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One of the most common diseases genitourinary system in men is urethritis. Pathology is accompanied by unpleasant symptoms, indicating the development of an active inflammatory process in 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 peculiarities of the physiological structure of the 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 pathological infectious process developing 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 remove bodily fluid into external environment when urinating. 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 the external environment or during sexual intercourse. A secondary infection has a different focus of inflammation and spreads throughout the body through the bloodstream. Such urethritis develops against the background of other diseases: pharyngitis, tonsillitis, chronic tonsillitis.

When exposed to provoking factors in the thin male urethra, pathogenic bacteria rapidly multiply 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 tissues, provoke adhesive processes in the pelvis, cause inflammation of the prostate or cystitis.

Causes

One of the most common causes of specific inflammation in the urethra is venereal diseases. Therefore, infectious urethritis is most often diagnosed in men who are promiscuous. sexual life changing partners, not using condoms, practicing non-traditional 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) in urolithiasis;
use of catheters, cytoscopies 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;
non-compliance with the rules of personal hygiene;
decreased immune response due to frequent stress, wrong organized meals, addiction to bad habits.

The causative agents of nonspecific urethritis are staphylococcal and streptococcal infections and Escherichia coli. The disease takes chronic form when immunity 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 a decrease in swelling. This indicates that the disease has passed into a latent (hidden) form, requiring mandatory treatment, the absence of which is fraught with the development of complications.

Types of disease

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

Specific inflammation of the urinary tract 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 ingestion of staphylococci, streptococci or coli. These infectious agents cause purulent inflammation urethral canal. Pathology most often acts as a complication of colds, functional disorders of the digestive tract.

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

Non-infectious inflammation of the urethra may be due to different kind mechanical damage when:

performing medical interventions;
exposure to allergens;
development of venous congestion in the pelvic organs.

In the latter case we are talking about about congestive urethritis.

Depending on the nature of the course of the disease, an acute and chronic form is distinguished, and on its features - 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 the occurrence, pathology is classified according to localization 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 degree of damage to the urethra;
bacteriological culture or ORPs needed to determine the type of pathogen and the degree of its sensitivity to antibiotics;
a study of the channel by means of a probe, which is carried out after the retreat of the exacerbation of the disease;
ultrasound diagnostics, carried out in order to obtain information about the condition of the bladder, prostate and kidneys.
radiography of the urethra with the introduction of a contrast agent.

The treatment of urethritis is prescribed by the attending physician only after a qualitative examination, identification of the pathogen 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 course of the disease.

Antibiotics

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

The drugs are prescribed:

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 application several antibiotics.
In the case when 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.
With 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.
With urethritis of any etiology, a broad-spectrum antibiotic called Monural is effective. The use of the drug during the first two days prevents the development of an acute pathological process. The drug is not used to treat a chronic illness.

In 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 therapy and after it.

Anti-inflammatory

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

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

They show high efficiency even when 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. by the most popular means from this group are Furacilin and Miramistin.

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

With allergic urethritis inflammatory process it is stopped by means 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 action: Furosemide, Hypotioside. Active ingredients these drugs are excreted by the kidneys with urine, with little or no systemic effect on the body.

The most appropriate is to take Canephron, a herbal drug. It is actively used for inflammation of the organs of the 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 general condition patient.

Treatment with folk remedies

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

The most popular of them:

Parsley infusion. For cooking, you 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.
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 use the medicine instead of tea during the day.
Decoction of oak bark. The product is intended for washing the urethra. It helps to get rid of edema and purulent secretions, has an astringent effect and has antiseptic properties. Recipe: 1 tbsp. l. oak bark should be poured with 250 ml of boiling water and insisted for an hour. Before use, strain and drink 50 ml three times a day before meals.

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

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

The main emphasis in nutrition is recommended to be on the use of fresh fruits, vegetables and cereals. In addition, it is desirable to include foods that have anti-inflammatory effects in the diet. These include parsley, cranberries, carrots and celery.

To neutralize pathogenic microorganisms and activate immune mechanism, it is necessary to cure this disease completely.

