Urethritis in men: treatment, symptoms, prevention. We treat male urethritis with drugs

Urethritis is an inflammation that affects the urethra, manifesting itself as discomfort during urination and discharge from the urethra with an unpleasant odor.

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

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

The infectious group (genital infections) is more common and is classified according to the nature of the pathogen:

• specific (gonorrheal, etc.);
• nonspecific (provoked by chlamydia, ureaplasmas, trichomonas, various viruses, mycoplasmas, etc.).

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

Symptoms of urethritis

The disease manifests itself in the form of pain, pain and burning when urinating, mainly in the initial stage; There is general pain in the perineal area, as well as discharge from the urethra in the morning.

If we are talking about a bacterial infection of a nonspecific type, the discharge is characterized by abundance, unpleasant odor, mucopurulent consistency, and blue-green color.

During the inflammatory process caused by gonorrhea, discharge is observed in the morning and looks like white purulent drops.

Over time, the inflammation can spread to a wider area, reaching the bladder, prostate and scrotum. Possible complications are orchitis, epididymitis, prostatitis. An advanced form can lead to male infertility. Another negative consequence of an advanced disease process is stricture, or narrowing of the urethra; manifests itself as a decrease in urine pressure.

Treatment regimen for urethritis in men

You should not delay the treatment of urethritis in men - the disease will not disappear on its own. Even a non-infectious form of the disease transforms into a nonspecific form in a short time when microorganisms of opportunistic flora are activated.

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

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

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

Procedures for introducing antiseptic solutions into the urethra are added to the main course. This method leads to the death of up to 80% of bacteria. Medicines of this type include substances aimed at restoring damaged canal walls.

Antimicrobials for the treatment of urethritis

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

An infection caused by candida requires the use of antimicrobial drugs. In complicated cases, two different types of antibiotics are used at once. The course of antibacterial therapy lasts about 10 days. It is important to follow all instructions and recommendations of the specialist. It is impossible to stop treatment prematurely - this leads to the bacteria becoming accustomed to the antibiotic and dangerously transforms the disease into a chronic form.

The doctor decides how to treat urethritis in men and what antibiotics to prescribe based on the results of diagnostic tests. The examination determines the susceptibility of bacteria to various types of drugs.

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

• has a direct effect on the source of inflammation;
• does not cause addiction to pathogenic bacteria;
• used in smaller dosages, in a shorter period of time, minimizing the risk of side effects.

The result of medical manipulations depends on the correct selection of tablets. The result can be assessed by analysis, which is carried out after completion of the course and should show the absence of pathogens. If bacteria are detected in the culture, a re-treatment regimen using antibiotics from a different series is thought out.

Potent antimicrobial drugs seriously affect the state of the intestinal microflora, often leading to allergies and gastrointestinal disorders. Probiotics can prevent the consequences of antibacterial therapy. Other mitigation measures include:

• local procedures with an antiseptic effect to prevent the spread of infection;
• immunomodulatory drugs for accelerated recovery;
• taking multivitamins and enzymes;
• instillation of uroseptics into the urethra.

Folk remedies for the treatment of urethritis

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

Decoctions of linden blossom give positive results. You should include fresh cranberries, lingonberries, parsley, and celery in your diet. The inflammatory process in the urethra helps to reduce the infusion of wheatgrass rhizomes.

Since it is rarely possible to cure urethritis in men while it is in an acute form, and the disease often becomes chronic, folk remedies are used to mitigate the effect of medications and generally strengthen the body.

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

Prevention of urethritis

1. Avoid casual sexual contact and always use barrier methods of contraception when having sex with a new partner.
2. Visit a urologist once every six months, as well as at the slightest sign of sexually transmitted infections, discomfort when urinating, etc. Since urethritis is treated in men and their sexual partners at the same time, it is advisable to also undergo the examination together.
3. Follow the rules of intimate hygiene.
4. Avoid eating spicy, fatty, salty foods, tobacco and alcohol.
5. Avoid severe hypothermia.
6. Do not trigger other diseases of the genitourinary system (cystitis, pyelonephritis, prostatitis).

