Urethritis drugs for treatment. The first symptoms and methods of treatment of urethritis in men

Pumpkin is not only very healthy, but also quite appetizing; you can cook many savory dishes from it for every taste. Usually, by the end of summer, this wonderful one appears in almost every family (and maybe not in a single copy), as a rule, it is brought from the dacha or given away by neighbors or relatives. For those who do not know what to do with pumpkin, we have collected 10 of the most delicious recipes.

Spicy and very tasty dish. To prepare it, you need the following products:

pumpkin - 300 g;
chicken breast - 1 pc.;
hard cheese - 200 g;
garlic - 3 cloves;
mayonnaise - 100 g.

Boil the pumpkin until soft and cut into thin slices. boiled chicken breast freed from the bone and crushed with a knife. The cheese is grated, and the garlic is passed through a press. Everything is mixed and seasoned with mayonnaise. You can salt the salad to taste.

One of the most delicious and original dishes. For its preparation, the following ingredients are taken:

1 kg of peeled pumpkin pulp;
2 large sweet carrots;
2 onion heads;
6 medium sized tomatoes;
2 sweet bell peppers;
3 cloves of garlic;
8 large fresh champignons;
0.5 l vegetable broth;
salt, spices,
cooking oil.

Cut the onion into cubes, grate the carrots, wash and peel the tomatoes, peel the pepper from the seeds, chop into slices. Cut the pumpkin into cubes. Heat a little vegetable oil on the fire, lower the onions, carrots and fry until half cooked. Add slices of pepper and cubes of pumpkin, salt a little and simmer over low heat for about 35 minutes. Add crushed garlic, tomato slices and heat until boiling. Salt, pepper, add spices and bring to readiness over low heat. The slower the heating, the tastier the dish will be. Total time cooking takes approximately 1.5 hours.

It will appeal to those who are tired of banal combinations of products. For cooking, you need the following ingredients:

0.5 kg of meat (pork, chicken or beef);
0.5 kg of potatoes;
400 g pumpkin;
100 ml sour cream.

For this option it is better not to use chicken fillet because it is too dry. We proceed to the processing of vegetables: we clean them and cut them into cubes. In a hot frying pan, lightly fry the pork or beef, cut into pieces, and then transfer it to the form in which the dish will be baked. Separately, you should brown the vegetables a little and send them to the meat. Add sour cream and spices to them. Mix everything well, cover with a lid and simmer for 40 minutes. in the oven.

A very tasty dish. To prepare it, you will need the following ingredients:

boiled pasta - 200 g;
egg - 2 pcs.;
sugar - 1 tbsp. l.;
pumpkin - 150 g;
apple - 1 pc.;
vegetable oil - 1 tbsp. l.;
milk - 1 glass;
salt - to taste.

Boil macaroni. Peel the pumpkin, remove the seeds and grate on a medium grater. Cut the apple into cubes. If desired, you can grate. Add pasta and spice mix (optional). Beat eggs with milk, add sugar and vanilla as desired. Lubricate the form with vegetable oil, lay out a mixture of vegetables and pasta and pour the milk-egg mixture. Cover pasta with pumpkin with foil and bake at 190 degrees for 20 minutes, and then without foil for 8 minutes. Serve hot with sour cream, jam or honey.

The most delicious vegetable dish. For 4 servings we will need:

600 g pumpkin;
1 onion (medium size);
1 carrot (medium size);
4 sweet peppers of any color;
2 large cloves of garlic;
a small bunch of dill and parsley;
4 tbsp vegetable oil;
0.5 tsp citric acid;
1 tsp salt.

Heat the vegetable oil in a frying pan and put the chopped onion first. Cook over high heat for about 3 minutes, stirring occasionally. After three minutes, pour the grated carrots into the pan and, stirring, continue to fry over high heat for another three minutes. Next put in the pan chopped Bell pepper and fry for another three to four minutes, stirring constantly. After 4 minutes, add the pumpkin cubes to the vegetables, mix and reduce the heat to medium. While the pumpkin and vegetables are fried, we dilute citric acid in a glass of water, after which we pour the solution into the pan. Salt the vegetables in a frying pan, mix, cover with a lid and simmer over low heat for 20 minutes. After 20 minutes, add greens, mix and turn off. Garlic, passed through a press, is added to the stewed pumpkin when serving.

