficulty urinating are also characteristic.
Viral The course of the pathology is sluggish, the symptoms are mild. May be complemented by conjunctivitis or inflammation of the joints
Mycoplasma Rarely occurs on its own. In most cases, it is combined with gonorrheal or trichomonas urethritis.
Gonorrheal Gray-yellow discharge from the urethra sharp pain at the time of urination. The pus contained in the urine gives it a cloudy color. Blood impurities appear in semen and urine.

Chronic urethritis

This disease can take place during long months and even years, but in the end the patient still applies for medical care. Chronic urethritis in men is dangerous because complications can develop against it, for example, or urethral stricture.

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

Diagnostics

At the first sign of urethritis, it is important to consult a urologist. In some cases, when the disease contributed genital infection, a consultation with a dermatovenereologist is scheduled.

To determine the diagnosis, especially if the disease is asymptomatic, sometimes a medical examination is not enough. The main research methods include urinalysis, which is considered the simplest. If observed in the urine, this indicates an inflammatory process. Usually the analysis is given in the morning. For this, the first portion of the liquid is taken. For screening for bacterial urethritis, a without fail blood analysis.

Additional methods for studying urethritis of bacterial origin include:

  1. Three glass test;
  2. Urinalysis according to Nechiporenko;
  3. ureteroscopy;
  4. Urine culture;
  5. Polymerase chain reaction secretions (PCR);
  6. If there is an increased rate of leukocyte cells in the blood and urine, protein in the urine (proteinuria) is observed, 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 intercourse and the use of any antibiotics should be excluded the day before the procedure. In addition, you should not urinate for about two hours before a smear. It may also be assigned ultrasound procedure areas of the bladder, kidneys, prostate and ureters.

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. The symptoms of the disease will disappear, and the man will consider that he has completely recovered, however, with the slightest decrease in immunity, the urethritis will worsen again.

  1. The main method of treatment of urethritis in men is the appointment certain drugs, that is antibiotic use. 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 is carried out local antiseptic treatment , which consists in washing the glans penis with antiseptic solutions (chamomile decoction, furacilin solution, and others). It is also recommended to carry out baths (lasting 15-20 minutes) using these products.

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

Features of therapy for various types of urethritis

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

  1. bacterial and gonorrheal. Good effect on gonorrheal urethritis achieved with the use of antibiotics of the cephalosporin group. Tetracycline, erythromycin, oletethrin, kanamycin may also be prescribed.
  2. Ureaplasmic, gardnerelezny, mycoplasmal 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 drugs to control Candida. Fluconazole, Clotrimazole, Nystatin, Pimafucin are prescribed.
  5. Chlamydial. The most effective antibiotic that allows you to successfully deal with pathology is Azithromycin. With the wrong selection of the drug, chlamydial urethritis can lead to serious complications - infertility, Reiter's syndrome, epididymitis, inflammatory diseases.

Self-treatment strong antibiotics a wide range actions without a clear treatment regimen can lead to the development drug resistance causative agent and the transition of the disease to a chronic form.

deposits

Urethritis - serious illness, do not hesitate to contact a doctor with this problem, because untimely or not proper treatment may lead to the development serious complications. It is possible for the infection to spread to other organs, patients may develop cystitis, pyelonephritis, the inflammatory process may affect the testicles and their appendages.

Most severe complication 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 injury to the penis;
  • drink enough fluids;
  • avoid frequent shift sexual partners;
  • treat any diseases in a timely manner;
  • avoid hypothermia.

Pathologies will be described below) is an inflammatory process in the urethra. The disease may be caused different factors. Next, we learn more about how urethritis develops. Treatment of pathology will also be described in the article.

General information

Urethritis, which should only be treated by a doctor, can occur in both sexes. However, in women, inflammation is accompanied by less discomfort. This is primarily due to the fact that the length male urethra about 6 times more than women's.

Brief description of the pathology

How does urethritis occur in men? The causes of 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 medicines for pathology should be prescribed only by a specialist). In this case, a doctor's examination is necessary. Also, pathology can develop as a result of hypothermia. In this case, there is a decrease in immunity. As a result, pathogenic microorganisms vigorous activity and often freely penetrate the human body. If the 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 nonspecific. 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 an imbalance in the 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.

