Medicines for urethritis in men. Symptoms and effective treatment of urethritis in men

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

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

Treatment options

Whenever discomfort at the time of urination, with redness of the genital organs, the appearance various secretions should be examined.

In addition to urine and blood tests, you should take a urethral smear, which will help to correctly establish the diagnosis. After diagnosis, you can begin treatment with medications, folk remedies or use complex treatment.

To cure urethritis you should:

1. Get rid of the causes of the disease. The test results will show the presence of the pathogen, and the doctor will prescribe certain medications to get rid of the infection.
2. Strengthen your immune system. So that the patient’s body can independently cope with harmful bacteria.
3. Resume normal functioning of the urethral walls. Such measures are taken in advanced forms of the disease.

How to treat urethritis in men? Medicines are selected according to the type of disease and the course of the disease.

During your appointment medications the patient should not eat spicy and salty foods, completely eliminate alcoholic drinks.

Once the symptoms of urethritis have passed, it is impossible to stop treatment; you need to complete the course of therapy to the end, otherwise unfinished treatment may provoke the transition of the disease to chronic form.

Drugs used to treat urethritis in men:

• antibiotics;
• probiotics;
• medications with a diuretic effect;

• immunomodulators;
• antihistamine drugs;
• vitamins.

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

Treatment with antibiotics

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

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

• Erythromecin;
• Tetracycline;

• Gentamicin;

At severe course For a disease, your doctor may prescribe several medications at once. You cannot prescribe antibiotics on your own, nor can you change installed by a specialist dosage.

It is important to complete the full course of treatment with antibacterial agents. In combination with drugs antibacterial group the patient is discharged antimicrobials(Secnidazole, Metronidazole).

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

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

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

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

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

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

Available in the form of the following drugs:

• Azitrox;
• Ecomed;
• Chemomycin;
• Azicide;
• Sumamed.

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

Medicines in tablets

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

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

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

• Suprastin;
• Tavegil.

The use of antihistamines is relevant for allergic urethritis.

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

Probiotics

After treatment with antibacterial agents, you should definitely take probiotics. They help normalize microflora.

Most often prescribed:

• Acipol;
• Linux;
• Bifidumbacterin.

In addition to probiotics, it is worth consuming yogurt as often as possible; they also help restore microflora.

Immunomodulators and vitamins

Recovery normal operation The body and increase resistance to diseases take immunomodulators.

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

Canephron is a herbal medicine

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

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

This drug has contraindications; it is not used in patients who are intolerant to individual components medicines.

homeopathic remedies

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

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

Medicines used in homeopathic therapy:

People who have undergone treatment in this way claim the effectiveness of such treatment. But you cannot use these drugs on your own; you should definitely consult with your doctor.

Antiseptics

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

Ointments

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

Traditional methods of treatment

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

Cranberry

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

Black currant

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

Milk with parsley

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

Decoctions, baths and lotions

A decoction of lingonberries, chamomile, St. John's wort and black elderberry helps well with urethritis. All of the above herbs should be taken in equal proportions, for example 2 tbsp. Pour 500 ml of the resulting mixture. boiling water and leave for 7 hours.

The resulting medicine must be taken daily for three months, drunk 5 times a day.

In the same way, prepare a decoction of caraway seeds, sage, wheatgrass, horsetail and St. John's wort.

When getting rid of urethritis medications You can simultaneously carry out treatment with baths and lotions. Using hemp milk for douching gives a well-defined effect. Before starting the procedures, hemp milk must be diluted with water.

After passing full course Treatment is necessary to prevent the disease from becoming chronic. To do this, you can use decoctions that help strengthen the immune system.

To prepare the decoction, you need to take bearberry (leaves) in equal parts, Birch buds(preferably young ones), corn silks, domestic violet flowers and roots.

Pour all ingredients (1 tablespoon each) into one liter of warm boiled water, leave for a quarter of an hour. The entire decoction should be drunk within 24 hours in three doses.

Prevention

In order for a disease such as urethritis to bypass you, you need to adhere to simple rules. Worth leading healthy image life, avoid hypothermia and stressful situations, do not overload yourself with excessive physical activity.

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

Men who care about their health and plan to have children should eat well. The diet should consist of fruits, vegetables, meat low-fat varieties, cereals. Huge impact on work genitourinary system alcohol and smoking have an effect, which should be avoided.

To prevent the development of inflammatory processes you should:

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

• stick to elementary rules hygiene;
• Avoid products that can injure the mucous membranes.

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

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

One of the most common diseases of the genitourinary system in men is urethritis. The pathology is accompanied by unpleasant symptoms, indicating the development of an active inflammatory process in the urethra.

Both sexes can be affected by this disease. However, statistics show that urethritis is diagnosed more often in men. This is due to the features physiological structure male urethra. Treatment of urethritis in men should be aimed at eliminating the pathogen, stopping the inflammatory process and restoring impaired functions of the genitourinary system.

Urethritis is a pathological infectious process that develops in the urethra. The disease is characterized severe symptoms, which is almost impossible to confuse with other pathological manifestations.

The urethra is a tube designed to excrete physiological fluid into the external environment during urination. The development of urethritis in both men and women is due to different reasons.