Very tasty dessert. To prepare it you will need:

1 medium sized pumpkin;
granulated sugar;
lemon acid.

Wash the pumpkin well and remove the seeds. Then cut it into small cubes. Put the whole mass in a saucepan and add a little water. Close the pot with a lid and leave on low heat. The mass should be stewed until soft. The finished mixture should be wiped through a colander or grind in a food processor, then add granulated sugar and leave to boil over low heat. You need to cook the mixture until it thickens, the consistency of jam should be a little thicker than jam. To prevent the jam from being too sweet, add citric acid or lemon juice. Jam is good, both for seaming for the winter, and for storage in refrigerators.

One of the most delicious dishes from this amazing and very healthy vegetable product. Ingredients:

pumpkin - 1 kg;
milk - 0.5 l.;
sugar - 1 tbsp. l.;
butter - 30 g;
millet - 3-4 tbsp. l.

We clean the vegetable from the peel and randomly cut it into small pieces, fill it with water and boil until tender (about 10 minutes). Drain the water, chop the pumpkin. You can turn it all into a puree, or you can leave whole pieces. Fill the pumpkin with milk, put on fire. When the milk boils, put millet (I don’t like thick porridge and put only 3 tablespoons), butter, sugar. On medium heat, the porridge is brought to readiness for seven or ten minutes. After that, the porridge is allowed to stand for about a quarter of an hour, after which it can be eaten.

One of the most delicious desserts from a sweet type of vegetable. Ingredients:

pumpkin 1 kg;
0.5 st. Sahara;
1 lemon.

We clean the vegetable from the skin, seeds, cut into cubes of about 2 cm. Put it in a mold, add sugar. We clean the lemon from the skin, cut into small cubes and add to the pumpkin, mix. We send it to the oven under the lid for 30 minutes at 175 C, mix, taste for sweetness, add sugar if necessary and send for another 10 minutes without a lid. It is recommended to use cold.

A very appetizing delicacy that will appeal to many. Ingredients:

500 g pumpkin (peeled);
150 g flour;
50 ml vegetable oil;
1 egg;
2 tbsp. l. Sahara;
1.5 tsp baking powder;
1 pinch of salt.

Preparation: cut the pulp of the pumpkin into 2-3 cm pieces, put in a saucepan, pour boiling water so that it almost covers the vegetable, boil for 15-20 minutes until soft, then put in a colander. Put the cooled pieces of pumpkin into a blender bowl or mash with a crush in a puree. In the prepared pumpkin puree, add flour mixed with baking powder and sifted flour, sugar, salt, beat in an egg and knead a homogeneous dough, resembling thick sour cream in consistency. You can start baking.

A very tasty dish in the form of a sweet pastry.

For test:

1 glass of flour;
¼ cup milk;
0.5 cups of vegetable oil;
some salt.

For filling:

pumpkin weighing about 1 kg;
0.5 cups of condensed milk;
2 eggs, a bag of vanillin;
spices to choose from - ginger, nutmeg or ground cloves (a pinch of each);
salt to taste.

Preparation: wash the pumpkin, cut and free from seeds. Brush on all sides with vegetable oil and bake in the oven until soft. When the pumpkin has cooled, the pulp is separated from it and crushed in a blender or rubbed through a sieve, and then stirred into a homogeneous mass along with condensed milk, eggs and spices. The components intended for the dough are mixed with a mixer until a homogeneous plastic mass is obtained. It is laid out in a round form, greased with oil, lifting the edges of the dough along the sides of the form. The resulting base is filled with pumpkin filling and put in the oven. Bake for half an hour at 180-200 degrees.

Eleonora Brik

Pumpkin is the queen of gardens! The birthplace of this vegetable crop is Southern Mexico, on the territory of which the Indians grew it more than fifty centuries ago. The pulp of the pumpkin was used by the natives of the American continent for cooking, the seeds were the raw material for oil production.

Moreover, the gourd shell was also used, from which very convenient and pretty dishes were made. To Russia this wonderful vegetable got in the XVI century and took root, as they say, "like a native." This is not surprising, because pumpkin is a very tasty and healthy vegetable crop. With a photo of myself delicious pastries from pumpkin in the oven, as well as recipes, you can find in our article.