Summarize. In the fight against inflammation of the urethra, antimicrobial therapy is of greatest importance. Subsequently, restorative treatment is carried out, the purpose of which is to reduce the side effects of antibiotics, strengthen the immune system and populate the intestinal flora with beneficial bacteria. The course of drugs is prescribed by the attending physician, based on the test results. At the end of all procedures, a cure control must be carried out.

Men of all ages who are faced with urethritis often turn to a urologist. This disease manifests itself with severe symptoms in the form of pain and burning when urinating, which brings discomfort. If left untreated, the acute form of the disease can become chronic, which will cause serious complications on the male genitourinary system. Familiarize yourself with the types and principles of treatment for urethritis.

What is urethritis in men

Inflammation of the urethra in men is called urethritis. The urethra is understood as the urinary canal in the form of a thin hollow tube with a bend, the length of which is 16-24 cm and the width up to 8 mm. Pathogenic microbes, viruses or fungi can settle in the walls of this duct and cause an inflammatory process on its mucous membrane. The pathology is more common in men who are sexually active and neglect barrier contraceptives.

Due to the special structure of the male urethra, pathogenic microflora multiplies quickly. This leads to swelling of the mucous membrane, a delay in the outflow of urine, and complications include acute pain and intoxication. Urethritis is manifested by severe pain and is accompanied by the spread of infection up the genitourinary organs if left untreated.

Causes of urethritis

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

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

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

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

Species

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

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

Symptoms of urethritis in men

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

• profuse purulent discharge from the urethra of a yellow-green color;
• low-grade fever – persistent increase in body temperature;
• increased urge to urinate;
• swelling of the urethra;
• itching, burning, sharp pain;
• bloody discharge at the end of urination.

Diagnostics

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

The man undergoes a urine and blood test to determine the level of damage to the urinary tract, and rheumatic tests are taken. Microscopy of a smear from the urethra is performed to study the material at the cellular level. Of the instrumental methods, urethroscopy is used, which is performed after the acute process has subsided to examine the walls of the urethra. It is possible to carry out ultrasound diagnostics to visualize the bladder, prostate, and kidneys. In case of a chronic process, urethrography is performed - an X-ray examination of the urethra after the introduction of a radiopaque substance into it.

Treatment of urethritis in men

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

• refusal of sexual activity for the duration of therapy;
• Maintaining water balance, drinking plenty of fluids;
• giving up alcohol;
• antibiotic therapy;
• immunotherapy agents;
• local treatment after the acute process has subsided (instillation (introduction) of medications into the urethra itself, the use of ointments);
• nutrition correction: avoidance of fatty, fried, spicy, smoked, pickled, salty foods, carbonated drinks;
• Hypothermia and stress should be avoided.

Drug therapy

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

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

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

ethnoscience

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

1. You need to chop fresh parsley leaves, pour 500 ml of boiling water over a tablespoon of the raw material, leave for several hours under the lid, filter. In case of exacerbation, you need to take 50 ml of the mixture every two hours.
2. For a glass of boiling water you need to take a teaspoon of chopped yellow green chickweed (it has antiseptic and antimicrobial properties). It will take 15-20 minutes to infuse the mixture, then drink it warm instead of tea throughout the day. Currant leaves are a good substitute for zelenchuk.
3. Oak bark decoction. Used for purulent discharge, swelling, itching. Has an astringent and antiseptic effect. A tablespoon of raw material should be brewed with a glass of boiling water, left for half an hour, and strained. The product is used to wash the urethra.
4. Cornflower infusion will restore the balance of microflora and destroy pathogenic microorganisms. You need to brew a tablespoon of flowers with a glass of boiling water, leave for an hour, strain. Take 50 ml of the mixture before each meal.

Complication of male urethritis

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

• pyelonferitis (kidney inflammation);
• cystitis (inflammation of the bladder);
• orchitis (inflammatory process in the testicles);
• prostatitis;
• balanoposthitis (inflammation of the glans and foreskin of the penis).

Inflammation of the prostate gland (prostatitis) can lead to diseases of the reproductive system, leading to sexual dysfunction and infertility. If gonococcal urethritis, accompanied by congestion in the urethra, is not treated, it will result in complex damage to the joints, organs of the urinary system, and irreversible damage to the urethra.