Primary inflammation usually occurs when pathogens enter the urinary canal from external environment or during sexual intercourse. A secondary infection has another source of inflammation and spreads throughout the body through the bloodstream. Such urethritis develops against the background of other diseases: pharyngitis, sore throat, chronic tonsillitis.

When exposed to provoking factors, pathogenic bacteria quickly multiply in the thin male urethra and enter a favorable environment. Therefore, the activation of the infectious process on the mucous membrane of the organ occurs at a rapid pace. If left untreated, inflammation can spread to other organs, affect muscle tissue, and provoke adhesions in the pelvis, cause inflammation of the prostate or cystitis.

Causes

One of the most common causes of the development of specific inflammation in the urethra is venereal diseases. That's why infectious urethritis most often diagnosed in men who are disorderly sex life changing partners, not using condoms, practicing unconventional sex. The causative agents of the disease in such cases are: candida fungi, mycoplasma, trichomonas, gonococcal and chlamydial infections.

Factors contributing to the development of the disease are:

• hypothermia of the body;
• injury to the mucous membrane of the urethral canal with calculi (stones) due to urolithiasis;
• the use of catheters, cytoscopy and other diagnostic procedures;
• allergization of the body, which can cause inflammation of the urethra;
• diseases of the genitourinary sphere in men: pyelonephritis, cystitis;
• chronic infections;
• stagnant processes about the pelvic organs;
• failure to comply with personal hygiene rules;
• decreased immune response due to frequent stress, improperly organized nutrition, tendency to bad habits.

The causative agents of nonspecific urethritis are staphylococcal and streptococcal infection and E. coli. The disease takes a chronic form when the immune system is weakened, when inflammation spreads to neighboring organs.

Symptoms

Chronization of the process is accompanied by a decrease in symptoms: a decrease in the amount of discharge and subsidence of swelling. This indicates that the disease has passed into a latent (hidden) form, requiring compulsory treatment, the absence of which is fraught with the development of complications.

Types of disease

Depending on the nature of its occurrence, urethritis is divided into infectious (specific and nonspecific) and non-infectious.

Specific inflammation of the urinary canal is transmitted sexually. In this case, bacteria, viruses and some types of fungi act as infectious agents.

The development of nonspecific urethritis occurs as a result of the ingestion of staphylococci, streptococci or coli. These infectious agents cause purulent inflammation urethral canal. Pathology most often acts as a complication colds, functional disorders gastrointestinal organs.

Mixed urethritis can be caused by several infections, including tubercle bacilli.

Non-infectious inflammation of the urethra can be caused by various types mechanical damage at:

• committing medical interventions;
• exposure to allergens;
• development of venous stagnation in the pelvic organs.

In the latter case we're talking about about congestive urethritis.

Depending on the nature of the disease, acute and chronic forms are distinguished, and depending on its characteristics - primary and secondary. In the first case, the pathogen penetrates directly into the urethra, and in the second, the infectious agent is transported from another inflammatory focus through the bloodstream.

Regardless of the nature of its occurrence, the pathology is classified according to its location on the canal wall. Allocate anterior, posterior and local urethritis.

Diagnostics

Diagnosis of this disease is carried out on the basis of a detailed survey and examination of patients, as well as the results of laboratory and instrumental studies.

If urethritis is suspected, prescribe:

• , allowing to confirm the development of the inflammatory process in the body;
• a general urine test to determine the extent of damage to the urethra;
• bacteriological culture or PRC, necessary to determine the type of pathogen and the degree of its sensitivity to antibiotics;
• examination of the canal using a probe, which is carried out after the exacerbation of the disease has subsided;
• ultrasound diagnostics, carried out to obtain information about the condition of the bladder, prostate and kidneys.
• radiography of the urethra with the introduction of a contrast agent.

Treatment of urethritis is prescribed by the attending physician only after a qualitative examination, identification of the causative agent and determination of the nature of the disease.

Drug treatment of urethritis

The selection of therapy is carried out on an individual basis, taking into account the complexity of the disease.

Antibiotics

The treatment regimen for infectious inflammation of the urethra necessarily includes antibiotics, which are prescribed depending on the type of urethritis.

Drugs prescribed:

1. When a gonococcal or chlamydial infection is detected, the most effective are: Gentamicin, Tetracycline, Erythromycin. If the disease proceeds in a complicated form, then it is advisable simultaneous use several antibiotics.
2. In cases where pathogens such as amoeba or trichomonas have been identified as infectious agents, Metronidazole and Trinidazole, available in tablets, are used. The drugs are imidazole derivatives.
3. For gonorrheal urethritis, Ceftriaxone is prescribed, a new generation drug produced in the form of a powder for injection. For achievement therapeutic effect one gram of medication per day is usually sufficient.
4. With urethritis of any etiology, an antibiotic is effective wide range actions called Monural. Use of the drug during the first two days helps prevent the development of an acute pathological process. The medication is not used to treat a chronic illness.

For diseases of viral etiology, antibiotics are not prescribed.

After antibiotic therapy for recovery normal microflora treat with probiotics and prescribe vitamins. Most often, men are prescribed: Linex, Acipol, Bifidumbacterin. To support the body, immunomodulators are used, which can be used both during and after therapy.

Anti-inflammatory

In addition to antibiotic therapy, drugs with an anti-inflammatory spectrum of action are prescribed for the treatment of urethritis. At active inflammation sulfonamides are used. These drugs, synthesized on the basis of sulfonic acid, have a pronounced bacteriostatic effect directed against chlamydial, bacterial and other types of infections.

