Treatment of urethritis: how to treat different types of urethritis in women and children. Ways of infection with infectious urethritis

Urethritis is inflammatory process, which occurs in the canal of the urethra (on the wall of the urethra). Often this disease is observed in the stronger half of humanity, while in women urethritis occurs along with cystitis. If you do not resort to treatment in time, this can lead to more serious consequences. We will talk about how to treat urethritis at home in our article.

Causes of the disease

Before you begin treatment for urethritis, you should understand the causes of its occurrence.

Sexual contact with a person who is infected venereal disease.
Failure to comply with personal hygiene rules.
Frequent sex life.
Improper and irregular nutrition.
Injuries to the mucous membrane of the urethral canal (inaccurate medical research, passage of stones through the urethra).
Increased physical activity.
Eating spicy foods.
Decreased immunity.
Alcohol abuse.
Hypothermia.
Violation of the drinking regime.
Chronic inflammatory processes.

Symptoms of urethritis

A feeling of unbearable burning and incessant itching during urination.
Watery and purulent discharge from the urethra in men.
Greenish, bloody and yellow-white discharge with a putrid odor in women.
Sharp pain when urinating.
Cravings in the lower abdomen in women.

Remember: if men do not resort to treatment in time, this risks prostatitis, pyelonephritis, impotence and infertility.

In the perineal area, women experience redness and peeling.
Clear urine with purulent impurities.
Frequent, possibly deceptive, urge to urinate.
In severe forms of the disease, skin lesions are observed.

Treatment of the disease at home. Is it possible to?

Besides medical treatment, recovery is often observed after using several traditional methods.

Remember: before starting treatment you should follow a diet. To do this, avoid salty and spicy foods. Eliminate all irritants and allergens from your diet, nutritional supplements and preservatives. For a while, forget about baking and sweets, alcohol and smoking, strong coffee and tea. An important factor in treatment is sufficient water consumption - at least 1.5 liters per day.

Linden decoction

To get rid of burning and stinging, prepare a decoction of linden. To do this, take 40 g of linden and fill it with half a liter of hot water. Leave for 10 minutes, cover with a lid, strain thoroughly. Drink 250 ml 2 hours after dinner.

An effective remedy for urethritis for women

Take 100 g of chopped parsley and pour it with milk (preferably homemade) so that it completely covers the plant. Place the mixture in the microwave until the milk has completely evaporated. Take the resulting product 40 g every 50-60 minutes throughout the day.

Black currant leaves

How to cure urethritis with this remedy? Take 60 g of leaves and fill them with 500 ml of water. The decoction is infused for half an hour. Drink half a glass every 4 hours (except at night). Leaf infusions black currant known for their ability to cure almost all ailments genitourinary system.

Cornflower flowers

Take dry cornflower flowers (1 tsp). Fill them with 250 ml of just boiled water. Leave for 50-60 minutes. Should be taken every 4 hours (except at night) 20 ml.

Herbal mixture No. 1 (calamus root and peppermint)

Buy calamus root at the pharmacy, peppermint, stinging nettle. Take 1 tsp. each product and pour 500 ml of boiling water. Leave for 20 minutes. Take 1 glass in the morning and evening.

Important: when treating, it is important to use those agents that have anti-inflammatory, diuretic and antimicrobial effects.

Herbal mixture No. 2 (Rose hips, juniper and elderberry flowers)

Rose hips, juniper, elderberry flowers, horsetail mix, taking 1.5 tsp. each means. Pour in 450 ml of just boiled water and leave for a quarter of an hour. Drink 1 glass 2 times a day on an empty stomach and before bed.

Herbal mixture No. 3 (Dandelion, parsley, anise and juniper fruits)

Mix dandelion, parsley, anise, juniper berries, steelberry root, taking 10 g of each product. Pour 1.5 liters of boiling water. Leave for half an hour. Drink a glass in the morning and before bed.

Herbal mixture No. 4 (lingonberry, yarrow, St. John's wort and juniper berries)

Take lingonberries, yarrow, St. John's wort and juniper berries. For this product we need 20 g of each ingredient. Pour the mixture with half a liter of boiling water and leave for 8-9 hours. Use 5 times a day.

Herbal mixture No. 5 (St. John's wort, horsetail, wheatgrass, caraway fruits and sage)

IN the same amount(1 tsp each) take St. John's wort, horsetail, wheatgrass, caraway fruits and sage. Pour in a liter of boiling water. Leave for 60 minutes. Strain through cheesecloth. Drink half a glass 2-3 times a day.