Prevention

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

• avoid injuries to the penis;
• maintain water balance;
• avoid frequent changes of sexual partners, promiscuity;
• promptly treat any infectious and inflammatory diseases;
• avoid hypothermia;
• maintain personal hygiene;
• use barrier methods of contraception;
• do not tolerate the urge to urinate, empty your bladder on time;
• increase immunity, play sports, toughen up;
• avoid stress and overexertion;
• give up alcohol and smoking;
• adhere to proper nutrition.

Video

The urethra is the channel through which urine passes, entering the external environment when urinating. Inflammation of the urethra, which can be caused by mechanical injuries, hypothermia, various types of bacteria, fungi and viruses, is called urethritis. Representatives of both sexes are equally susceptible to the disease. In most cases, infection is transmitted through sexual contact.

The duration of treatment and the choice of antibacterial therapy depend on the characteristics of the course of urethritis and its intensity. In men, the disease is more severe.

Symptoms of the disease

Non-infectious appears already 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 during urination;
• acute pain in the genital area;
• specific discharge with an unpleasant odor;
• bloody discharge when urinating;
• 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 promptly, it can become chronic and cause complications. This will lead to more serious consequences: prostatitis, inflammation of the testicles, cystitis, infertility, etc.

Types of disease

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

Infectious urethritis:

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

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

Viral. With this type, the symptoms are mild. Conjunctivitis and joint inflammation may occur.

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

Trichomonas. There is a constant urge to urinate with pain, 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. Small discharge may be present. Usually occurs in a chronic form.

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

Non-infectious urethritis:

• congestive;
• traumatic;
• allergic.

Congestive urethritis. Rarely accompanied by symptoms characteristic of infectious urethritis. There is a dysfunction of the genital organs.

Traumatic. Symptoms depend on the type of injury sustained. 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 area.

Drugs for treatment

Therapy is prescribed only after all the necessary tests have been completed and the species has been identified. Drugs are selected according to the individual characteristics and complexity of the disease.

During the course of taking medications, the patient should avoid spicy, salty foods and alcohol. It is best if the doctor prescribes a certain diet.

Important! Even if the symptoms disappear, treatment cannot be interrupted, as this can lead to complications and the disease will take a chronic form.

In complex therapy the following is prescribed for treatment:

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

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

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

Antibiotics for treatment

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

• Ceftriaxone, Tetracycline;
• Azithromycin, Erythromycin;
• Gentamicin.

It is possible to use several types of antibiotics at once, if there are some complications.

Attention! Consultation with a specialist is necessary to prescribe antibiotics. Self-prescription of drugs can lead to incorrect treatment.

In addition to antibacterial therapy, the patient is usually prescribed antimicrobial drugs in the form of metronidazole or secnidazole.

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

Ceftriaxone: treatment regimen

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

The medicine is available in the form of a white powder for intramuscular injection. Ceftriaxone is usually prescribed 1 g per day.

1. To prepare the solution you will need lidocaine, for less painful administration of the medication, and water for injection, 2 g of each.
2. The drug is administered intramuscularly once a day.
3. The course of treatment can be up to 10 days.

Treatment with Azithromycin

If there is a possible allergy to Ceftriaxone, Azithromycin is a good alternative treatment. The drug is also used in combination with other antibiotics in case of complications of the disease by other diseases. Azithromycin gives the best effect in combination with Gentamicin.

Azithromycin is divided into the following types of drugs:

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

The drug has been proven to be highly effective in the treatment of chlamydial urethritis. Patients usually tolerate the drug well.

Pills

With prolonged antibiotic therapy, candidiasis urethritis may occur. Therefore, in order to avoid new unpleasant consequences, antifungal drugs are prescribed 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, you should undergo treatment with probiotics to restore normal microflora (Acipol, Bifidumbacterin, Linex, Yogurt), and it is also recommended to use vitamins (Ribomunil, Gepon, Duovit, etc.).

To restore normal functioning of the body after treatment, immunomodulators may be prescribed. The most famous drug is Polyoxidonium, which can be used both during and after antibacterial therapy.