Trichomonas

The pathogenic microorganisms of Trichomonas act as pathogens. They are transmitted through sexual contact and cause irritation in a rather acute form. In the case of their active life, transparent or whitish discharge is observed on the head of the penis. Patients are observed traditional symptoms pathology, as well as "goosebumps" in the genital area.

Bacterial

Urethritis in men of this species is of a non-specific type. Inflammation is the result of the activity of various microorganisms. Basically, the causative agents are E. coli, streptococci, chlamydia. With inflammation of the urethra, purulent discharge may appear.

mycotic

Another name for the pathology is candidal urethritis. It is relatively rare in men. Pathology occurs in patients with diabetes. Also, the mycotic form can develop due to prolonged antibacterial treatment. Pathology is accompanied by white cheesy or watery secretions and mild symptoms. Prostatitis can be a complication.

Non-specific form

Pathology of this type is provoked by pathogens other than specific ones (chlamydia, herpes and others), or by several microorganisms at once. This area is currently understudied. Experts are looking for probable causes this pathology. Presumably, it could be prostatitis or an allergic reaction.

Gonorrheal (acute form)

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

Gonococcal

This form is characterized by an asymptomatic course or is accompanied by purulent secretions, swelling of the outlet, hyperemia. The latent course of pathology is quite dangerous. It can become a provoking factor in the subsequent infection of sexual partners. Men who have frequent unprotected sex with different partners should visit a specialist regularly.

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 during urination, itching.
  • Discharge that usually has an unpleasant odor.
  • Hyperthermia (rare).

Duration 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.

Diagnostics

During the examination are assigned:

  • Blood analysis.
  • Research on venereal pathologies.
  • Urinalysis (detects the level of leukocytes).
  • Ultrasound of the pelvic organs.
  • Analysis to determine the sensitivity of pathogens to antibiotics.

Complications

If you do not treat urethritis in men on time, the disease can take chronic. This, in turn, is fraught with serious complications. One of the most severe consequences is prostatitis. This pathology is characterized by inflammation of the prostate gland. Also at chronic course urethritis narrows the urethra, inflamed testicles and seminal vesicles.

Therapeutic activities

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

Urethritis in men: treatment. Antibiotics

The course of use of these medicines is prescribed in accordance with the results of the examination: external examination, taking a smear, blood and urine tests. These studies allow you to determine the type of pathology and pathogen. General antibiotics with urethritis in men are not recommended, since each pathogen has its own sensitivity to a particular agent.

Means "Metronidazole"

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

Medication "Seknidazol"

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. Among the possible side effects should be noted: diarrhea, nausea, leukopenia, stomatitis, unpleasant taste in the mouth, ataxia, dizziness, allergies. Means "Seknidazol" is not recommended for hypersensitivity, CNS lesions, blood pathology.

Medication "Doxycycline"

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

Medication "Moxifloxacin"

The tool has the ability to suppress the activity of many pathogens. The drug belongs to the category of drugs with a wide spectrum of action. The drug is available in the form of tablets, a solution for injections. Among the most frequent negative consequences of the use of the drug, it should be noted: a change in taste sensitivity, dizziness and pain in the head, dyspepsia. No medication prescribed severe diarrhea, hypersensitivity, epilepsy, under the age of 18 years.

Means "Ofloksatsin"

The drug has the ability to destabilize DNA pathogenic microorganisms. The drug belongs to the category of means of a wide spectrum of activity. The drug can be prescribed for any form of urethritis. The product is available in the form of capsules. To side effects include allergic reactions, impaired sense of smell, hearing and taste, disorders of the central nervous system and gastrointestinal tract. It is not prescribed after TBI, with epilepsy, under the age of 18 years, 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. Levofloxacin is recommended for different types urethritis in men. Possible side effects include hypoglycemia, low blood pressure, gastrointestinal disturbances, and CNS disorders. The drug is contraindicated in epilepsy, under the age of 18 years, lesions in the field of quinolone therapy.

Medication "Fluconazole"

This drug is effective in candidal urethritis. The tool actively destroys the fungus. The medicine is produced in the form of capsules, solution for infusion and oral administration, tablets, syrup. Side effects include changes in taste, nausea, flatulence, headache, dizziness. Not recommended simultaneously with the drugs "Astemizol", "Terfenadin".