Herbal collection No. 6 (celandine herbs, steel root, etc.)

Herbs of celandine, steel root, coriander fruits, hop fruits, shoots kidney tea take 10 g. Pour the mixture with 1 liter of just boiled water. Drink half a glass 4 times a day.

Herbal collection No. 7 (meadowsweet, knotweed, watch, shepherd's purse, etc.)

Take meadowsweet, knotweed, watch, shepherd's purse, ivy grass, tansy flowers, 5 g each. Pour the mixture with a liter of boiling water. Strain. Leave for 60 minutes.

Herbal mixture No. 8 (fennel fruits, motherwort and black poplar buds)

Fennel fruits, motherwort, black poplar buds, rhizome madder dye, immortelle flowers, heather grass are taken in an amount of 5 g. Pour in 1 liter of boiling water and infuse for about 60 minutes. Strain and drink 3 times a day, half a glass.

Important: in case of exacerbation of urethritis and acute forms of the disease, courses on the use of herbal infusions should continue for a month. This is followed by 2 week break. After the specified time, the course is repeated and continues for 2 months. There is a break again. For chronic forms of urethritis, treatment can last from a year to several years.

Marshmallow root decoction

Marshmallow root (2 tsp) pour 500 ml of boiling water. Leave for at least 10 hours. Drink half a glass on an empty stomach and at night.

Wheatgrass root

Ground wheatgrass root (20 g) pour 250 ml of cool water. Leave for 12 hours. Strain. Do not throw away the remaining mass, but pour it again, only 250 ml of boiling water. Leave for 10 minutes. Mix both infusions and drink half a glass 4 times a day.

Carrot and cranberry juice

These products, or rather the juice from them, are incredibly effective. They are able to fight various forms urethritis. Therefore, do not forget to drink half a glass of freshly squeezed cranberry and carrot juice at least once a day.

Currant berries

The berries from this plant are an excellent anti-inflammatory and diuretic. This is very important in the treatment of any type of urethritis. Prepare decoctions, compotes, infusions from currants, and also eat them raw. This will cure urethritis not only in men, but also in children and pregnant women.

Remember: if you have urethritis, eat celery, carrots, beets, cranberries, parsley, and lingonberries. These products can overcome the disease.

Prevention of urethritis

Given the fact that main reason urethritis is an infection through sexual contact, then at the same time as treatment you should take care of the rules of hygiene sex life. Try to have a regular sexual partner. If random connections still happen, take advantage barrier contraceptives. The most effective option in this case they are condoms.

If you are sexually active, try to visit a venereologist at least once every 6 months. This will significantly reduce the likelihood of the disease occurring.

Don't forget about elementary rules personal hygiene. Do not use cosmetic soap, lotions, colognes, and other products that cause inflammation in the urethra.

Maintaining immunity is also important. Take vitamins and foods, eat right, drink plenty of water, eliminate spicy, salty and fatty foods from your diet.

To avoid urethritis, try not to get too cold. After all, the slightest hypothermia contributes to the occurrence of this disease.

Don't overload yourself physical activity. This factor is one of the most important in the prevention of urethritis.

Urethritis is one of the most common diseases, which manifests itself in the fact that the urethra (urethra) becomes inflamed. Both men and women can get urethritis, and the risk is the same for both.

There are the following bases for the classification of urethritis.

According to the nature of the disease:

Urethritis acute type. Signs of this type of disease appear after a few days (the duration of the period depends on the type of urethritis - from 2-3 days to 5-20 days). Discharge appears from the urethra and pain occurs during urination.
Chronic urethritis occurs due to improper treatment of the disease or failure to comply with doctor's instructions. It can also be caused by prolonged ignoring of the symptoms of acute urethritis, as a result of which the signs of the disease may disappear for a short time, but then the urethritis will return in a chronic form. Chronic urethritis manifests itself through scanty discharge, itching in the urethra, as well as moderate pain in the urethra. Chronic urethritis can lead to complications.

Due to the occurrence:

Primary urethritis occurs if the site of origin pathological process located and develops in the urethra.
Secondary. A damaging agent that originated and developed in another organ enters the urethra and causes urethritis.