For urethritis, men are prescribed anti-inflammatory drugs: Urosulfan, Etazol, Bactrim. They have the ability to create sufficient concentration active ingredients in urine and do not have an effect toxic effect on the kidneys.

They are showing high efficiency even if pathogens are resistant to sulfonamides and other antibacterial agents.

For local treatment- washing and therapeutic baths - use nitrofurants. These drugs block the respiratory capacity of microorganisms. The most popular means from this group are Furacilin and Miramistin.

With viral urethritis, ointments and creams are used. The most effective is an ointment called Acyclovir - it helps relieve inflammation in the urinary canal.

In allergic urethritis, the inflammatory process is stopped with the help of antihistamines: Cetirizine, Suprastin.

Uroseptics

In order to alleviate the general symptoms of urethritis, uroseptics are used - drugs that have a diuretic, antiseptic and antimicrobial effect: Furosemide, Hypothioside. Active components These drugs are excreted by the kidneys along with urine, having virtually no systemic effect on the body.

The most appropriate is the reception of Kanefron - medicinal product plant based. It is actively used in inflammation of the organs urinary system and, in addition to the diuretic effect, has the ability to enhance the effect of antibiotics.

The course of treatment for urethritis is prescribed individually, taking into account the stage of the disease and the general condition of the patient.

Treatment with folk remedies

Folk remedies for urethritis can be used as auxiliary treatment. To increase immunity, reduce inflammation, and relieve the main manifestations of the disease, decoctions and infusions of medicinal herbs are widely used.

The most popular of them:

1. Parsley infusion. For cooking you will need fresh parsley leaves. They should be crushed, then take 1 tbsp. l. medicinal raw materials, pour 0.5 liters of boiling water, cover with a lid and leave to infuse until completely cooled. Take ¼ cup every two hours for exacerbations of urethritis.
2. Infusion of currant leaves. Getting ready in the following way: 1 tsp. crushed leaves are poured with boiling water in the volume of one glass and infused for 20 minutes. You can take the medicine instead of tea during the day.
3. Decoction of oak bark. The product is intended for washing the urethra. Helps get rid of swelling and purulent discharge, has an astringent effect and has antiseptic properties. Cooking recipe: 1 tbsp. l. Oak bark should be poured with 250 ml of boiling water and left for an hour. Before use, strain and drink 50 ml three times a day before meals.

An integral part of treatment is the organization of proper nutrition. From daily menu for urethritis, men are advised to avoid alcoholic beverages, coffee, strong tea, spices, horseradish, radishes, garlic, onions and spinach.

The consumption of fatty, fried, salty foods and smoked foods should be limited.

It is recommended to focus on eating fresh fruits, vegetables and cereals. In addition, it is advisable to include foods that have anti-inflammatory effects in your diet. These include parsley, cranberries, carrots and celery.

To neutralize pathogenic microorganisms and activate the immune mechanism, this disease must be cured completely.

Herbal remedies

One of the ways to solve the problem of infectious inflammation of the genitourinary system is herbal medicine. Medicines created on the basis of active herbal ingredients, have found wide application in the field of urology.

For example, lovage root has antibacterial and anti-inflammatory properties because it contains falcarinol and essential oils. Similar action render components essential oil pine, sage, mint and citrus.

A pronounced anti-inflammatory and antimicrobial effect is exerted by plants such as goldenrod, knotweed, medicinal chamomile and cranberry.

Some plants used in pharmacology for the production of herbal remedies acquire toxic properties if combined incorrectly. Therefore, for the treatment of urethritis, it is more advisable to use factory-produced pharmaceutical products that have passed laboratory and biological control.

Among the combined herbal remedies that correspond to all necessary requirements, the following are popular:

• Spilled;
• Canephron;
• Phytolysin;
• CytoTransit.

Physiotherapy

The healing process for urethritis can be significantly accelerated using physiotherapy methods.

For this disease the following are used:

• laser therapy, which involves treating the urethra with infrared radiation;
• UHF therapy aimed at relieving spasms of the muscles of the genital organs;
• magnetic therapy, carried out to sanitize the urogenital area and warm up areas of inflammation;
• ozone therapy, with which it is possible to quickly destroy harmful bacteria and viruses;
• electrophoresis;
• galvanotherapy.

All of the above methods help activate the body's defenses.

Possible complications

The risk of developing complications with urethritis increases significantly when the infectious process, in addition to the main focus, begins to involve other organs and tissues. This can happen if the disease is not treated or is not treated enough.

On the background infectious inflammation urinary tract may develop:

• pyelonephritis;
• orchitis;
• cystitis;
• balanoposthitis;
• prostatitis.

Inflammation of the prostate can lead to infertility, and untreated gonococcal urethritis can lead to congestion in the urethra, damage to the joints and organs of the genitourinary system.

Prevention

The risk of urethritis can be minimized using preventive measures.

To do this, you must follow certain rules:

• avoid promiscuous sex life;
• use condoms;
• prevent hypothermia and injuries to the penis;
• for any inflammatory processes in the organs of the genitourinary system, be treated promptly;
• observe the rules of personal hygiene;
• empty the bladder in time;
• adhere to proper nutrition;
• avoid stressful situations;
• to refuse from bad habits;
• lead a healthy lifestyle.