Phytopreparations

One of the ways to solve the problem with infectious inflammation of the genitourinary system is herbal medicine. Medicines based on active herbal ingredients, 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 such plants as goldenrod, knotweed, medicinal chamomile and cranberries.

Some plants used in pharmacology for the manufacture of herbal remedies acquire poisonous properties if combined incorrectly. Therefore, for the treatment of urethritis, it is more appropriate to use pharmaceutical products factory production, passed laboratory and biological control.

Among the combined phytopreparations corresponding to all necessary requirements are popular:

Shed;
Kanefron;
Phytolysin;
Cytotransit.

Physiotherapy

Significantly accelerate the process of recovery from urethritis using physiotherapy methods.

For this disease, apply:

laser therapy, involving the treatment of the urethra with infrared radiation;
UHF therapy aimed at relieving spasm of the muscles of the genital organs;
magnetotherapy, carried out with the aim of sanitizing the urogenital area and warming 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 contribute to the activation defensive forces organism.

Possible Complications

The risk of complications in urethritis increases significantly when the infectious process, in addition to the main focus, begins to capture other organs and tissues. This can happen if the disease is left untreated or treated insufficiently.

On the background infectious inflammation urinary canal can develop:

pyelonephritis;
orchitis;
cystitis;
balanoposthitis;
prostatitis.

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

Prevention

Preventive measures can help minimize the risk of urethritis.

To do this, you must follow certain rules:

avoid promiscuity;
use condoms;
prevent hypothermia of the body and injuries of the penis;
in case of any inflammatory processes in the organs of the genitourinary system, be treated in a timely manner;
observe the rules of personal hygiene;
release on time bladder;
adhere to proper nutrition;
avoid stressful situations;
to refuse from bad habits;
lead healthy lifestyle life.

Video

What is urethritis in men and what methods of treatment for this disease exist, you can find out by watching the video.

Urethritis is an inflammatory process that is located in the urethra. This disease is very common, while the pathology develops regardless of the age and gender of the patient. In order to clearly understand what urethritis is in a man, what are the symptoms and methods of treating this pathology, it is necessary to clearly understand the anatomy of the male urethra.

Anatomical features and structure of the male urethra

The bladder outlet is the beginning urinary canal, which in medical and scientific circles is commonly called the urethra. This is a genital tube of small diameter, which has a length of 16 to 24 centimeters. It is worth noting that the urethra in women has a length of only 4 centimeters. These comparative characteristics and are the main reason for the differences in the manifestations of urethritis in representatives different sexes, respectively, if in women urethritis can pass without visible pathological symptoms, then in the male, the disease is characterized by very intense symptoms and can manifest itself soon after direct infection and the development of the inflammatory process.

The male urinary canal consists of the following sections:

prostatic section. This is the part of the urethra that is located in prostate and is about 4 inches long. The prostatic department is also called the prostate;

membranous section. Also called webbed. Its length is 2 centimeters. The beginning of the department is prostate and ends at the base of the penis. This gap of the male urethra is the narrowest;

spongy department, or spongy. It is the longest section of the urinary canal and is located inside the shaft of the penis. Compared with the membranous and prostatic, the spongy section is characterized by mobility. This section of the urethra ends with an outlet, which is called the meatus.

Classification of urethritis

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

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

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

Symptoms of urethritis

After direct infection of the body, the symptoms of urethritis appear after some time, while the time interval from the moment of infection to the first signs of pathology directly depends on the incubation period of the pathogen. With allergic urethritis - it is several hours, with tuberculosis - several years, with viral - several months, with candidiasis and trichomoniasis - two to three weeks, with chlamydia - 7-14 days, with gonorrhea - 3-7 days.

The most typical symptoms of male urethritis are:

the presence of characteristic secretions that appear from the urethra;

burning, itching and pain when urinating.

Other STD symptoms, by type general weakness and hyperemia, with urethritis is not observed. However, the nature of the discharge may be different and depends on the type of pathogen that caused the urethritis. In most cases, a green or white discharge with an unpleasant odor appears, against which yellow crusts can form on the penis. Allocations are most noticeable in the morning.