Treatment with Canephron

Herbal tablets can be used as an additional treatment. These medications include Canephron.

The herbal preparation can have a diuretic and antimicrobial effect, reduce pain and inflammation, and also improve kidney function and enhance the effects of antibiotics.

Important! Canephron is contraindicated for people with individual intolerance to certain components of the drug.

Homeopathy treatment reviews

Often patients who have acquired a chronic form of the disease turn to homeopathic doctors for help.

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

To treat urethritis with homeopathy, the following drugs can be prescribed:

• Argentum nitricum;
• Cantharis;
• Kopaiva;
• Medorrhinum;
• Sulfur.

Experts note the presence of many positive reviews from patients after homeopathy treatment.

Important! Homeopathic medicines should not be used without consulting a doctor.

Treatment with folk remedies

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

Wheatgrass

A tincture of wheatgrass roots is widely used and has a good anti-inflammatory effect.

1. To prepare it, take 4 teaspoons of rhizomes and pour a glass of cold water for soaking and leave overnight.
2. In the morning, drain the water and brew the rhizomes with a glass of boiling water. The drug is drunk throughout the day, divided into four doses.

Parsley

Parsley is also an effective remedy for relieving symptoms and healing. To prepare the herbal medicine, take a spoonful of raw materials and steam it with half a liter of hot water. After a few hours, the infusion is decanted and 3 tbsp is used. l. up to 5-6 times a day.

Oak bark

An infusion of oak bark, which is used as a lotion, has a good effect in treatment.

1. Brew a tablespoon of bark in a glass of boiling water and leave for several hours.
2. The resulting infusion is used topically.
3. The procedure cannot be repeated for more than three days in a row. It is also recommended to abstain from sexual intercourse during this period.

Currant

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

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

Herbal treatment

Herbal preparations that are used for both infectious and non-infectious urethritis are very helpful in the treatment of urethritis.

1. To prepare the decoction, take St. John's wort, chamomile, black elderberry and blue cornflower, one spoon of each component. The dry mixture is brewed with a glass of boiling water and left to infuse for an hour. It is recommended to drink the entire infusion before 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 pain symptoms. Linden flowers (2 tbsp) are poured with boiling water (500 ml) and left for half an hour. The entire infusion is consumed before bedtime.

Cowberry

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

1. To prepare the 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 using herbal remedies, consult a herbalist.

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

Disease prevention

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

1. Barrier contraception should be used, which can protect against infection.
2. You also need to carry out regular hygiene procedures to avoid infection entering the genitals.
3. In case of infection, treatment should be carried out simultaneously with a regular partner in order to avoid relapse (in case of infectious urethritis).
4. To avoid non-infectious urethritis, it is recommended to avoid hypothermia, as well as heavy physical exertion. It is recommended to empty your bladder promptly when you feel the urge to urinate.

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

– inflammatory disease of the urethra. The cause may be venereal disease, bacterial, viral or fungal infection. Often, discomfort occurs due to mechanical damage to the urethra, taking medications, or an allergic reaction.

The disease first manifests itself in an acute form, which 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 urethritis is not treated 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, ulcers appear on the head of the penis, the skin swells and turns red.

You can’t let the disease go away; it won’t go away on its own..

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

Before you begin treatment for urethritis, you need to accurately determine the nature of the disease. The patient undergoes tests, and at the same time the doctor conducts a general examination, examining the scrotum, urethra and prostate.

If the culprit of the problem is a sexually transmitted infection, it is necessary to contact venereologist. Dealing with other variants of the disease urologist. He prescribes a set of remedies. Usually, when choosing how to treat urethritis in men, the drugs chosen are:

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

Medicines for urethritis in men should remove the infection and restore the affected walls of the urethra. Patients usually receive tablets and capsules, which can be supplemented with creams and ointments for urethritis in men.

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

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

When is antibiotic use necessary?

In inflammatory processes, the main drugs treating urethritis are antibiotics.

If urethritis is diagnosed, medications for treatment and the course of their use are determined by the doctor and depend on the symptoms and stage of the disease.

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

Antibiotic drugs for urethritis in men are used for bacterial diseases, but they will not help if the disease is viral. The most commonly used drugs are penicillin, tetracycline, and fluoroquinolone groups.