Means "Dioxidin"

The drug is prescribed in the case when other drugs are not effective. The tool is available in the form of ointments, aerosols, injections, intracavitary and external use. The medicine can cause allergies, digestive disorders (with intracavitary and intravenous use), fever, dermatitis (with topical use). The drug is not prescribed for allergies to components, adrenal insufficiency.


The urethra is the channel through which urine passes, entering the external environment during urination. Inflammation of the urethra, which can cause mechanical trauma, hypothermia, different kinds bacteria, fungi and viruses is called urethritis. Both sexes are equally affected by the disease. In most cases, the infection is transmitted through sexual contact.

Duration of treatment and choice antibiotic therapy depends on the characteristics of the course of urethritis and its intensity. In men, the disease is more severe.

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

The main symptoms include:


  • itching and burning at the time of urination;
  • acute pain in the genital area;
  • specific discharge with an unpleasant odor;
  • bleeding during urination;
  • swelling of the genitals and slight redness;
  • frequent urge to urinate.

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, testicular inflammation, cystitis, infertility, etc.

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

Infectious urethritis:

  • gonorrheal;
  • viral;
  • bacterial;
  • trichomonas;
  • chlamydial;
  • tuberculosis.

Gonorrheal urethritis. Accompanied by a sharp pain at the time of urination. The color of urine becomes cloudy with the presence of blood. Mucous discharge turns yellow.

Viral. With this type of symptomatology is mild. Conjunctivitis and inflammation of the joints may occur.

Bacterial. Symptoms may occur several months after infection. Purulent discharge has an unpleasant odor and a green color.

Trichomonas. There are constant urges to urinate with painful accompaniment, as well as itching and burning in the upper part of the penis. The discharge takes on a gray tint.

Chlamydial. In most cases, there are no symptoms. may be present small discharge. Usually takes place in chronic form.

tuberculosis. Tuberculosis of the kidneys and genitals can cause urethritis. Symptoms are mild and are accompanied by fatigue, sweating and low temperature.

It is interesting! If you suffer from prostatitis, then study our helpful tips to combat this disease.

Non-infectious urethritis:

  • 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.

Therapy is prescribed only after the delivery of all necessary analyzes and identifying the type of urethritis. The drugs are selected according to individual characteristics and the complexity of the course of the disease.

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

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

In complex therapy, treatment is prescribed:

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

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

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

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

  • ceftriaxone, tetracycline;
  • Azithromycin, Erythromycin;
  • Gentamicin.

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

Attention! It is necessary to consult a specialist for the appointment of antibiotics. Self-administration of drugs can lead to an incorrect course of treatment.

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

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

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

The drug is available as a white powder for preparation. intramuscular injections. Usually ceftriaxone is prescribed 1 g per day.

  1. To prepare the solution, you will need lidocaine, for a less painful injection of the drug, 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.

At possible allergies on ceftriaxone, azithromycin is a good alternative for treatment. Also, the drug is used in combination with other antibiotics in case of complications of the disease with other diseases. The best effect is given by Azithromycin in combination with Gentamicin.

Azithromycin is classified into the following types drugs:

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

Proven high efficiency drug in the treatment of chlamydial urethritis. Patients usually tolerate the drug well.

Important! We have described detailed symptoms and methods of treating prostatitis in this article.

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

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

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

  • Tavegil;
  • Suprastin.

Antihistamines are prescribed primarily for allergic urethritis.

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

Recovery normal operation body after treatment, immunomodulators may be prescribed. by the most known drug is Polyoxidonium, which can be used both at the time of antibiotic therapy and after.

As additional treatment tablets can be used plant origin. These drugs include Kanefron.

The herbal preparation is capable of exerting a diuretic and antimicrobial action, decrease pain and inflammation, as well as improves kidney function and enhances the effects of antibiotics.

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

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

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

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

  • Argentum nitricum;
  • Kantharis;
  • Kopaiva;
  • Medorrinum;
  • Sulfur.

Experts note the presence of many positive feedback from patients after homeopathic treatment.

Important! Should not be applied homeopathic preparations without consulting a doctor.

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

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 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 remedy is drunk during the day, divided into four doses.

Parsley is also effective tool for symptomatic relief and cure. To prepare a herbal medicine, take a spoonful of raw materials and steam with half a liter hot water. After a few hours, the infusion is decanted and applied 3 tbsp. l. up to 5-6 times a day.