Posted by Soap Master (@master_soap) Sep 19, 2017 at 5:14 PDT
About the beneficial properties of pumpkin
Useful properties of pumpkin due to its truly unique composition represented by:
vitamin C, raising immunity and preventing the development of a number of diseases, the most famous of which is scurvy;
rare in other vegetable crops vitamin T, facilitating the absorption of heavy food, preventing anemia, increasing the body's ability to form platelets, and, accordingly, to blood coagulation, etc .;
carotene, which is more in pumpkin than in carrots, which is a generally recognized champion in the content of this provitamin;
vitamin K involved in the synthesis of protein in the blood and bone tissue;
vitamins A, D, E, F, PP, B;
macro- and microelements: iron, potassium, calcium, magnesium, copper, phosphorus, cobalt etc.;
fiber;
substances that accelerate metabolic processes, promote the removal of "bad" cholesterol, improve skin condition, etc.

The use of pumpkin is indicated for a variety of diseases:
atherosclerosis;
gout;
diseases of the gastrointestinal tract;
diseases so important organs which are the liver and kidneys;
organ diseases genitourinary system;
intestinal infections;
constipation;
hemorrhoids;
diabetes mellitus;
obesity
cardiovascular diseases;
various skin diseases;
nervous disorders, etc.

Important: beneficial features pumpkins are inherent not only in fresh, they are preserved by freezing and baking

Diet pumpkin pastries
Pumpkin can be safely eaten raw, but such lovers can only be found among raw foodists. All other fans of the "Queen of Gardens" prefer to enjoy their favorite cooked vegetable, in particular, as an integral part of one or another pastry.
We bring to your attention a recipe for making pumpkin pudding with apple and raisins. This is a dietary dish, and therefore they can afford it without fear of gaining excess weight and "diet" leading the eternal battle with extra pounds.
Diet Pumpkin Pie
Pumpkin pudding with apple and raisins
For the preparation of the indicated diet food you need to stock up in advance:
pumpkin - 200 gr.;
apples - 100-150 gr.;
skimmed milk - 50 ml;
egg white - 1 pc.;
ground oatmeal - 20 gr.;
raisins - 15-20 gr.;
cinnamon to taste.

Cooking order:
Pumpkin and apples are peeled, core and pitted, and then cut into cubes.
You will need a small saucepan (it is desirable that it has a thick bottom), into which the pumpkin is placed, milk is poured, and all this must be stewed over low heat for 10 minutes.
After that, the turn of the apple comes, which is added to the same saucepan, the contents of which we continue to simmer for about 10-15 more minutes. During this time, the ingredients of the future pudding should acquire a soft texture.
Grind the stewed ingredients with a blender into a puree.
The puree is cooled, after which ground oatmeal, raisins and cinnamon are added to it.
Whipping with a mixer egg white into foam.
With great care, mix the puree and whipped protein.
We spread the resulting mixture in a form that the preheated oven should already “wait for”.
The future pudding should be baked for 30-40 minutes, the temperature in the oven should be approximately at the level of 180 o C.

Sweet pumpkin pastry
However, no one canceled sweet desserts, and therefore, to the attention of lovers of "sweet" we present a recipe for making delicious pumpkin cake.
Dough Ingredients:
flour - 400 gr.;
baking powder - 400 gr.;
soda - 1 tsp;
a pinch of salt;
cinnamon - 2 teaspoons without salt;
eggs - 4 pcs.;
granulated sugar - 400 gr.;
vegetable oil - 1 cup;
pumpkin - 400 gr.;
zest of one orange;
crushed walnuts- one big handful.

Cream Ingredients:
cottage cheese - 200 gr.;
fat cream - 200 ml .;
powdered sugar - 200 gr.;
granulated sugar - 3 tablespoons;
freshly squeezed juice of one orange.