In addition, along with the discharge, redness and sticking of the external opening of the urethra may be present. Pain in the lower abdomen can occur regardless of the type of urethritis, but even they are not a constant symptom of the pathology.

The process of urination is also disturbed, which in initial stage quite often accompanied by cloudy urine, soreness, along with this, the number of daily urge to urinate increases. The end of this process may be accompanied by sharp pains and sometimes blood impurities.

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

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

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

Non-infectious urethritis
Traumatic urethritis	Symptoms depend on the nature of the injury - it is a burning sensation and pain when urinating.
Allergic urethritis	Also pain and burning, however, a feature is the presence of allergic edema.
Congestive urethritis	The classic symptoms are often completely absent. Manifested by various types of sexual dysfunction.
Infectious urethritis
Tuberculous urethritis	In most cases, it occurs against the background of tuberculosis of the kidneys or genital tuberculosis. There is a penetration of mycotic tuberculosis bacteria into the urethra with urine flow. Asymptomatic (sweating, fatigue, subfebrile condition).
Gardnerella urethritis	Incubation period from one week to several months. In most cases, it is present as a component of mixed urethritis.
Chlamydial urethritis	There are no cuts and burning, slight discharge. In most cases, it proceeds according to the chronic type.
Ureaplasmic urethritis	Most often accompanies trichomoniasis or gonorrheal urethritis. The incubation period is about 1 month. There is a green or white discharge, there is a burning sensation and itching when urinating. Exacerbation of symptoms occurs against the background of sexual intercourse or alcohol intake.
Mycotic urethritis	The incubation period is about 20 days, there is burning and itching. The discharge is watery or mucus, sometimes a pale pink color.
Bacterial urethritis	Purulent discharge. Symptoms are gone. The incubation period can last several months.
Trichomonas urethritis	Is different constant itching in the area of the head of the penis, the presence of a grayish-white discharge and difficulty urinating are also characteristic.
Viral urethritis	The course of the pathology is sluggish, the symptoms are mild. May be complemented by conjunctivitis or inflammation of the joints
Mycoplasma urethritis	Rarely occurs on its own. In most cases, it is combined with gonorrheal or trichomonas urethritis.
gonorrheal urethritis	Gray-yellow discharge from the urethra sharp pain at the time of urination. The pus contained in the urine gives it a cloudy color. Blood impurities appear in semen and urine.

Treatment of urethritis in men

The choice of treatment for urethritis, like any other disease, is made on the basis of diagnostic data. First of all, use the indications laboratory research. A general analysis of blood and urine, ureteroscopy data, examination of urethral smears, and bacteriological culture of urine are taken into account.

Therapeutic procedures can be carried out in outpatient settings, during treatment it is important to observe the systematic and accuracy in the implementation of medical prescriptions, hospitalization is not required. If the intake of antimicrobials is interrupted, carried out irregularly, or during the period of therapy the patient consumes alcohol, the disease threatens to become chronic.

It is quite obvious that the selection of drugs for the medical treatment of male urethritis is carried out by a doctor, and the patient must observe necessary rules: drink plenty of fluids, do not use pickled, smoked foods, spices, spices, give up alcohol, follow the rules of personal hygiene, exclude sexual activity.

The selection of drugs is carried out purely individually. Any infectious urethritis is treated with antibiotics. The most pronounced effect is achieved with the use of an antibacterial drug selected on the basis of a sensitivity analysis. It is thanks to this study that you can choose the most effective remedy for treatment.

Treatment of bacterial, gonorrheal urethritis

Excellent results in the treatment of gonorrheal urethritis are demonstrated by antibiotics of the cephalosporin group. In addition to them, kanamycins, oletetrins, erythromycins, tetracyclines can be prescribed. In this case, kanamycins must be used with extreme caution, since these drugs are highly toxic. Long-acting drugs - bicillin-5 and bicillin-3 should be prescribed in short courses. In some cases, if gonorrheal urethritis is complicated by other infections, the simultaneous use of several antibacterial drugs is practiced. In such cases, it is best to use the complex "Gentamicin" and "Azithromycin" ("Ecomed", "Hemomycin", "Azitrox", "Azitsid", "Zi-factor", "Sumamed").