According to the factors causing urethritis:

Bacterial: inflammation of the urethra is caused by microbes.
Allergic: inflammation of the urethra can occur as a result of allergic reaction for one substance or another.
Candidal: mucous urethra damaged as a result of the harmful effects of Candida fungi that enter the urethra.
Post-traumatic: as a result of injuries to the urethra received after sexual intercourse or surgery, an inflammatory process occurs, which serves as a favorable environment for the development of urethritis.

It is worth noting

It is extremely important to correctly determine the factor that provoked the occurrence of this disease to assign the correct and maximum effective treatment urethritis. Diagnosing urethritis on your own is not easy; to do this, you need to consult a specialist.

To diagnose urethritis, it is necessary to conduct a set of studies, namely:

General and bacteriological urine analysis. To do this, you need to refrain from urinating for about two hours. To diagnose some types of urethritis, it is important to collect a morning urine sample.
Blood analysis.
Urethral scraping.
Additionally, they may prescribe an ultrasound of the kidneys and Bladder to analyze the occurrence of infection in these organs.

As a rule, a person suffering from acute urethritis experiences difficulty urinating due to itching and burning, purulent impurities appear in the urine, and the urethra itself swells.

How to cure chronic, acute and other forms and types of urethritis?

If a patient is diagnosed with bacterial urethritis, he is prescribed antibiotics. If the symptoms of the disease appear slightly, then you can take Monural for 24 hours, which stops inflammatory processes in the body.

In the case of a chronic form of urethritis, Monural will not help - more powerful antibiotics are needed, which are prescribed by a doctor.

In the case of allergic urethritis, it is necessary to carry out thorough examination, aimed at identifying the allergen and subsequently eliminating the patient’s contact with such a substance. The allergic substance may become chemical compounds inhaled by humans or food products.

If the patient has post-traumatic urethritis, then it is necessary to exclude sexual intercourse for some time so that the injuries heal.

During treatment of each type of urethritis, it is recommended to carefully observe the rules of personal hygiene, drink as much as possible more water and take sitz baths with antiseptic.

Treatment of urethritis in children

Symptoms of urethritis in children do not differ from the symptoms of urethritis in adults: itching, pain during urination, purulent discharge. The temperature may also rise to 38-39.

To cure a child’s urethritis, it is necessary to suppress the influence of the pathogenic factor. Treatment of children is carried out at home and only in very in rare cases. If urethritis develops in severe form, the child is hospitalized.

Most medications are contraindicated for children as they may negatively affect the child's development. This fact significantly reduces the number effective ways cure childhood urethritis. However, with the help of vitamins, folk remedies and physiotherapy, urethritis in a child can be effectively and quickly cured.

If a child has bacterial urethritis, then antibiotics are necessary. In the case of allergic urethritis, which occurs quite often in children, take antihistamines. Sitz baths with decoctions will be a good help ( Bay leaf, antiseptic solutions). In addition, it is necessary to strengthen immune system child, therefore vitamin therapy is prescribed.

Attention

It is important to give to your child herbal teas(sage, lingonberry or bearberry), which have a diuretic and anti-inflammatory effect. However, remember that herbal medicine can in no way replace medicinal methods treatment of childhood urethritis.

Treatment of urethritis in women

Urethritis in women is less pronounced than in men, due to the characteristics anatomical structure urethra. Nevertheless, this disease it is equally dangerous for women and can cause unpleasant consequences.

If a woman has urethritis of one type or another, then follow the treatment methods listed above. Also, during treatment, a woman with urethritis is prohibited from having sexual intercourse. If there is a permanent partner, treatment is carried out for both at the same time. You should also avoid alcohol and not use intimate gels due to the possible content of allergens in the product.

It is worth noting

An important element during the treatment of urethritis in women is the exclusion of synthetic materials from underwear. You should also not wear thongs - this model allows pathogenic agents to enter the urethra.

If female urethritis caused by a sexually transmitted disease, both partners are required to undergo treatment.

If a woman's urethritis is not treated, it can lead to cystitis, inflammation of the pelvic organs and other gynecological complications.

Treatment of urethritis at home: choosing the appropriate medicine for urethritis and assessing the effectiveness of treatment

Depending on the type and stage of urethritis, the treatment process can last from several days to several months. It is best not to delay visiting a specialist and immediately seek advice. Treatment of urethritis at home is carried out if the patient general case diseases.