Cooking cake layers for the future pumpkin cake:
The pumpkin is rubbed, for which we use a fine grater. You can grind it with granulated sugar using a combine to a pasty state.
Flour, cinnamon, salt, baking powder, soda are added to the crushed pumpkin.
Eggs with granulated sugar are beaten with a mixer, after which butter and zest are added.
We combine pumpkin puree with a mixture obtained on the basis of eggs with granulated sugar, add chopped nuts there.
The fourth part of the dough with the help of a spoon is laid out in a round shape, the bottom of which is covered with parchment paper, and evenly distributed, after which it is sent to the oven, where it is baked for ten minutes at a temperature of 180 ° C.
In the same way, bake 3 more cakes (there should be 4 in total).

Cream preparation:
The juice of one orange should be boiled with granulated sugar for about 15 minutes until it thickens.
Then we will start whipping cream and powdered sugar, into which the resulting orange syrup must be introduced.

The cream is ready. Now it remains to “assemble” the cake, for which you need to carefully coat all the cakes with cream, which should be pre-cooled. Next, our healthy and tasty cake should be well soaked. This will take approximately 6 hours. That's it - delight your taste buds with a pumpkin delicacy!
How to make low calorie pumpkin pie
Now let's talk about how to make a low-calorie pumpkin pie. We will talk about pumpkin pie.
Cooking Ingredients:
fat-free cottage cheese - 500 gr.;
pumpkin - 1.5 kg;
eggs - 2 pcs.;
honey - 1 tbsp;
whole grain flour - 4 tbsp.

Cooking order:
The pumpkin is boiled until fully cooked.
With the help of a blender, the pumpkin turns into a puree.
The next step is to separate the yolks from the whites.
Whisk the yolks and cottage cheese.
Mix pumpkin puree with whipped egg yolks cottage cheese.
Flour is added to the resulting mixture, after which the dough is thoroughly mixed.
Used for baking cake round form, where the dough should be shifted, evenly distributing it in shape.
Pour the dough with a mixture of whipped proteins and honey.
We bake the future cake in the oven for half an hour at a temperature of 180 ° C.

Such a cake will give you pleasure without adding extra pounds and centimeters!

Cooking a pie with pumpkin and millet
Pumpkin is used in the preparation of many dishes, but a very tasty pumpkin and millet pie is perhaps one of the most original pies. Let's try to cook it together.
Ingredients for Pumpkin and Millet Pie:
milk - 1 glass;
flour - 3.25 cups;
granulated sugar (for dough) - 2 tablespoons;
salt - half a teaspoon;
vegetable oil - 3 tablespoons;
fast-acting yeast - 1.5 tsp;
small pumpkin - 1 pc.;
millet - 2/3 cup;
granulated sugar - 4 tablespoons;
butter - 2 tbsp.

Publication from Cakes???? Cupcakes???? Sweets????????????(@kornholio) Sep 6, 2017 at 5:50 am PDT
The procedure for preparing a pie with pumpkin and millet:
We start the cooking process with a dough, for which warm milk dissolve yeast, 2 tbsp. granulated sugar, add flour in the amount of three tablespoons. All this is mixed and, as usual, left in a warm place for about twenty minutes. During this time, the dough should rise.
Then we “flavor” the dough with vegetable oil and salt. Now the turn of all the remaining (previously sifted) flour has come, after adding which the dough needs to be kneaded. Leave it in a warm place for about 40 minutes.
We divide the finished dough into three approximately equal parts, rolling each, at the same time giving the shape of a large circle.
For the filling, the pumpkin is rubbed, for which a large grater is used. We add pre-washed millet to the pumpkin, and, of course, we cannot do without sugar and salt to taste. We mix all the ingredients - we coped with the filling!
We spread the filling on one half of each circle, and cover it with the second halves, of course, pinching the edges of the dough.
The resulting pies need to be given time to stand in a warm place, which will take about half an hour. After that, do not forget to grease the pies with egg yolk.
Bake pies in a preheated oven for about one hour at a temperature of 170 ° C.

By the way, we want to bring to your attention a video of pumpkin pie with rice, dried apricots and sultanas. This is just in case you suddenly don't like millet pie, which, frankly, is unlikely. However, good hostess must have many recipes in her "culinary arsenal" different dishes, and even more so pies, which, as you know, do not happen much.
How to cook pumpkin in the oven
And now it's time to talk about pumpkin. Don't know what it is? It's okay - we will not only tell you, but also teach you how to cook it very delicious and hearty dish of Bulgarian cuisine, which is, in fact, a sweet pie.
Ingredients for cooking pumpkin:
puff yeast-free dough - 500 gr.;
pumpkin - 800 gr.;
butter - 100 gr.;
walnuts - 150 gr.;
granulated sugar - 150 gr.;
powdered sugar - 3 tablespoons;
ground cinnamon - 1 tsp.