Video

What is urethritis in men and what treatment methods exist for this disease can be found out by watching the video.

Urethritis is characterized by inflammation of the urethra. This kind of disease affects both the male and female body. But to men similar affliction brings more discomfort, since their male urethra reaches a length of 24 cm, while female urethra is about 4 cm. We will describe below how urethritis is treated in men and the drugs that are prescribed for this type of pathology.

General description of the disease

Urethritis affects the urethra. Urethritis causes pain in men when going to the toilet, itching and burning. This type of pathology has a detrimental effect on male body generally. Urethritis occurs due to infection in the urethra. But sometimes the cause can also be a banal injury to the genital organ or scrotum.

The disease often occurs in men. There are many factors that provoke inflammation of the urethra. These include:

• Sexual contact with a partner who has an STD;
• Microtrauma during medical procedures;
• Dysbacteriosis of the mucous membranes of the urethra;
• Insufficient hygiene of the genital organ;
• Hypothermia. due to reduced immunity pathogenic organisms easier to penetrate organs;

This disease must be treated immediately so that the inflammation does not spread to neighboring organs.

Symptoms of the disease: how to understand what is urethritis

It is important to emphasize that urethritis is a disease that may not appear immediately. Non-infectious form illness can make itself felt in the early days. But infectious urethritis, depending on the etiology (causative agent), can occur in the third week, in some cases later.

The most common signs that men should pay close attention to:

• Pain when passing urine;
• Bad smell from the urethra;
• Swelling of the head and foreskin. IN acute form there is redness of the penis;
• Frequent urge to go to the toilet.

All these symptoms indicate that the man has developed urethritis. How to treat urethritis in men? It is worth immediately noting that this kind of pathology should be treated only under the supervision of a doctor, because the insidiousness of urethritis is that this disease can inflame neighboring organs (prostate, bladder), etc. And since the patient does not know which pathogen led to inflammation of the urethra, it is worth visiting a competent specialist.

Clinical picture

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Drugs for the treatment of urethritis in men

It is not for nothing that we say that urethritis can only be treated by a urologist, and not by the patient on their own. After all, they treat this type of urethritis:

• Bacterial;
• Viral;
• Gonorrheal;
• Chlamydial;
• Trichomonas;
• Tuberculosis.

The root cause of the disease can only be identified through certain tests:

• Blood and urine analysis;
• Bakposev on the body's sensitivity to antibiotics;
• PCR analysis for the detection of pathogenic microorganisms;
• Urethroscopy, which helps to determine the condition of the urethra and how much inflammation it is affected by.

When the doctor determines the origins of the disease, he prescribes highly specialized drugs that specifically affect the pathogenic pathogen. How to treat urethritis in men? Let's describe the types of drugs.

Antibiotics for urethritis in men

Without antibacterial agents, this type of pathology cannot be treated, regardless of the type of pathogen. For each type of pathogenic agent, there is narrowly targeted antibiotic. If the root cause cannot be determined, broad-spectrum drugs are prescribed that affect many types of bacteria. For bacterial and chlamydial (gonorrheal) urethritis, the following list of medications is used:

• Ceftriaxone (a common type of medication that is used to treat any inflammatory process);
• Azithromycin;
• Tetracycline;
• Gentamicin.

Sometimes several types of antibiotics are used at once if concomitant pathologies are identified.

Note: Viral urethritis cannot be treated with antibiotics. In this case, the doctor can prescribe only antiviral agents.

Ceftriaxone is a new generation medicine. Usually prescribed for gonorrheal urethritis. The application scheme is as follows:

• The drug is available only as an injection. In order to give an injection, you need to take 2 mg of water for injection and 2 mg of lidocaine (used as an anesthetic, but if you are allergic to this component, this step is skipped) and, accordingly, 1 bottle of antibiotic;
• The injection is given intramuscularly once a day;
• The treatment period can be 7-10 days.

If the patient is allergic to Ceftriaxone, they can prescribe at least effective drug– Azithromycin. This medicine can be combined with other types of antibiotics if there are complications (it combines well with Gentamicin). Azithromycin has many derivatives. These include:

• Ecomed;
• Susamed;
• Azicide;
• Azitrox;
• Chemomycin.

The drug is most effective in the fight against chlamydial urethritis. Patients often tolerate this group of medications well.

Unfortunately, pathogenic microorganisms have learned to adapt to certain types of antibiotics, so the results of treatment may be ambiguous.

Today, urologists often prescribe Monural for urethritis. This is a powdered antibiotic that contains fosfomycin.

This drug helps to completely destroy the pathogenic pathogen.

• Kills germs;
• Reduces adhesion (that is, prevents them from “sticking” to the walls of the mucosa);
• Dissolves cell membrane microbes

Antifungal drugs

This group of drugs should be prescribed together with antibiotics to avoid the development candidal urethritis. The drugs are usually prescribed in tablet form. The most common versions:

• Fluconazole;
• Levorin;
• Flucostat;
• Pimafucin.

The cost of these drugs, with the exception of , is quite reasonable.

Antiallergenic drugs

No antibiotic therapy is complete without the prescription of anti-allergenic drugs. Taking such medications prevents the development of related pathologies, protects against rashes and itching. The most common drugs are Suprastin and Tavegil.