In order to prevent the occurrence of candidiasis, due to prolonged antibiotic therapy, Levorin, Fluconazole, Nystatin, Pimafucin and other antimycotic drugs are prescribed. The most important aspect treatment is an individual selection of drugs. Quite often, men who suffer from gonorrheal urethritis ask acquaintances to “prick injections” and use antibiotics uncontrollably and without consulting a doctor. Such self-treatment is unacceptable, since long-term use of strong anti-inflammatory drugs without a clear treatment regimen and control of cure can lead to the transition of urethritis to a chronic form and the development of drug resistance of the pathogen.

In addition to antibiotics, the patient must take immunostimulating drugs and vitamins. To be completely convinced that the body has freed itself from gonococcus and is completely cured, it is necessary to pass control smears three times. Only after receiving negative results studies can be considered that the patient is completely healthy.

Gardnerella, ureaplasma and mycoplasma urethritis

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

With any specific urethritis, it is necessary to carry out simultaneous therapy of both sexual partners.

Trichomonas urethritis

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

Candida urethritis

Treatment of candidal urethritis in a man requires a completely different approach. The main drugs to combat this pathology are antimycotic agents, such as Pimafucin, Nystatin, Clotrimazole, Fluconazole. Importance has a well-chosen treatment of the underlying disease, which is the cause of candidal urethritis.

Chlamydial urethritis

The only antibiotic that actively fights the causative agent of this infection is azithromycin. If you choose the wrong drug for chalmidia urethritis, there may be serious complications- inflammatory diseases, epididymitis, Reiter's syndrome, infertility. If the patient has an individual intolerance to azithromycin, alternatively use: doxycycline, levofloxacin, erythromycin, ofloxacin, clarithromycin. Also in the complex should be used immunostimulating drugs and vitamins.

Viral urethritis

Treatment is carried out with antiviral drugs. The sooner treatment is started, the faster recovery will occur. Among antiviral drugs, preference is given to: Gerpevir, Famciclovir, Riboverin, Acyclovir. It is not advisable to use antibiotics for this form of pathology, since they are not able to fight viruses.

Nonspecific chronic urethritis

Treatment of nonspecific chronic male urethritis is not as fast as with infectious ones. The chronic course of the disease is quite often aggravated by concomitant pathologies, and the signs of the disease are mild or may be absent altogether. Therefore, the therapy of chronic urethritis should begin with the use of immunostimulants. Only this approach allows you to activate the body's defenses to fight infection. After receiving the result, antibiotic therapy is selected individually. Main Feature treatment of nonspecific forms of urethritis is the absence of the need to treat the sexual partner.

Non-infectious urethritis

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

Antibiotics may be prescribed for:

installation of the drug by catheter injection into the urethra;

intravenous infusions in 0.2% of cases of acute urethritis;

intramuscular injections in 18%;

oral administration in 81%;

the use of only one antibiotic - monotherapy 41%;

two - 41%;

three - 13%;

four antibiotics - 5% of cases.

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

Trichomonas urethritis in combination with atypical agents	Gonococal urethritis		Mixed urethritis
"Ornidazole"	"Doxycycline"		"Josamycin"
"Josamycin"	"Ciprofloxacin"		"Ceftriaxone"
"Azithromycin"	"Metronidazole"		"Ornidazole"
"Doxycycline"	"Azithromycin"		"Seknidazol"
"Metronidazole"	"Ceftriaxone"		"Fluconazole"
			"Doxycycline"
			"Azithromycin"
Nongonococcal urethritis that is caused by atypical agents		Urethritis of unknown etiology
"Clarithromycin"		"Clarithromycin"
"Seknidazol"		"Ciprofloxacin"
"Josamycin"		"Tinidazole"
"Metronidazole"		"Nimorazole"
"Doxycycline"		"Josamycin"
Ofloxacin		"Seknidazol"
"Fluconazole"		"Fluconazole"
"Azithromycin"		"Ceftriaxone"
		"Doxycycline"
		"Metronidazole"
		"Azithromycin"

Complementary Therapies

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

Local procedures involve the introduction of drugs directly into the opening of the urethra. Urethral installations are performed with the help of hydrocortisone, Dioxidin and Mirimistin. Local treatment gives a good result, provided integrated use with other drugs.