Antimicrobial agents can be added to this drug in the form of solutions that are used to wash the urethra. This therapy gives excellent results and promotes the fastest possible healing.

Antibiotic treatment must be supplemented with immunomodulators and vitamin complexes.

Such drugs for urethritis in men compensate for side effects, eliminate stomach upsets, headaches, dizziness and other unpleasant symptoms.

Treatment of urethritis in men: drugs with antibacterial action

Antibacterial therapy – an essential component of the treatment of urethritis. Preparations are used in the form of gels, aqueous solutions, and tablets. The course is suggested by a doctor; most of the remedies are well tolerated and have no contraindications.

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

It has no contraindications, is easily tolerated by the patient and acts on any infection: bacterial, fungal, viral. Can be used as a supporting agent, combines well with oral medications (antibiotics, immunomodulators).

Chlorhexidine with urethritis in men.

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

Suitable for washing and bathing, 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 topical use. Suppresses the growth of pathogenic microflora, promotes tissue regeneration, and combines well with antibiotics.

Used for the treatment and prevention of candidal urethritis.

Treatment of urethritis in men with medication lasts 7-10 days, washing the urethra is done 2 times a day. After a week's break, the course can be repeated.

Rectal suppositories: local impact on the problem

When treating urethritis, not only solutions and tablets for urethritis in men are used, but also external agents. Most often these are drugs for the treatment of urethritis in men, such as creams and ointments, but Rectal suppositories also have a good effect. They act locally without causing irritation to the gastrointestinal tract.

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

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

Terzhinan for urethritis.

Vaginal suppositories for urethritis, but for men used rectally.

Helps with the treatment of candidiasis forms of the disease.

There are no contraindications noted; treatment lasts up to 10 days without causing addiction.

Immunostimulants and their role in therapy

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

Homeopathy: does it help?

What else should you drink if you have urethritis that will help complement the effect of treatment?

Homeopathy and herbal medicine – excellent additions to the main treatment course.

Once urethritis is diagnosed, medications alone cannot cure it, but homeopathy is irreplaceable as maintenance therapy. Herbal products have a diuretic, restorative, analgesic, anti-inflammatory effect, they soothe, relieve burning and itching.

Most patients tolerate this group of drugs well; they especially recommended for patients with weakened immune systems who do not tolerate more aggressive medications for urethritis in men.

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

Cyston for urethritis - treatment tablets with a completely natural composition. Includes 14 herbal ingredients: extracts of vernonia, membranous rash, onosma multifolia, saxifrage reed, straw flower, etc. The drug has anti-inflammatory, diuretic, antibacterial effects, and can be used for treatment and prevention. Fits well into any therapeutic regimen and is combined with antibiotics.

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

Useful video

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

For urethritis, treatment with drugs - a painstaking process that requires the patient to have discipline and trust in the attending physician. The prescribed course cannot be interrupted, otherwise the disease will recur. If you have a negative reaction to a particular drug, the urologist will select a suitable equivalent and calculate the correct course. He will recommend the necessary supplements and lifestyle adjustments.

Urethritis is an infectious inflammatory disease of the urethra (urethra). Treatment of urethritis in men and treatment of its complications is prescribed by a urologist or dermatovenerologist after examination. There are specific and nonspecific microorganisms that cause disease.

Specific infections - gonococcus and trichomonas - are transmitted during unprotected sexual intercourse. Nonspecific pathogens:

• chlamydia;
• mycoplasma;
• staphylococcus;
• Proteus;
• coli;
• fungi of the genus Candida;
• viruses.

But the presence of a pathogen does not always cause disease. Suitable conditions for infections to occur are required. These risk factors include:

• failure to comply with hygiene measures;
• unprotected sex;
• prolonged sexual intercourse;
• severe alcohol poisoning;
• immunodeficiency;
• seasonal asthenia due to lack of vitamins;
• hypothermia;
• treatment of the urethra with antiseptics;
• foreign body in the urethra (catheter).