Antihistamines

This group of drugs is prescribed if allergic urethritis is detected. After antibiotic treatment, antihistamines (probiotics) are prescribed to improve the body's microflora. These include:

• Yogurt;
• Linux;
• Acipol.

It is also recommended to approx. vitamin complexes. Usually it is either Duovit or Ribomunil.

How to treat urethritis in men: additional remedies

If you start treating urethritis in time, the course of therapy will last up to 7 days. In running forms recovery period may take 14-18 days. During treatment with antibiotics, the body is subjected to great stress, because the main objective antibiotics - destroy pathogenic microflora. However, these types of drugs are quite aggressive and have a detrimental effect on the body as a whole:

• The kidneys and liver begin to work intensively, clearing the blood of components;
• Allergic reactions develop;
• The body's protective barrier is reduced.

If you do not take antifungal agents, then the patient is 100% guaranteed to have fungus.
An experienced and highly qualified specialist will definitely prescribe the use of such funds.

Antiseptics

This group of medications perfectly reduces pain. For urethritis, it is usually not tablets that are prescribed, but solutions that will help locally act on the affected organ and the urethra itself.

The best, and as a bonus, cheapest solution is considered to be Chlorhexidine solution.

Thanks to this product, it will be easier for a man to maintain penile hygiene. Moreover, the solution relieves inflammation, irritation and has analgesic properties. Miramistin and Furacilin can also be considered effective antiseptic agents.

Candles and ointments

Along with antibacterial therapy, the doctor can prescribe effective ointments and suppositories that help cure the disease faster. An ointment such as Acyclovir is especially relevant for herpes (viral) urethritis. It dries out the formed blisters on the head of the penis and foreskin, and at the same time destroys bacteria.

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Urethritis is a fairly common inflammatory disease which affects the human urethra. A variety of reasons can contribute to its development, among which it is necessary to highlight infection of the urethra with viruses, fungi or sexually transmitted diseases.

In addition, this pathology is often accompanied by hypothermia, poor nutrition or violation of intimate hygiene rules.

It should be noted that urethritis can occur in both men and women, but representatives of the stronger sex are more prone to this disease.

According to statistics, from acute or chronic inflammation The urethra today affects about 60% of men aged thirty to sixty-five years, as a result of which the consideration of drugs for the treatment of urethritis in men is more than relevant.

Symptoms of the disease

It is easy to identify developing urethritis even at home, since this disease is almost always accompanied by pronounced characteristic symptoms. This is confirmed not only by reviews on patient forums, but also by specialists involved in the treatment of this disease (urologists).

The first manifestations of nonspecific urethritis occur in humans 5-7 days after the initial infection. IN similar condition the patient begins to feel a burning sensation during urination, as well as pain after this process. This is the first one warning sign, at the appearance of which a person is strongly recommended to consult a doctor.

As the pathology progresses, the patient develops discharge from the urethra, which will be especially abundant in morning time. Also, the general condition of a person often worsens due to the activity of a pathogenic pathogen. In this case, the body temperature may rise, there may be chills, fever and general weakness.

During intimacy the patient will feel discomfort and decreased sexual desire.

If treatment is not started on time antibacterial therapy, the disease can become chronic. This usually occurs three weeks after infection with the causative agent of the pathology. In this condition acute symptoms diseases will pass, but periodically urethritis will worsen, and each time lead to more and more dangerous complications.

Before considering drugs for the treatment of urethritis in men, it is worth noting that this disease can be of two varieties, namely:

1. Specific urethritis. It usually develops as a result of a person being affected by dangerous infectious diseases which are sexually transmitted.
2. Nonspecific urethritis occurs when the urethra is infected with an active inflammatory focus, which is localized in nearby organs.

Drugs for treatment

It should be said right away that the treatment regimen for urethritis with antibiotics and other groups of drugs should be selected for each patient on an individual basis, depending on the specific causative agent of the pathology, its type, form and neglect.

Moreover, the doctor must necessarily take into account the age of the person and the presence of concomitant chronic pathologies.

Traditional therapy for urethritis is aimed at restoring the normal functioning of the human urethra, suppressing the activity of the infection, as well as reducing the symptoms of the disease.

Before starting therapy, it is important to go through everything necessary research and diagnostic procedures.

The following drugs are available for the treatment of urethritis in men:

1. Antibiotics.
2. Vitamin complexes.
3. Anti-inflammatory drugs.
4. Tablets for restoring intestinal microflora.
5. Antihistamines.
6. Immunomodulators.

The duration of administration and dosage of the above drugs should be signed only by the attending physician. Self-medication without the supervision of a specialist is prohibited.

Antibiotics for treatment

Antibiotics for urethritis form the basis of treatment. It is with their help that you can short term suppress the activity of the infection that has become the source of inflammation.

A person needs to take antibiotics for at least ten days in a row. This will reduce the risk of complications, eliminate inflammation and promote rapid recovery work of the urethra.

The best antibiotics for urethritis are considered to be Azithromycin, Metronidazole and Gentamicin.

The following drugs may be prescribed to treat urethritis:

1. Immunomodulators and vitamins.
2. Antihistamines (Tavegil) are needed if there is a risk of developing allergic reactions.
3. Antiviral drugs are used if the cause of urethritis is the herpes virus.