If symptoms of urethritis have just appeared, then to reduce pain and stimulate the fight against infection, use the following tips:

Eat as much as possible more products containing high amounts of antioxidants. They are rich in cherries, tomatoes, pumpkin and sweet peppers.
Drink several glasses still water, preferably not from the tap, but cleaned through a special filter.
Try to eat less red meat. Fish and beans will serve as a substitute.
When cooking, exclude harmful cooking fats - use olive or vegetable oil.
Do not smoke.

The following methods for treating urethritis at home can be distinguished:

Antibacterial therapy. The type of drug is determined by diagnosing the type of pathogen and its sensitivity to the drug.
Immunotherapy: taking immunomodulatory drugs to strengthen the immune system during the treatment process for urethritis.
Application of liquid medicines through their introduction into the urethra ( local treatment).
Maximum possible failure from junk food and drinks (excluding alcohol, coffee, hot and spicy foods from the diet).
Sexual abstinence during the treatment of urethritis.
Stop smoking.
Refusal bakery products and reducing sugar consumption.
Drink plenty of non-carbonated and non-alcoholic liquids.

The choice of antibiotic for the treatment of urethritis depends entirely on the factor that provoked the appearance and development of the disease:

Nonspecific urethritis is treated with broad-spectrum antibiotics (for example, cephalosporins).
Gonorrheal urethritis can be treated with antibiotics that kill and remove chlamydia from the body (for example, spectinomycin or cefaclor). In each specific case of disease, a specific antibiotic is prescribed.
Trichomonas urethritis is treated antimicrobial drugs. Metronidazole, benzydamine and iodovidone (suppositories) help well.
Candidal urethritis, as noted earlier, is treated with antifungal drugs: (for example, you can choose levorin, nystatin).
Mycoplasma and chlamydial urethritis are effectively treated with tetracycline.
Viral urethritis can be cured with antiviral drugs(for example, acyclovir).

After a course of treatment for urethritis, an examination is carried out to determine whether the patient is healthy. To determine whether the chosen treatment method has become effective, the following cure criteria are used:

No foreign discharge from the urethra within two weeks after the course of treatment. It is best to test your urine every 2-3 weeks over a period of time because early tests may not reflect the true situation of disease treatment.
No inflammation of the urethra.
Disappearance of itching and burning during urination.

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

General information

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

Brief description of the pathology

How does urethritis occur in men? The causes of the pathology are usually mechanical trauma or infection. Injury may occur during medical procedures or in the presence of urolithiasis. Infection can occur during sexual contact if the partner has an STD. Due to insufficient hygiene, urethritis can also develop in men (treatment: antibiotics and other medications for pathology should only be prescribed by a specialist). In this case, examination by a doctor is necessary. Pathology can also develop as a result of hypothermia. In this case, there is a decrease in immunity. As a result, pathogenic microorganisms begin to actively operate and often easily penetrate the human body. If treatment of urethritis in men is not carried out on time, complications such as inflammation of the prostate, testicles and even infertility are likely.

General classification

Exist different types male urethritis. Depending on the provoking factors, the pathology can be specific or nonspecific. In the first case, the disease develops due to the activity of pathogens such as herpes, gonococcus, trichomonas, ureaplasma, gardnerella, mycoplasma, and chlamydia. Nonspecific urethritis develops as a result of an imbalance of microflora. It, in turn, is a consequence of the activity of E. coli, streptococcus, staphylococcus, and fungi. Next, we will consider some types of pathology in more detail.

Trichomonas

The pathogenic microorganisms Trichomonas are the causative agents. They are transmitted through sexual contact and cause irritation in a fairly acute form. If they are active, transparent or whitish discharge is observed on the head of the penis. Patients have traditional symptoms pathologies, as well as “goosebumps” in the genital area.

Bacterial

Urethritis in men of this species is of a nonspecific type. Inflammation is a consequence of the activity of various microorganisms. The main pathogens are E. coli, streptococci, and chlamydia. When the urethra becomes inflamed, purulent discharge may appear.

Mycotic

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

Nonspecific form

Pathology of this type is provoked by pathogens other than specific ones (chlamydia, herpes, etc.), or by several microorganisms at once. This area has not been sufficiently studied to date. Experts are on the lookout probable causes of this pathology. Presumably, this could be prostatitis or an allergic reaction.