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

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

To relieve symptoms, decoctions of currant leaves and compotes from its berries can also help.

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

Good for treating urethritis herbal preparations, which are used for both infectious and non-infectious urethritis.

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

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

  1. To prepare a decoction, use 2 tbsp. l. dry leaves, which are poured 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 every meal.

Important! Before use herbal preparations, consult with a phytotherapeutist.

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

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

  1. Use barrier contraceptives that can protect against infection.
  2. It is also necessary to carry out regular hygiene procedures to avoid getting an infection inside the genitals.
  3. In case of infection, you should medical therapy at the same time with permanent partner to avoid relapse (with infectious urethritis).
  4. To avoid non-infectious urethritis, it is recommended to avoid hypothermia, as well as severe physical activity. It is recommended to empty in a timely manner bladder with the urge to urinate.

You also need to take your diet seriously: avoid overuse alcohol, salty, spicy and fatty foods.

Urethritis in men (symptoms, treatment of pathology will be described below) is an inflammatory process in the urethra. The disease can be caused by various factors. Next, we learn more about how urethritis develops. Treatment of pathology will also be described in the article.

Urethritis, which should only be treated by a doctor, can occur in both sexes. However, in women, inflammation is accompanied by less discomfort. This is primarily due to the fact that the length of the male urethra is about 6 times longer than that of the female.

How does urethritis occur in men? The causes of 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 medicines for pathology should be prescribed only by a specialist). In this case, a doctor's examination is necessary. Also, pathology can develop as a result of hypothermia. In this case, there is a decrease in immunity. As a result, pathogenic microorganisms begin vigorous activity and often freely penetrate the human body. If the 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.

There are different types of male urethritis. Depending on the provoking factors, the pathology can be specific or nonspecific. 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 an imbalance in the 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.

The pathogenic microorganisms of Trichomonas act as pathogens. They are transmitted through sexual contact and cause irritation in a rather acute form. In the case of their active life, transparent or whitish discharge is observed on the head of the penis. Patients have traditional symptoms of pathology, as well as "goosebumps" in the genital area.

Urethritis in men of this species is of a non-specific type. Inflammation is the result of the activity of various microorganisms. Basically, the causative agents are E. coli, streptococci, chlamydia. With inflammation of the urethra, purulent discharge may appear.

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

Pathology of this type is provoked by pathogens other than specific ones (chlamydia, herpes and others), or by several microorganisms at once. This area is currently understudied. Experts are looking for probable causes of this pathology. Presumably, it could be prostatitis or an allergic reaction.

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

This form is characterized by an asymptomatic course or is accompanied by purulent discharge, swelling of the outlet, hyperemia. The latent course of pathology is quite dangerous. It can become a provoking factor in the subsequent infection of sexual partners. Men who have frequent unprotected sex with different partners should visit a specialist regularly.

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 during urination, itching.
  • Discharge that usually has an unpleasant odor.
  • Hyperthermia (rare).

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 (for allergic) to several years (for 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.

During the examination are assigned:

  • Blood analysis.
  • Research on venereal pathologies.
  • Urinalysis (detects the level of leukocytes).
  • Ultrasound of the pelvic organs.
  • Analysis to determine the sensitivity of pathogens to antibiotics.

If the treatment of urethritis in men is not carried out on time, the disease can become chronic. This, in turn, is fraught with serious complications. One of the most severe consequences is prostatitis. This pathology is characterized by inflammation of the prostate gland. Also, in the chronic course of urethritis, the urethra narrows, the testicles and seminal vesicles become inflamed.

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

The course of use of these medicines is prescribed in accordance with the results of the examination: external examination, taking a smear, blood and urine tests. These studies allow you to determine the type of pathology and pathogen. General antibiotics for urethritis in men are not recommended, since each pathogen has its own sensitivity to a particular agent.

This is an antimicrobial drug. Its action is aimed at destroying protozoan cells, disrupting the synthesis of bacterial DNA, which leads to their death. Means "Metronidazole" is effective in Trichomonas urethritis. The drug is available in the form of tablets, suppositories, injections. Side effects include the following: abdominal pain, dryness and bad taste in the mouth, incontinence and discoloration of urine, 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.

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. Among the possible side effects should be noted: diarrhea, nausea, leukopenia, stomatitis, unpleasant taste in the mouth, ataxia, dizziness, allergies. Means "Seknidazol" is not recommended for hypersensitivity, CNS lesions, blood pathology.