How to treat urethritis in men: the effectiveness of homeopathy, traditional methods of treatment and prevention of pathology

Elimination of urethritis using homeopathy is quite controversial, since it is not suitable for use in all cases.

To better understand the effectiveness of treatment similar method, here are some reviews from patients who have already used homeopathy for urethritis:

1. Michael“I recently suffered from acute urethritis and cured it exclusively with the help of homeopathy. I had never practiced this method of treatment before, so I was surprised how effective it was for me. The only thing I didn’t like was the allergy that arose to one of the drugs.”
2. Novel“I have been suffering from chronic urethritis for several months now. The last thing my doctor suggested to me was homeopathy. After some hesitation, I decided on such therapy and began taking the prescribed medications, but this did not save me from another exacerbation of the disease, so I am disappointed.”

Treatment with folk remedies

How to treat urethritis in men traditional methods, largely depends on the goals of therapy that a person sets for himself. Moreover, before this complex of treatment, it is important to understand the root cause of the disease and its form (or chronic urethritis).

It is also worth noting that folk remedies can only be used as an auxiliary treatment for urethritis. The main focus of therapy should be medications prescribed by a doctor.

The best traditional medicine recipes for urethritis in men are:

1. Drink a spoonful of freshly squeezed cranberry juice 3 times a day.
2. Pour boiling water over currant leaves and drink as tea.
3. Add a spoonful of chopped parsley to the milk. Simmer in the oven for an hour. Drink in small sips.

Herbal treatment

The following recipe “works” best for urethritis: mix chamomile, elderberry, St. John’s wort and lingonberries in equal quantities. Pour 2 tablespoons of the mixture into two glasses of boiling water. Leave for five hours in a thermos, strain and drink 4 times a day.

You can also use the same cooking principle medicinal tincture from horsetail, sage and St. John's wort.

Before treating urethritis in men with herbs or folk remedies, it is important to first consult with your doctor. It is not advisable to use such recipes for acute chronic diseases of the gastrointestinal tract, kidneys and liver.

Disease prevention

According to patient reviews, it is much easier to prevent the inflammatory process in the urethra than to think later about how to treat urethritis in men when the disease develops.

As a result, you should be aware of the following measures to prevent male urethritis:

1. Maintain careful intimate hygiene.
2. Avoid casual sexual contact without using barrier contraceptive methods.
3. Stop drinking alcohol and minimize the consumption of spicy, fatty and fried foods.
4. Treat in a timely manner those diseases that can lead to urethritis.
5. Protect yourself from hypothermia.

Urethritis is usually called the inflammatory process, which is localized in the urethra. The disease occurs quite often, regardless of gender and age. In order to clearly understand what urethritis is in men, the treatment and symptoms of this pathology, one should have an idea of ​​the anatomy of the male urethra.

Anatomical features of the male urethra

The outlet of the bladder serves as the beginning 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 and explain the peculiarities of manifestations of urethritis in people of different sexes: if women may not notice pathological symptoms, then men most often feel the signs of the disease very intensely and soon after infection and the onset of the inflammatory process.

The male urethra consists of the following sections:

• Prostatic department. This is the name of the part of the urethra located in prostate gland. Its length is about 4 cm. The second name of the prostatic section is prostate.
• Membranous section. The second name is membranous. The length of this section is about 2 cm. It starts behind 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 section of the urethra, located inside the shaft of the penis. Unlike the prostatic and membranous, the spongy section is mobile. It ends with a hole called the meatus.

Classification of urethritis

Symptoms and treatment of urethritis in men depend on the infectious agent (causative agent), on provoking factors or concomitant diseases, from the intensity, from the stage of neglect of the inflammatory process, therefore, in order to prescribe an adequate, effective treatment, the doctor must determine the nature of the pathology:

Infectious urethritis	Non-infectious urethritis
Classification according to etiological indicators
From the list of names it is clear that each type of infectious urethritis is caused by a certain type pathogen, and only mixed urethritis is caused by simultaneous exposure to several infections: Gonorrheal Mycoplasma Viral Trichomonas Bacterial Mycotic Ureaplasma Chlamydial Gardnerella Mixed tuberculous	Among the diseases of non-infectious nature are: Allergic urethritis, which occurs when exposed to allergens Traumatic urethritis caused by tears or ruptures of the urethra, as well as arising after various medical interventions (cystoscopy, catheterization) Congestive urethritis. It can lead to venous stasis in the pelvis
Classification according to the course of the disease	Classification according to the severity of painful manifestations
Fresh urethritis, which in turn is divided into: spicy subacute torpid	Chronic urethritis. Divided by acute stage and periods without exacerbation. High degree of disease activity Moderate degree of urethritis activity Low-active urethritis
Classification according to the onset of the disease	Classification by specificity
Primary - pathology occurs as an isolated independent disease Secondary - develops as a consequence of other diseases	Nonspecific - the causative agent is microorganisms that are constantly present in the body, which a healthy immune system is able to fight Specific – these are 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 detected in the test material.

Symptoms of urethritis

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

The most typical symptoms of urethritis in men are:

• Pain, itching and burning when urinating
• Presence of discharge from the urethra

Other symptoms, such as hyperthermia, general weakness with urethritis are usually not observed. Depending on the pathogen that caused the disease, discharge from the urethra can be of a different nature. It often appears in the morning and has bad smell and may form yellow crusts on the penis.