Posted by Katy Bendik (@katybendik) Feb 15, 2015 at 8:07 AM PST
Getting Started cooking pumpkin.
Let's start with the pumpkin, which must be peeled and seeds.
The pumpkin needs to be boiled, but not boiled, after which the water is drained, and let the pumpkin cool itself.
After the pumpkin has cooled, chop it finely or grate it using a coarse grater.
So the turn of granulated sugar came, crushed pre-fried walnuts, softened butter and cinnamon, to be added to chopped or grated pumpkin. All of the above ingredients must be mixed.
All layers of dough need to be rolled into rectangles and put the cooked pumpkin filling on them.
The edges of the layers should be tucked up to prevent leakage of the filling during baking, after which we fold the dough in the form of rolls.
Then the rolls must be carefully transferred to a baking sheet. Don't forget to grease the pumpkins with butter.
Pies should be baked for about half an hour at a temperature of 180C °.
When ready, pumpkins need to be removed from the oven, wait until they cool, then sprinkle with powdered sugar.

And then you need to gather all the household members at the table and treat them with delicious fragrant pumpkin under fragrant tea with lemon. Enjoy your meal!
September 20, 2017

You rarely meet a person who has not heard anything about tender and fragrant pumpkin pancakes. You can easily make them for dinner after work. It's elementary. The dough is made from grated pumpkin, milk, eggs, flour, salt to taste. All ingredients are mixed in a blender, and then pancakes, as usual, are baked in a pan.

Lately I can't imagine life without pumpkin soup. My husband and child, who are not very fond of soups, also eat it with pleasure. The most important thing is that you can cook soup completely without meat. It will turn out light and rich in vitamins and fiber. Several favorite recipes. For example, I like autumn pumpkin pulp soup, onion, milk, greens, croutons from white bread, spices, butter.

There is one more great option soup for every day. It is made from pumpkin, potatoes, onions, garlic, carrots, leeks, salt, pepper, spices, vegetable oil, fish broth.

For speed, I cook soup in a slow cooker. It turns out very light and dietary - perfect option for those who monitor their weight and health.

My kid never liked porridge until I dug up the pumpkin recipe. Everything is prepared simply: from pumpkin, milk, millet, sugar, raisins, water, butter. Porridge is tasty, sweet and nutritious - exemplary children's dish.

Quick and delicious to cook baked pumpkin dishes. And instead of sweets, my child and I love pumpkin dessert. It is healthy and no less sweet. Prepared from pumpkin, honey, dates, apples, raisins, walnuts, melted butter.

You can make a variety of pies with pumpkin. The dough will consist of ordinary flour, eggs, sugar, sour cream, baking powder. pumpkin pulp rubbed on a grater or crushed in a blender.

Original pumpkin dishes - recipes with photos are simple and delicious

Quite rarely I cook gourmet french velouté soup. This recipe is not for every day, but rather for romantic dinner because it is complex. The soup itself is made from pumpkin, zucchini, onions, garlic, dried apricots, green peas, cream, water, flour, butter and olive oil, and salt.

The highlight of the dish - orange oil . It gives the soup a rich color and unexpected flavor overtones. The oil is made from orange peel, which together with olive oil heated in an oven in a refractory form. The oil is prepared for 2 hours at a temperature of 30 degrees. When it is ready, you need to strain. The oil can be stored in the refrigerator for up to a month.

Pumpkin is an absolutely universal product. It is extremely useful and tasty at the same time. Based on pumpkin, you can cook a lot of different dishes from soup and vegetable stew to desserts.

Quick page navigation

painful urination, pathological discharge from urethra in most cases indicate the development of urethritis in men. More often similar symptoms provoked by infection pathogenic microorganisms from a sexual partner.

However, sometimes urethritis is not associated with sexual activity, but is the result of primary inflammation other parts of the genitourinary system.