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

Causes of urethritis in men

sexual infections are the most common cause urethritis in men who are sexually active. If sexual intercourse is performed without the use of barrier contraceptives, then the probability of penetration of the pathogen into the urethra is very high;

urolithiasis - much more often found in men than in women. Such a disease causes traumatic urethritis, for the reason that the stones, moving along the genitourinary tract, actively injure the mucosa and lead to the attachment of pathogenic microorganisms;

any trauma to the penis and heavy physical exertion can cause the development of urethritis;

hypothermia is one of the most important provocateurs of exacerbations chronic diseases(including extrapulmonary tuberculosis, viruses, infections), since in this case the protective functions of the body are significantly reduced;

a general decrease in immunity - smoking, alcohol abuse, overwork, lack of sleep, malnutrition leads to a natural depletion of the body's defenses;

medical manipulations (bladder catheterization, smear) - carry the risk of injury to the urethral mucosa, and urethritis can also develop if the necessary disinfection measures are not followed;

nutrition - an abundance of acidic, spicy, salty foods leads to irritation of the mucous membranes, which contributes to the attachment of infection. The lack of fluid is the cause of rare urination, respectively, there is no natural washing of the genitourinary tract from harmful microorganisms which may accidentally enter the urethra.

Prevention of complications of urethritis

Statistics say that every second man on the planet after 50 years of age has prostatitis. Do not think that prostatitis can cause urethritis directly. However, quite often the occurrence of prostatitis occurs against the background of active infectious diseases urinary system. Urethritis can cause the development of Reiter's syndrome, infertility, sexual dysfunction, colliculitis, balanoposthitis, orchitis, vesiculitis. In order to minimize the risk of complications of urethritis, a man should:

avoid excessive and intense physical activity;

do not get involved in salty, spicy, fatty foods, alcohol;

empty the bladder at the first urge to urinate, try to “tolerate” less;

avoid hypothermia;

timely conduct therapy of any pathologies of a chronic nature;

conduct a decent sex life, observe the rules of intimate hygiene.

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 anatomical features body in men, the course of the disease is much more difficult, and the symptoms appear more acutely and earlier. This is due to the length and narrowness of the channel.

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

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

specific (gonorrheal, etc.);
non-specific (provoked by chlamydia, ureaplasmas, Trichomonas, various viruses, mycoplasmas, etc.).

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

Symptoms of urethritis

The disease manifests itself in the form of pain, cramps and burning sensation during urination, mainly in the initial stage; there are general pains 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, an unpleasant odor, a mucopurulent consistency, and a blue-green color.

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

Inflammation over time can cover a wider area, reaching the bladder, prostate and scrotum. Possible Complications orchitis, epididymitis, prostatitis. A running form can lead to male infertility. Another negative consequence of a running disease process is stricture, or narrowing of the urethra; manifests itself in the form of a decrease in the pressure of urine.

Treatment regimen for urethritis in men

It is not necessary to delay the treatment of urethritis in men - the disease will not disappear on its own. Even non-infectious form the disease in a short time is transformed into a non-specific one, when the microorganisms of the opportunistic flora are activated.

At the first stage, the doctor sends the patient for examination to determine the causative agent of the infection. Diagnostics includes a number of procedures. In addition to the standard inoculation of biological material, PCR analysis, ELISA methods and the determination of antibody titers that give a reaction to specific bacteria show efficiency. 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 tasks. First, it is necessary to remove the focus of inflammation from the body, thus stopping the infection. Secondly, it is required to restore the walls of the urethra.

To achieve the first goal, the patient is prescribed a course of antibiotic therapy. In parallel with antibacterial drugs, enzymes, multivitamins and immunomodulators should be taken. These funds are auxiliary and help to avoid complications and side effects of drugs, such as dysbacteriosis, 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. The composition of drugs of this type includes 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 drugs from the group of macrolides, fluoroquinolones, tetracyclines, penicillins.