Gonorrheal (acute form)

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

Gonococcal

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

Clinical picture

A vigilant attitude to the manifestations of pathology will prevent long-term treatment of urethritis in men. The main signs of the disease include:

Burning, acute pain during urination, itching.
Discharge that usually has an unpleasant odor.
Hyperthermia (occasionally).

Duration incubation period, after which signs of pathology are noted, depends on the form of the disease and can range from several hours (with allergies) to several years (with tuberculosis). If you suspect an illness, you should consult a doctor as soon as possible. The specialist will determine the type of pathology and prescribe therapeutic measures.

Diagnostics

During the examination the following are prescribed:

Blood analysis.
Research for sexually transmitted pathologies.
Urinalysis (detects white blood cell levels).
Ultrasound of the pelvic organs.
Analysis to determine the sensitivity of pathogens to antibiotics.

Complications

If urethritis in men is not treated on time, the disease can take chronic nature. This, in turn, is fraught with serious complications. One of the most severe consequences considered prostatitis. This pathology is characterized by inflammation prostate gland. Also when chronic course Urethritis narrows the urethra, inflames the testicles and seminal vesicles.

Therapeutic measures

How is urethritis treated in men? The drugs prescribed by a specialist are aimed at destroying the pathogen and eliminating the manifestations of the disease. The therapeutic course includes medications from groups such as antioxidants, antiseptics, immunotherapy, immunomodulators, and antibiotics. Medicines are prescribed both locally and orally. The dosage and regimen are prescribed by the doctor. To eliminate and prevent side effects, it is recommended antihistamines. During therapy it is necessary to observe proper nutrition, refuse bad habits, exclude alcohol.

Urethritis in men: treatment. Antibiotics

The course of use of these medications is prescribed in accordance with the results of the examination: external examination, smear taking, blood and urine tests. These studies make it possible to determine the type of pathology and the causative agent. Common antibiotics for urethritis in men are not recommended, since each pathogenic microorganism has its own sensitivity to a particular agent.

The drug "Metronidazole"

This antimicrobial medication. Its action is aimed at destroying protozoan cells, disrupting bacterial DNA synthesis, which leads to their death. The drug "Metronidazole" is effective for trichomonas urethritis. The medication is available in the form of tablets, suppositories, and solution for injection. Side effects include the following: abdominal pain, dryness and unpleasant taste in the mouth, incontinence and discoloration of urine, allergies, headache, nausea, diarrhea. The drug is not prescribed to patients with organic lesions in the central nervous system, leukopenia, sensitivity to components, renal failure.

Medicine "Secnidazole"

The drug causes the death of the pathogenic microorganism. The product is effective in the fight against Trichomonas. The drug is available in the form of granules. They are dissolved in water and taken orally. Possible side effects include: diarrhea, nausea, leukopenia, stomatitis, bad taste in the mouth, ataxia, dizziness, allergies. The drug "Secnidazole" is not recommended for hypersensitivity, damage to the central nervous system, or blood pathologies.

Medicine "Doxycycline"

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

Medicine "Moxifloxacin"

The drug has the ability to suppress the activity of many pathogens. The drug belongs to the category of broad-spectrum medications. The product is available in the form of tablets and injection solution. Among the most common negative consequences When using the drug, the following should be noted: changes in taste sensitivity, dizziness and headaches, dyspepsia. Medicine is not prescribed for severe diarrhea, hypersensitivity, epilepsy, under the age of 18 years.

Ofloxacin

The drug has the ability to destabilize DNA pathogenic microorganisms. The drug belongs to the category of broad-spectrum agents. The medication can be prescribed for any form of urethritis. The product is available in capsule form. Side effects include allergic reactions, disturbances of smell, hearing and taste, disorders of the central nervous system and gastrointestinal tract. Not prescribed after a head injury, with epilepsy, under the age of 18 years, after a stroke, in the presence of hypersensitivity.

Medicine "Levofloxacin"

This drug inhibits DNA synthesis. Available in the form of a solution for injections and tablets. Levofloxacin is recommended for different types urethritis in men. Possible side effects include hypoglycemia, low blood pressure, gastrointestinal disturbances, and central nervous system disorders. The drug is contraindicated in case of epilepsy, under the age of 18, or lesions treated with quinolones.

Medicine "Fluconazole"

This drug is effective for candidal urethritis. The product actively destroys fungus. The medication is available in the form of capsules, solution for infusion and oral administration, tablets, and syrup. TO side effects should include changes in taste, nausea, flatulence, headache, dizziness. Not recommended simultaneously with the drugs "Astemizole", "Terfenadine".