The agent helps to suppress protein synthesis by microorganisms. With the use of the drug "Doxycycline", urethritis is treated in men of the gonococcal and non-gonococcal type. The drug 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 activity of the digestive system, anemia, allergic reactions, thrombocytopenia. The drug is contraindicated in case of insufficiency of liver function, in patients under 8 years of age, hypersensitivity, leukopenia.

The tool has the ability to suppress the activity of many pathogens. The drug belongs to the category of drugs with a wide spectrum of action. The drug is available in the form of tablets, a solution for injections. Among the most frequent negative consequences of the use of the drug, it 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 years.

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

This drug inhibits DNA synthesis. Available in the form of a solution for injections, tablets. Levofloxacin is recommended for various types of urethritis in men. Possible side effects include hypoglycemia, low blood pressure, gastrointestinal disturbances, and CNS disorders. The drug is contraindicated in epilepsy, under the age of 18 years, lesions in the field of quinolone therapy.

This drug is effective in candidal urethritis. The tool actively destroys the fungus. The medicine is produced in the form of capsules, solution for infusion and oral administration, tablets, syrup. Side effects include a change in taste, nausea, flatulence, headache, dizziness. Not recommended simultaneously with the drugs "Astemizol", "Terfenadin".

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

For the treatment of urethritis, the most different drugs, from antibiotics to homeopathic pills.

Choice the right remedy it is worth entrusting the doctor, he will select a combination of drugs depending on the nature of the disease, recommend the dosage and the right course.

In this article, we will look at the most important thing about urethritis in men: symptoms and treatment, medications when choosing therapy and their regimen.

Urethritis - inflammatory disease urethra. The cause may be venereal disease, bacterial, viral or fungal infection . Often, discomfort is due to mechanical damage urethra, intake medical preparations, allergic reaction.

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

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

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

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

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

The urethra sticks together, causing a lot of discomfort.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Chlorhexidine with urethritis in men.

Popular antimicrobial drug in the form of a colorless aqueous solution.

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

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

Miramistin with urethritis in men.

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

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

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

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

This variant of drug treatment of urethritis is suitable for men who have chronic diseases and intolerant oral preparations. Contraindications for use will be malignant tumors anorectal region and individual intolerance drug.

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

Terzhinan with urethritis.

Vaginal suppositories for urethritis, but for men used rectally.

Help with the treatment of candidal forms of the disease.

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

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

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

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

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

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

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

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

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

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

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

Most frequent patients Urologists are men who seek treatment for urethritis. The disease manifests itself at any age, and passes with severe symptoms. severe itching and cramps during urination do not allow a man to wait out a relapse without going to the doctor. If a sharp shape diseases are 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.

What is urethritis in men?

And men are different. If the illness is female body is almost asymptomatic due to anatomical features urinary tract men suffer from this disease more. male urethritis is an inflammation of the urethra caused by various reasons. The most common of these is any venereal disease that promotes inflammation.

After pathogenic microbes enter the urethra, after a few hours, fatigue and weakness appear, preceding the main symptoms of urethritis. Urethritis also has a non-infectious origin, but rarely. Factors in such cases are allergic reactions, trauma to the genitals, violation metabolic processes or malnutrition.

Urethritis in men can adversely affect reproductive function and lead to serious violation functionality of the genitourinary system. Therefore, the identification of signs that indicate the onset of an inflammatory process in the urethra is an indicator of contacting a doctor for advice for an examination and complex treatment.

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 (tuberculous). The most typical among all types of urethritis are the following symptoms:

  • Burning, itching, pain when urinating.
  • Purulent discharge.
  • Frequent urination.

Hyperemia or high temperature with urethritis, as a rule, is not observed. Allocations depend on the pathogen and are different character. Often this is a selection of green or white color with an unpleasant smell, which appear in the morning and form yellow crusts on the penis. With inflammation of the urethra, redness and gluing of the external opening, pain in the lower abdomen, cloudy urine can be observed.

Causes

Urethritis in a man can be triggered by several reasons. As already mentioned, the most common are venereal diseases. But inflammation of the urethra can occur if a man ignores the rules of personal hygiene, because dirt quickly collects on the genitals and pathogenic bacteria multiply.