An infection caused by candida requires the appointment of antimicrobials. In complicated cases, two antibiotics of different types are used at once. The course of antibiotic therapy lasts about 10 days. It is important to follow all the appointments and recommendations of a specialist. It is impossible to stop treatment ahead of time - this leads to the addiction of bacteria to the antibiotic and it is dangerous to transform the disease into a chronic form.

How to treat urethritis in men and what antibiotics to prescribe, the doctor decides based on the results of diagnostic tests. During the examination, the susceptibility of bacteria to different types drugs.

IN last years to combat ureaplasmas with invariably high results use tetracycline antibiotics. This is a medicine from the second generation of tetracyclines, which has proven itself well in European clinics. It surpasses analogues in a number of indicators and has many advantages:

renders direct action to the focus of inflammation;
does not cause addiction of pathogenic bacteria;
It is used in smaller dosages, in a shorter time, minimizing the risk of side effects.

The result of medical manipulations depends on the correct selection of tablets. Evaluate the result allows the analysis, which is carried out after the completion of the course and should show the absence of pathogens. When bacteria are found in the culture, a scheme is thought out re-treatment with other antibiotics.

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

local procedures with antiseptic action to prevent the spread of infection;
immunomodulatory drugs for accelerated recovery;
taking multivitamins and enzymes;
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 the course of antibiotic 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.

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

So how to cure urethritis in men while he is in acute form rarely succeeds, and the disease often passes into a chronic stage, folk remedies used to mitigate the effects of drugs and general strengthening of the body.

In the stages of exacerbation, fees from medicinal plants applied monthly. At chronic course diseases, taking folk remedies can last up to two years with interruptions.

Prevention of urethritis

Avoid casual sex and always use barrier methods of contraception when having sex with a new partner.
Visit a urologist every six months, as well as the slightest sign sexual infections, discomfort during urination, etc. Since urethritis is treated in men and their sexual partners at the same time, it is also desirable to undergo an examination together.
Follow the rules of intimate hygiene.
Avoid spicy, fatty, salty foods, tobacco and alcohol.
Avoid severe hypothermia.
Do not start other diseases of the genitourinary system (cystitis, pyelonephritis, prostatitis).

Summarize. In the fight against inflammation of the urethra highest value has antimicrobial therapy. Subsequently, it is carried out rehabilitation treatment, the purpose of which is to reduce side effects 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, control of cure is mandatory.

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

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

Symptoms of the disease

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

The main symptoms include:

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

When the first symptoms appear, you should immediately contact a urologist for an examination.

Attention! If the disease is not treated in a timely manner, it can take a chronic form and cause complications. This will lead to more serious consequences: prostatitis, inflammation of the testicles, cystitis, infertility, etc.

Types of disease

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

Infectious urethritis:

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

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

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

Bacterial. Symptoms may occur several months after infection. Purulent discharge has bad smell and green color.

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

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

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

Non-infectious urethritis:

congestive;
traumatic;
allergic.

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

Traumatic. Symptoms depend on the type of injury received. There is pain and burning at the time of urination.

Allergic. The main symptom is the presence of edema, which is accompanied by itching and burning in the penis.

Medicines for treatment

Therapy is prescribed only after the delivery of all necessary analyzes and identification of the species. The drugs are selected according to individual features and the complexity of the course of the disease.

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

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

In complex therapy, treatment is prescribed:

Antibiotics.
Probiotics.
Diuretic drugs.
Immunomodulators.
Vitamins.
Antihistamines.

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

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

Antibiotics for treatment

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

ceftriaxone, tetracycline;
Azithromycin, Erythromycin;
Gentamicin.

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

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

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

On a note! At 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 for the treatment of gonorrheal urethritis in the first place.

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

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

Treatment with Azithromycin

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

Azithromycin is classified into the following types drugs:

Azitrox, Ecomed;
Azicide, Hemomycin;
Sumamed.