Treatment regimens for urethritis

How to treat urethritis in men? The basic principles of treatment of acute infectious inflammation of the urinary tract are the impact on the cause of the disease and the elimination of symptoms. It is important to understand that the woman who is the sexual partner must also undergo treatment for urethritis.

Treatment of acute gonorrheal urethritis

The treatment regimen for urethritis caused by gonococcus involves the use of penicillin or cephalosporin antibiotics, as well as fluoroquinolones and macrolides:

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• Ofloxacin and Ciprofloxacin are antibiotics from the fluoroquinolone group and have a wide spectrum of antimicrobial activity. Intended for the treatment of uncomplicated gonococcal infections (without suppuration of the paraurethral and accessory glands). Side effects include nausea, vomiting, nightmares, decreased blood counts, heart rhythm disturbances, and allergies. If renal function is impaired, the dose of drugs should be adjusted.
• Ceftriaxone and Cefixime are broad-spectrum cephalosporin antibiotics that are excreted through the urinary tract, where their high concentrations are created. Of the side effects, allergies are the most common. Due to the similarity in structure to penicillins, Ceftriaxone and Cefixime are contraindicated in patients intolerant to penicillin antibiotics. Prescribed as injections for the treatment of complicated forms of gonococcal urethritis and the treatment of relapses (inflammation of the epididymis, prostatitis, abscessation of the paraurethral glands, generalization of the process up to endocarditis, meningitis, brain abscess, sepsis, pneumonia).
• Gentamicin is a broad-spectrum aminoglycoside intended for the treatment of gonococcal infections, which has a toxic effect on the kidneys and hearing organs. Contraindicated in patients with renal failure or hearing impairment. Particular attention should be paid to interactions with other drugs - it should not be taken together with diuretics, cytostatics and a number of other drugs.
• Spectinomycin is a narrow-spectrum antigonococcal drug, similar in structure to Gentamicin, but differs in properties. It is an alternative medicine prescribed for urethritis in case of intolerance to the above drugs. Does not have significant nephrotoxicity. Adverse reactions include allergies, nausea, vomiting, dizziness, and temporary changes in biochemical blood tests are possible.

Analogs of Ornidazole: Tiberal, Ornisid, Dazolic, Quinizol.

Analogs of Tinidazole: Fazizhin, Tiniba.

If you are constantly taking antiepileptic drugs, antidepressants, painkillers, acetylsalicylic acid, if it is necessary to prescribe nitroimidazoles, the dosage regimen should be adjusted to minimize the risk of side effects.

A new generation drug – Nimorazole – was created exclusively for the treatment of trichomonas pathology. After taking it, signs of urethritis may persist for a couple of days. Trade name: Naxojin.

Mycoplasma urethritis in men and treatment

Mycoplasma is a single-celled bacterium that does not have a cell wall and is an opportunistic microorganism. Requires treatment only if there are symptoms of the disease. The optimal drug option is Doxycycline. If you are intolerant, use Ofloxacin.

Contraindications to the use of Doxycycline:

• hypersensitivity to the drug;
• liver dysfunction.

Iron and calcium supplements, which are included even in multivitamin complexes, when taken simultaneously, reduce the absorption of Doxycycline into the blood from the stomach.

Treatment and prevention of fungal urethritis in men

Candida fungi enter a man's urethra during unprotected sex. The provoking factor for the development of fungal inflammation is prolonged uncontrolled use of antibacterial agents or decreased immunity. Fungal urethritis manifests itself as itching, burning in the urethra, pain when urinating and specific white discharge. Fungal urethritis, which is not treated with antifungal agents, often develops into chronic urethritis. Treatment and prevention of candidiasis are carried out with the following medications:

• Fluconazole (Diflucan, Flucostat, Mikosist);
• Itraconazole (Orungal, Irunin).

The drugs belong to the group of triazole antifungals, which suppress fungal infections. Their metabolism occurs in the liver with the participation of microsomal enzymes, which affects the pharmacological effect of other drugs that are biotransformed by the same enzymes. Therefore, it is not advisable to take antifungal tablets simultaneously with certain antibiotics (Erythromycin, Rifampicin), diuretics (Hydrochlorothiazide), antidepressants (Amitriptyline) and other antifungal agents (Amphoterecin B).