Also, with the discharge, sticking and redness of the external opening of the urethra may be observed. Pain in the lower abdomen may occur when various types urethritis, but they are not a constant symptom.

The process of urination is also disrupted, the onset of which is often accompanied by sharp pain, cloudy urine, the frequency of the urge to urinate increases (see), the process of urination ends with sharp pain, sometimes with blood.

When acute urethritis transitions into a chronic form, the symptoms of the disease may completely disappear, the discharge stops, only mild discomfort, itching in the urethra, more intense symptoms appear only during periods of exacerbation.

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

The table below shows the most typical symptoms different types of urethritis.

Infectious urethritis
Gonorrheal urethritis	Acute pain when urinating, the presence of sero- yellow discharge from the urethra. The urine becomes cloudy due to the pus it contains. There are blood impurities in urine and semen.
Mycoplasma	Rarely occurs on its own. Usually mycoplasma urethritis is combined with trichomonas or gonorrhea.
Viral (adenoviral, herpetic)	Symptoms are mild. The course of the disease is sluggish. May be accompanied by joint inflammation and conjunctivitis.
Trichomonas	The predominant symptom is almost constant itching in the head area. Characterized by difficulty urinating and the presence of grayish-white discharge from the urethra.
Bacterial	Symptoms erased. Incubation period can reach several months. Discharge from the urethra is purulent.
Mycotic	The discharge is mucous, watery, and sometimes has a pale pink color. The urethral mucosa is covered with a white cheesy coating. The incubation period is up to 20 days. Itching and burning are present.
Ureaplasma	Rarely occurs in isolation. Often accompanies gonorrheal urethritis and trichomoniasis. The incubation period is up to a month. Discharge from the urethra is white or green. Itching, burning, discomfort when urinating. It worsens after drinking alcohol or having sexual intercourse.
Chlamydial	There is no burning or cramping, the discharge is scanty. Most often it occurs chronically, without symptoms.
Gardnerella	There are no distinctive symptoms; usually gardnerellosis is a participant in mixed processes. Incubation - from 7 days to several months.
tuberculous	Usually occurs against the background of tuberculosis of the kidneys, sometimes in combination with genital tuberculosis. Mycobacterium tuberculosis with the flow of urine penetrate into the underlying urinary tract. Often asymptomatic ( low-grade fever, increased fatigue, sweating).
Non-infectious urethritis
Congestive	Prevail various disorders sexual function. Classic symptoms are rare.
Allergic	Distinctive feature - allergic edema. Accompanied by itching and burning.
Traumatic	Symptoms directly depend on the degree of traumatic exposure. Symptoms: pain, burning sensation when urinating.

Treatment of urethritis in men

As with any other disease, the choice of treatment for urethritis in men is based on diagnosis. Results are paramount laboratory research. Indicators are taken into account general analyzes urine and blood, bacteriological culture urine, urethral smear studies, urethroscopy data.

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

Medicines are selected strictly individually. Any infectious urethritis in men can be treated with antibiotics. Best effect is achieved by prescribing an antibacterial drug after a sensitivity test. It is this study that allows the doctor to choose the most effective drug.

Treatment of gonorrheal, bacterial urethritis

A good effect for gonorrheal urethritis is achieved with the use of antibiotics of the cephalosporin group. Tetracycline, erythromycin, oletethrin, kanamycin can also be prescribed. As for the latter, it should be used very carefully, given the high toxicity of the drug. Long-acting drugs, such as bicillin-3, bicillin-5, are prescribed in short courses. Sometimes, when gonorrheal urethritis is complicated by other infections, several antibacterial drugs at the same time, Azithromycin and Gentamicin are best (see). Azithromycin is Sumamed, Zi-factor, Azicide, Azitrox, Hemomycin, Ecomed.

To prevent candidiasis with prolonged use of antibiotics, Pimafucin, Nystatin, Fluconazole, Levorin and others are prescribed.

Very important aspect— individual choice of drugs for therapy. Often, men suffering from gonorrheal urethritis turn to friends asking for “injections” and use antibiotics without consulting or monitoring a doctor. This is not acceptable, self-medication strong antibiotics wide spectrum of action without a clear treatment regimen, control of cure can lead to the development drug resistance pathogen and transition of the disease to a chronic form.

In addition to antibiotics, the patient is prescribed vitamin preparations, as well as drugs that stimulate the immune system. In order to make sure complete absence gonococcus in the patient’s body, after complete recovery he must take control smears three times. Only upon receipt negative results the man can be considered healthy.

Group of non-gonococcal urethritis

The most extensive subsection, the culprits of which are:

• chlamydia,
• mycoplasmas,
• ureaplasma,
• trichomonas,
• adenovirus,
• herpes simplex.

Chlamydial urethritis

The true incidence of chlamydia in the Russian Federation is unknown. Statistics show that it is progressively decreasing and in 2015 it was 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 do not indicate a better sanitary-epidemiological climate in our country, but rather the difficulties and insufficiency of diagnosis. The absence of clinical manifestations of urethritis (discharge, pain or discomfort during urination) or complicating it orchiepididymitis does not indicate the absence of infection in the genital tract. Often, without complaints of urethritis, men come in for secondary manifestations of chlamydial infection: orchitis, arthritis. Thus, the indication for examination for this pathogen should not be the presence of a clinical lesion urinary tract or genitals, but the fact of unprotected sex or the presence of more than one sexual partner throughout the year. The only reliable method for detecting chlamydia is PCR diagnostics, which cannot be compared with culture, microscopy, or serological tests.