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

Pills

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

Flucostat, Fluconazole;
Nystatin, Pimafucin;
Levorin.

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

Tavegil;
Suprastin.

Antihistamines are prescribed primarily for allergic urethritis.

After a course of antibiotics, you should undergo treatment with probiotics to restore normal microflora (Acipol, Bifidumbacterin, Linex, Yoghurt), and it is also recommended to use vitamins (Ribomunil, Gepon, Duovit, etc.).

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

Treatment with Kanefron

As an additional treatment, herbal tablets can be used. These drugs include Kanefron.

The herbal preparation is able to have a diuretic and antimicrobial effect, reduce pain and inflammation, and also improves kidney function and enhances the effects of antibiotics.

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

Homeopathy treatment reviews

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

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

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

Argentum nitricum;
Kantharis;
Kopaiva;
Medorrinum;
Sulfur.

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

Important! Do not use homeopathic remedies without consulting a doctor.

Treatment with folk remedies

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

wheatgrass

Widely used tincture of wheatgrass roots, has a good anti-inflammatory effect.

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

Parsley

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

Oak bark

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

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

Currant

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

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

Herbal treatment

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

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

Cowberry

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

To prepare a decoction, use 2 tbsp. l. dry leaves, which are poured with a glass of boiling water.
The infusion is left for 20 minutes and then filtered.
It is recommended to use 2 tbsp. l. before every meal.

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

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

Disease prevention

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

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

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

Urethritis - infectious inflammatory disease urethra (urethra). Treatment of urethritis in men and treatment of its complications is prescribed by a urologist or dermatovenereologist after examination. There are specific and non-specific microorganisms, disease-causing.

Specific infections - gonococcus and trichomonas - are transmitted during unprotected intercourse. Non-specific pathogens:

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

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

non-compliance 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? Basic principles of treatment of acute infectious inflammation urinary tract- this is the impact on the cause of the disease and the elimination of symptoms. It is important to understand that the treatment of urethritis should also be a woman - a sexual partner.

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 group of fluoroquinolones with a wide spectrum of antimicrobial activity. Designed for treatment gonococcal infection uncomplicated (without suppuration of paraurethral and adnexal glands). Side effects include nausea, vomiting, nightmares, decreased blood pressure general analysis blood, heart rhythm disorders, allergies. In case of impaired renal function, the dose of drugs should be adjusted.
Ceftriaxone and Cefixime are broad-spectrum cephalosporin antibiotics that are excreted by the urinary tract, where their high concentration is created. Of the side effects, allergies are the most common. Due to the similarity in structure with penicillins, ceftriaxone and cefixime are contraindicated in patients with intolerance to penicillin antibiotics. They are prescribed in the form of injections for the treatment of complicated forms of gonococcal urethritis and the treatment of relapses (attachment of inflammation of the epididymis, prostatitis, abscess formation 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 infection, toxic effects on the kidneys and hearing organs. Contraindicated in patients with renal insufficiency or hearing loss. Special attention should be given to interaction with other drugs - should not be taken in conjunction 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 severe nephrotoxicity. From adverse reactions– allergies, nausea, vomiting, dizziness, temporary changes in biochemical analysis blood.

Analogues of Ornidazole: Tiberal, Ornisid, Dazolik, Quinizol.

Tinidazole analogues: Fazizhin, Tiniba.

With the constant use of antiepileptic drugs, antidepressants, painkillers, acetylsalicylic acid if necessary, the appointment of nitroimidazoles should be adjusted dose regimen to minimize the risk of side effects.

The new generation drug - Nimorazole - was created exclusively for the treatment of trichomonas pathology. After taking the signs of urethritis may persist for a couple of days. Tradename- Naxojin.

Mycoplasma urethritis in men and treatment

Mycoplasma is a unicellular bacterium that does not have a cell wall. opportunistic pathogen. Requires treatment only if there are symptoms of the disease. The best option for the drug is Doxycycline. If it is intolerant - Ofloxacin.

Contraindications to the use of doxycycline:

hypersensitivity to the drug;
disruption of the liver.