E. coli, which is on the surface intimate zone remains after bowel movement, very actively increases its population on the skin. When it gets deep into the urethra, signs of the development of urethritis immediately appear. Pathogenic microbes that affect the urethra include:

  • staphylococci;
  • streptococci;
  • coli.

Urolithiasis can also cause the development of urethritis. Stones that are in the kidneys, under certain conditions, can end up in the urethra of a man, causing inflammation. medical interventions also often become the cause of inflammation, since microscopic abrasions very quickly become infected with the infection in the body, and then become inflamed.

Diagnosis - what tests to take?

The presence of any of the above symptoms is a reason for a visit to the urologist, who should make a diagnosis based on laboratory data and clinical analyzes. At initial examination the doctor examines the discharge from the urethra by pressing, examines the swelling and redness of the lips of the urethra, feels how painful and compacted the urethra is and whether the inguinal lymph nodes are enlarged.

Each patient with suspected urethritis is examined for HIV infection and syphilis, and is also sent for the following tests:

  1. Urogenital smear.
  2. Urethral culture for sensitivity to antibiotics.
  3. PCR studies to identify pathogens of urethritis.
  4. General urine analysis.
  5. Three glass urine sample.
  6. Urethroscopy.
  7. General blood analysis.
  8. Biochemistry of blood.
  9. Rheumatic tests, if urethritis appeared after a sore throat.

How to treat urethritis in men - drugs

Before starting treatment, the doctor warns that during the treatment of urethritis, sexual intercourse, oral sex, and masturbation are completely prohibited. If the disease is caused by a sexual infection, then the treatment of the sexual partner is mandatory. The diet should also be observed, excluding spicy, salty, pickled, fried, spicy foods. Drinking alcohol is strictly prohibited, and drinking water it is necessary to consume at least 2 liters daily to improve metabolism and speedy 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, Cefipmaxone are prescribed.
  • For the treatment of Trichomonas urethritis, "Trinidazole", "Metronidazole" are more suitable.

Antiseptics

Effective antiseptic drugs include: "Miramistin", "Furacilin".

Ointments and suppositories

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

Immunomodulators

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

Effective drugs of domestic production: Timalin, Mielopid.

vitamins

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

C, D and minerals. Proper Diet nutrition can make up for the lack of some vitamins, but not fully. For example, vitamin A is found in the form of esters in animal products, so when strict diet its reserves cannot be replenished in the required norms.

Popular vitamin complexes for urethritis: "Bio-max", "Pikovit forte".

Treatment of urethritis with folk remedies

It is impossible to cure urethritis by folk methods alone. But decoctions and tinctures of herbs will help alleviate the condition. We offer several folk recipes that will help with chronic urethritis and will be an excellent prevention of relapse:

  • Infusion of black currant leaves. Great replacement vitamin complex and an antiseptic. Take 30 gr. dry leaves pour a glass of boiling water, leave for one hour, then strain. Drink three times a day before meals (for 15 minutes). If possible, use fresh berries blackcurrant for food. The duration of admission is not limited.
  • Infusion of oak bark. It will help relieve burning sensation and pain when urinating. Brew with boiling water (1 cup) a tablespoon of oak bark, leave for three hours. The resulting remedy should be drunk 1 tbsp. l. 3 times / day before meals in a warm form. Also, the infusion is used for men in the form of baths or lotions.
  • Infusion of cornflower flowers. Pour boiling water over one teaspoon of dried cornflower flowers, 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.

Complications

Treatment of the disease urethritis in men is mandatory, because ignoring the inflammatory process can lead to damage not only to the urethra, but also to the scrotum, testicles, and prostate gland. It is difficult to treat urethritis, but diseases of the reproductive system can lead to inability to bear children, and such processes are often irreversible.

In men, a complication of urethritis can lead to : prostatitis, funiculitis, seminal vesicles, formation of epidirmitis or orchitis.

Chronic desquamative urethritis can lead to keratinization of the epithelium, and staphylococcal pathology to a more complex consequence of urethritis - narrowing of the urethra, which occurs due to scarring of the mucosal tissue. Such a disease leads to a violation of the outflow of urine, throwing it into the kidneys with the formation of renal failure and pyelonephritis.

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 enters the urethra from already infected organs. The classification of urethritis in men is also carried out according to its characteristics (types of pathogen).

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