Therapy involves a course of use of Doxycycline, Erythromycin, Levofloxacin, Ofloxacin, Josamycin or a single dose of Azithromycin. In this case, Doxycycline is preferable to macrolides. And a course of Josamycin is more effective than a single therapy with Azithromycin (see).

Mycoplasma as a cause of urethritis

Trichomonas

In therapy for last years nothing has changed: treatment with metronidazole in a high dose once or in a medium dose is still successful therapeutic dosage course per week. Tinidazole can also be used for one-time use ().

Ureaplasmosis

Viral urethritis

This is the same story that a man gets during oral sex. The cause may be adenoviruses or viruses herpes simplex 1 or 2 types. About a third of men will have mucous membranes mild discharge and dysuric disorders (cramping, burning during urination). That is clinical manifestations with a viral origin of urethritis, they are much less bright than with a bacterial process. In addition, bacteria will not be detected in culture cultures, and microscopy of smears will reveal a significant number of mononuclear cells. The virus will be detected in scrapings from the urethra.

Herpetic infection is treated according to classic short or full regimens with Acyclovir, Valacyclovir or Famciclovir.

Other bacterial urethritis

Urethritis can be caused by almost any bacterial flora, including menigococci and Haemophilus influenzae. But today the more interesting problem is urethritis associated with bacterial vaginosis in the sexual partners of patients. In general, it is considered bacterial vaginosis– a variant of dysbiosis that can be treated in a woman and does not threaten a man. However, a connection has been found between inflammatory changes in the male urethra and the main groups of bacteria present in the vaginal microflora during vaginosis. These are not only gradenerella, but also clostridia, leptotrichia, and megaspheres. It has been proven that these microorganisms facilitate infection with other sexually transmitted infections. Most often with male urethritis Gardnerella vaginalis type 4 and clostridia are associated. When the main pathogens (chlamydia, mycoplasma, trichomonas, ureaplasma) are excluded and further verification of the infection is impossible, a course of Doxycycline is traditionally prescribed.

Antibiotics can be prescribed in the form of:

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

The most commonly used antibiotics for acute urethritis in men, which are prescribed by a doctor depending on the pathogen:

Treatment of candidal urethritis

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

Non-infectious urethritis

Used for allergic processes antihistamines(see list), with congestive urethritis, problems with blood stagnation in the pelvis are eliminated. Traumatic urethritis, in addition to standard antimicrobial therapy, may require surgical intervention.

Additional treatments

In addition to the basic course of antibacterial drugs that affect the suppression acute symptoms diseases, other methods of therapy, such as local and physiotherapeutic procedures, are also widely used.

Local procedures involve administering medications directly into the urethra. For urethral instillations, Dioxidin, as well as hydrocortisone preparations, are used. Local healing procedures give good results, being a component complex therapy urethritis.

Physiotherapeutic treatment is used only for chronic urethritis; for acute inflammatory processes, they are contraindicated. UHF and magnetic therapy are prescribed. But all these methods require systematicity and competent medical supervision.

Why does urethritis occur in men - causes of the disease

Urethritis appears for a number of reasons, in addition to infection with sexually transmitted infections, the proliferation of pathogenic microorganisms is facilitated by certain conditions, provoking factors, we will consider all possible reasons:

1. Sexual infections - high risk development of urethritis in men who are sexually active (unprotected sexual intercourse). In this case, the STI easily penetrates the urethra, causing rapid or sluggish inflammation.
2. Urolithiasis disease(more often affects men than women. This disease leads to traumatic urethritis, since stones, when released, easily injure the walls of the urethra, provoking irritation and activation of opportunistic microorganisms.
3. Any injury to the penis, as well as debilitating physical work can become 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 protective forces organism.
5. General decrease in immunity- poor nutrition, lack of sleep, overwork, alcohol abuse, smoking lead to depletion of the body's natural defenses.
6. Medical manipulations(smear, catheterization of the urinary tract) can injure the mucous membrane, and if the rules of disinfection are not followed, infection can occur.
7. Nutrition - an abundance of salty, spicy, sour foods cause irritation of the mucous membranes, facilitating the addition of other infections. Insufficient fluid intake leads to infrequent urination and does not provide the opportunity for natural cleansing (washing) of microorganisms that accidentally enter the urethra.

How to avoid complications

According to statistics, every second man after 50 years old suffers from prostatitis. And we don’t think that representatives of the stronger sex associate this pathology with a history of urethritis. However, prostatitis often occurs against the background of an existing infection of the urinary system. Urethritis can contribute to the development of vesiculitis, orchitis, balanoposthitis, colliculitis, leading to sexual dysfunction, infertility and Reiter's syndrome. To avoid complications of urethritis, a man should:

• Avoid promiscuity and maintain intimate hygiene
• Treat any chronic pathologies in a timely manner
• Avoid hypothermia
• Empty your bladder whenever you feel the urge to urinate, do not “tolerate” it
• Do not indulge in alcohol, fatty, spicy, salty foods
• Avoid intense, excessive physical activity