Self-administration of antibiotics for urethritis is not advisable: for a specific infection, certain types antibacterial agents, and in some cases self-medication can lead to a chronic process and quite serious complications.

Urethritis - what is it?

Urethritis is an inflammatory process that develops in the mucous membrane of the urethra. Since in men the urethra is rather long and narrower, the painful symptoms are most often pronounced.

In women, for example, urethritis is asymptomatic and may go unnoticed. Most often, urethritis is diagnosed in young men with an active sex life.

The main causes of the disease:

specific infections - gonorrhea, chlamydia, gardnerellosis and other sexually transmitted diseases;
nonspecific inflammation - activation and reproduction of conditionally pathogenic microflora with a decrease in immunity (hypothermia, prolonged antibiotic therapy);
injuries - catheterization of the bladder, discharge of stones from the kidneys, direct trauma to the penis with rough contact;
inflammatory diseases of the bladder and prostate (secondary urethritis);
allergic reaction to drugs intimate hygiene, condoms;
stagnation in the circulation of the small pelvis and metabolic disorders(diabetes);
narrowing of the urethra.

The first signs of urethritis in men

Urethritis in men photo symptoms

Often, the first signs of urethritis in men are not long in coming, and the manifestations of the disease occur a few days after infection. However, sometimes the clinical picture develops gradually, over several months, and with symptoms of urethritisdepend on the nature of the inflammation.

The first signs of the disease:

discomfort in the penis;
pain during urination and during intercourse, pain in the lower abdomen;
pathological discharge (do not always appear);
frequent urge to urinate.

Symptoms of urethritis by type and nature of the course

Characteristic features of the course of different types of urethritis:

Bacterial urethritis caused by gonococcus - occurs 3-4 days after infection from a sexual partner. Manifested strong cutting when urinating and purulent yellowish-green discharge.

In the morning, a purulent drop protrudes from the urethral canal - feature gonorrhea. The external opening of the urethra is hyperemic, the patient notes swelling and hypersensitivity penis.

Trichomonas urethritis- in comparison with gonorrhea, it most often occurs without pronounced symptoms. There is pain when urinating, whitish / grayish discharge, constant itching.

Nonspecific urethritis in men, it is characterized by abundant, unpleasantly smelling whitish (mucous) or white-yellow (purulent) secretions.

Candida urethritis- develops over several weeks severe symptoms extremely rare. Men are most often carriers of a fungal infection, the actual inflammation develops only against the background of a decrease in immune protection or trauma to the urethra.

Men feel burning and itching, minor watery discharge during morning urination.

Allergic urethritis- to the fore in clinical picture coming out allergic edema and itching.

Secondary urethritis caused by trauma - even microcracks in the urethra cause a burning sensation when emptying the bladder. With significant damage, blood is found in the urine / semen. Urine becomes cloudy, which indicates the presence significant amount leukocytes.

Chronic urethritis - symptoms and features

Chronic inflammation of the urethra in men is most often due to inadequate treatment. acute urethritis, mycoplasmosis or ureaplasmosis (hidden sexual infections), lack of treatment for cystitis / prostatitis, decreased immune defenses.

Symptoms of chronic urethritis in men are less pronounced, and treatment is longer. Chronic inflammation is characterized by:

constant itching in the area of the urethral opening;
frequent urge to urinate;
discomfort during ejaculation and urination;
meager discharge or their complete absence.

A small amount of fluid consumed can provoke an exacerbation of urethritis: concentrated urine irritates the delicate mucous membrane of the urethra. Painful symptoms also occur against the background of drinking alcohol or spicy foods.

Therapy of inflammation of the urethral canal is carried out on an outpatient basis. Drugs for the treatment of urethritis in men are selected taking into account diagnostic data (urinalysis, PCR and other studies that differentiate the nature of inflammation).