Iron and calcium preparations, which are included even in multivitamin complexes, while taking it, reduce the absorption of Doxycycline into the blood from the stomach.

Treatment and prevention of fungal urethritis in men

Candida fungi enter the urethra of a man during unprotected sex. A provoking factor in the development of fungal inflammation is a long-term uncontrolled intake of antibacterial agents or a decrease in immunity. Fungal urethritis is manifested by itching, burning in the urethra, pain during urination and specific secretions white color. Fungal urethritis, which is not treated antifungal agents, often turns into chronic urethritis. Treatment and prevention of candidiasis are carried out with the following medicines:

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

The drugs belong to the group of triazole antifungals, which suppress fungal infection. Their metabolism occurs in the liver with the participation of microsomal enzymes, which affects the pharmacological effect of other drugs that are biotransformed by these same enzymes. Therefore, it is undesirable to simultaneous reception antifungal tablets with some antibiotics (Erythromycin, Rifampicin), diuretics (Hydrochlorothiazide), antidepressants (Amitriptyline) and other antifungals (Amphoterecin B).

Contraindications: hypersensitivity, serious illnesses liver, heart block.

Side effects: dyspepsia (nausea, vomiting), headache and dizziness, increased levels of liver enzymes in a biochemical blood test, a decrease in the level of potassium in the blood, allergic reactions, decrease shaped elements in the blood (leukocytes, erythrocytes, 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 is actively manifested in immunodeficiency. The genital herpes virus is sexually transmitted, manifested as external blisters on the genitals, and symptoms of urethritis - pain when urinating. Therapy of urogenital herpes is carried out with antiviral agents:

Valaciclovir;
Famciclovir.

Ciprofloxacin (Ciprolet, Cifran, Tsiprobay, Sifloks);
Norfloxacin (Nolicin, Normaks, Normbaktin);
Levofloxacin (Tavanik, Levolet, Glevo, Floracid).

This choice is explained a wide range action and the 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, convulsions;
ventricular arrhythmias;
color vision disorder.

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

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 separate vitamins A, C, which are natural antioxidants. For men's health trace elements are especially useful: iodine, zinc, selenium.

Immunostimulating agents

Polyoxidonium - domestic drug, which has an activating effect on the immune system, stimulates the formation of antibodies to bacteria and viruses. It is used in conjunction with antibacterial drugs, increasing their effectiveness, including in gonococcal urethritis. Of the contraindications to this medicine - only hypersensitivity. Available in the form of suppositories, injections and tablets.
Viferon - a preparation of human leukocyte interferon, stimulates the production of interferon - an element immune system participating in defensive reaction organism. Active in the complex treatment of viral (herpetic) and fungal urethritis, urogenital trichomoniasis. Available in the form of rectal suppositories.
Uroseptics - medications with antimicrobial action, penetrate well into the urinary tract, suitable for complex treatment nonspecific inflammation. They are prescribed to prevent relapses (repeated exacerbation of a seemingly cured urethritis).
Fosfomycin is a new generation uroseptic used for nonspecific bacterial infection. urinary tract resistant to other antibiotics (including urethritis). It is better to take it separately from food, at night, after urinating. Trade analogues- Urophosphabol and Monural.

Other antimicrobials

Pipemidic acid is an antibacterial agent for the treatment of inflammation in the urethra caused by non-specific bacteria. Trade name - Palin.
Nitrofurantoin preparations (5-NOC, Nifuratel, Macmirror) are active against non-specific pathogens. Macmirror is of value in the treatment of Trichomonas urethritis.
Herbal anti-inflammatory drugs are used in combination with antibiotics and immune preparations. Phytopreparations relieve inflammation, reduce the severity of pain and discomfort, and have an antimicrobial effect.

Miramistin;
Furacilin.

Conclusion

Summing up, we can highlight the main principles of effective and safe treatment urethritis in men, which include timely diagnosis, antibiotic therapy according to the schemes prescribed by the doctor, A complex approach and monitoring the effectiveness of drug exposure. Regardless of how urethritis is treated in a man, it is required mandatory treatment and women as a sexual partner.

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

The best treatment for urethritis in men is prevention.

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