Contraindications: hypersensitivity, severe liver disease, heart block.

Side effects: dyspeptic symptoms (nausea, vomiting), headache and dizziness, increased levels of liver enzymes in a biochemical blood test, decreased potassium levels in the blood, allergic reactions, decreased formed elements in the blood (leukocytes, red blood cells, platelets).

Symptoms and treatment of viral urethritis

Symptoms and treatment of urethritis in men caused by the herpes virus depend on the state of the immune system. It actively manifests itself in immunodeficiency. The genital herpes virus is transmitted sexually and manifests itself both as external blistering rashes on the genitals and symptoms of urethritis - pain when urinating. Therapy for urogenital herpes is carried out with antiviral agents:

• Valacyclovir;
• Famciclovir.

• Ciprofloxacin (Tsiprolet, Tsifran, Tsiprobay, Siflox);
• Norfloxacin (Nolitsin, Normax, Normbactin);
• Levofloxacin (Tavanic, Levolet, Glevo, Floracid).

This choice is explained by their wide spectrum of action and ability to accumulate in the required concentration in the urine. Side effects of fluoroquinolones:

• pseudomembranous ulcerative colitis;
• decrease in the level of formed elements in the blood (erythrocytes, leukocytes, platelets);
• allergic reactions;
• sleep disturbance, nightmares, delusional disorders;
• fatigue, anxiety, cramps;
• ventricular arrhythmias;
• disturbance of color perception.

Alternative drugs for the treatment of nonspecific urethritis - Gentamicin and Amikacin, are prescribed exclusively in the hospital in the form of injections under the supervision of a physician. Very toxic to the kidneys and hearing organs.

Other means for the complex treatment of urethritis

Vitamins

Complex vitamin preparations such as Complivit, Alphabet, Vitrum, Supradin will come to the rescue. You can take individual vitamins A and C, which are natural antioxidants. Microelements are especially useful for men's health: iodine, zinc, selenium.

Immunostimulating agents

• Polyoxidonium is a domestic drug that has an activating effect on the immune system, stimulating the formation of antibodies to bacteria and viruses. It is used in conjunction with antibacterial drugs, increasing their effectiveness, including for gonococcal urethritis. The only contraindications to this medicine are hypersensitivity. Available in the form of suppositories, injections and tablets.
• Viferon is a preparation of human leukocyte interferon that stimulates the production of interferon, an element of the immune system involved in the body’s defense response. Active in the complex treatment of viral (herpetic) and fungal urethritis, urogenital trichomoniasis. Available in the form of rectal suppositories.
• Uroseptics are drugs that have an antimicrobial effect, penetrate well into the urinary tract, and are suitable for the complex treatment of nonspecific inflammation. Prescribed to prevent relapses (repeated exacerbation of seemingly cured urethritis).
• Fosfomycin is a new generation uroseptic used for nonspecific bacterial urinary tract infections that are resistant to other antibiotics (including urethritis). It is better to take separately from food, at night, after urinating. Trade analogues are Urophosphabol and Monural.

Other antimicrobials

• Pipemidic acid is an antibacterial agent for the treatment of inflammation in the urethra caused by nonspecific bacteria. Trade name: Palin.
• Nitrofurantoin preparations (5-NOK, Nifuratel, Macmiror) are active against nonspecific pathogens. Macmiror is important in the treatment of Trichomonas urethritis.
• Herbal anti-inflammatory drugs are used in combination with antibiotics and immune drugs. Herbal medicines relieve inflammation, reduce pain and discomfort, and have an antimicrobial effect.

• Miramistin;
• Furacilin.

Conclusion

To summarize, we can highlight the main principles of effective and safe treatment of urethritis in men, which include timely diagnosis, antibacterial therapy according to regimens prescribed by the doctor, an integrated approach and monitoring the effectiveness of medication. Regardless of how urethritis is treated in a man, mandatory treatment is also required for the woman – the sexual partner.

Treatment of complicated forms of urethritis in men with antibacterial drugs should be accompanied by the prevention of fungal infection, since it begins to actively manifest itself when the microflora is suppressed, which previously restrained the proliferation of fungi.

The best treatment for urethritis in men is prevention.

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