In most cases (with the exception of candidal urethritis), the patient is prescribed a course of antibiotics. The treatment regimen for urethritis is selected individually:

Gonorrheal / bacterial urethritis - Gentamicin, Azithromycin, Amoxiclav, Ceftriaxone, Ofloxacin. Regular scheme contains a combination of two antibiotics and a prophylactic course of an antifungal drug.
Trichomonas urethritis - Metronidazole (Trichopolum, Metrogil) in tablets or in / in drip with simultaneous reception antibiotic a wide range actions.
Candidal urethritis in men - antibiotics are not prescribed for such urethritis. Held course treatment Ketoconazole, Fluconazole (Mikosist) and topical application of fungicidal ointments (Clotrimazole).
Mycoplasmic, ureaplasmic urethritis - Doxycycline, Clarithromycin (the duration of admission is individual, sometimes repeated courses are prescribed).
Chlamydial urethritis - Azithromycin is the drug of choice. However treatment course supplement with Levofloxacin, Doxycycline or Clarithromycin, since chlamydial infection is often combined with bacterial infection.
Viral infection of the urethra - antibiotics for urethritis caused by viruses are useless. Treatment includes systemic (tablets) and topical application antiviral agents(Acyclovir, Gerpevir, Riboverin).
Traumatic urethritis - often requires surgical intervention, especially when the urethra is blocked by a stone or a critical narrowing is formed.

Important! For infectious urethritis simultaneous treatment both sexual partners. Drugs, their dose and duration of administration depend on the identified infection.

The categorical refusal of sexual intercourse.
Exclusion from the diet of spicy, salty foods (marinades, smoked meats, etc.).
Refusal of alcohol.

Antibacterial treatment of chronic urethritis is not the main one. Because inflammatory phenomena during chronization pathological process less pronounced, course systemic antibiotics may be short-term, must be combined with washing the urethra antimicrobial agents, restoring the integrity of the mucosa and increasing immune protection.

Additional therapeutic measures:

local procedures (irrigation, washing) antiseptic solutions Protargol, Miramistin, Dioxidin;
immunostimulants and vitamins;
physiotherapy - laser therapy, electrophoresis, UHF (only without exacerbation).

Complications of urethritis

The negative consequences of urethritis are associated with the absence or inadequate treatment. acute inflammation in the chronic course of the disease. Men are at high risk of developing:

prostatitis;
cystitis and inflammation of the testicles;
infertility;
erectile dysfunction;
adhesions that narrow the urethra;
purulent inflammation of the joints ( frequent complication gonorrhea).

Forecast

A favorable outcome for urethritis directly depends on the timeliness of the appointment. full treatment. Can you cure urethritis? qualified specialist- venereologist (in case of sexual infection) or urologist.

Only a re-examination can confirm a successful cure.

self-administration of antibiotics and folk remedies in the treatment of urethritis will only aggravate the situation, leading to chronic inflammation and complications.

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 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. It is these comparative characteristics that 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 sex the disease differs very much 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
To diseases non-infectious nature relate: congestive urethritis - may occur due to venous congestion in the small 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.

Most typical symptoms 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, there is a green or white discharge with bad smell, 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 constant symptom 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 progressed to chronic form, 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.

With bacterial urethritis, there are purulent discharge, 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 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 different types 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	The incubation period is 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	It is characterized by constant itching in the area of the head of the penis, the presence of 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, laboratory test results are used. taken into account general analysis blood and urine, ureteroscopy data, examination of urethral smears, bacteriological culture urine.

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 reception antimicrobials is interrupted, carried out irregularly, or during the period of therapy the patient consumes alcohol, the disease threatens to become chronic.

It is clear that the selection of drugs for drug treatment 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 life.

Selection medicines carried out on an individual basis. 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 it is possible to select 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, practice simultaneous application several antibacterial drugs. 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 gonorrheal urethritis, ask acquaintances to “prick injections” and use antibiotics uncontrollably and without consulting a doctor. Such self-medication is unacceptable, because long-term use 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 individual intolerance azithromycin, as an alternative 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. chronic course diseases are often aggravated comorbidities, and 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 acute symptoms diseases, are also widely used and other 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 good result, given that integrated use with other drugs.

Physiotherapy treatment is used exclusively in cases chronic urethritis, use these methods for acute inflammatory processes absolutely contraindicated. 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 means barrier contraception, 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 injury to the penis and severe physical exercise 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 protective functions organism;

a general decrease in immunity - smoking, alcohol abuse, overwork, lack of sleep, malnutrition leads to natural exhaustion defensive forces organism;

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 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.