Means "Dioxidin"

The medication is prescribed when other drugs are not effective. The product is available in the form of ointment, aerosol, solution for injection, intracavitary and external use. The medicine can cause allergies, digestive disorders (with intracavitary and intravenous use), fever, dermatitis (with local use). The drug is not prescribed for allergies to components or adrenal insufficiency.

A disease in which an inflammatory process occurs in the urethra is called urethritis, and the treatment of this disease depends on the cause and causative agent of the infectious process.

How is urethritis treated?

The prognosis for the course of urethritis in men depends on the correctness of the diagnosis; the faster the cause of inflammation is identified and treatment is applied, the higher the likelihood of a speedy recovery, avoiding complications and relapses. To achieve the effectiveness of treatment, it is necessary to go through several stages:

Diagnosis of the disease

The genital organs are examined, and the symptoms that appear are also noted. More frequent characteristic symptoms are considered painful urination and discharge from the urethra.

In order to identify the causative agent of the disease, the following tests are necessary:

Blood analysis. Necessary for identifying and identifying sexually transmitted infections.
Analysis of urine. Defines general state organism and the presence of an infectious process.
Smear analysis from the urethra is needed to determine the microflora and type of microorganisms that caused inflammation.

Treatment methods for urethritis

To recover from this disease, it is necessary to stop the spreading infection in the body, removing the source of inflammation. It is also important to restore the functionality of the urethra. The prescription of treatment is dictated by the form of the disease.

At infectious urethritis undergo a course of antibacterial therapy (Azithromycin, Metronidazole, Doxycycline, Ceftriaxone), with urethritis of non-infectious nature(allergic, traumatic, congestive) eliminate the cause of inflammation. When allergic urethritis use antihistamines (Suprastin, Tavegil). At traumatic urethritis Maybe surgical intervention, it is also effective to inject uroseptic drugs directly into the urethra aimed at restoring the urethral mucosa. To get rid of congestive urethritis, needs to be increased physical activity, which will eliminate blood stagnation in the pelvis. Drugs are also used to eliminate venous insufficiency(Escuzan, Venza).

Don’t forget about restoring the microflora after antibacterial therapy; probiotics (Linex, Bifidumbacterin) will help with this. Also for speedy recovery you should take immunomodulators (Cycloferon, Uro-Vakson).

The diet should be adjusted by reducing the consumption of foods that irritate the urethral mucosa (sour, hot, spicy foods and also foods with preservatives).

Repeated examination

On final stage It is necessary to re-examine and take tests to exclude the presence of the disease in the body.

The course of treatment for urethritis lasts from two weeks to a month, it all depends on the severity of the disease and compliance with the prescribed therapy. Urethritis very rarely requires inpatient treatment, so at home plays an important role correct technique prescribed medications, refusal of sexual intercourse and diet.

Drugs

The following medications are needed in the treatment program for urethritis in men:

Antibacterial drugs oral administration (Doxycycline, Azithromycin, Ceftriaxone, Metronidazole). Necessary to combat bacteria that contribute to the development of urethritis.

Antibacterial drugs for local application (Miramistin, Potassium Permanganate, Protargol). To flush out infection from the urethra. When using urethral lavage with these drugs, up to 80% of bacteria are killed.
Antiviral drugs(Acyclovir, Riboverine, Gerpevir). At viral cause diseases. Note!

Use of antibiotics for viral infections impractical because they do not affect viruses.

Antihistamines(Suprastin, Loratadine, Cetirizine). Will help with allergic form cystitis. Probiotics (Linex, Bifidumbacterin). It is important to take them along with antibiotics to restore the microflora.
Immunomodulators(Cycloferon, Uro-Vakson, Phlogenzyme, Gepon). Increases the body's defense capabilities, which contributes to speedy recovery, and reducing the likelihood of relapse of the disease.
Vitamin and multivitamin complexes(Vitrum, Duovit, Multitabs). Necessary for the body in case of deficiency nutrients in the diet.
Herbal remedies(Gentos, Cyston, Canephron-N). Used for uncomplicated forms of cystitis or as concomitant therapy.

The result of treatment directly depends on the selection of drugs. If pathogens are detected in tests after therapy, a re-treatment with the prescription of antibiotics of a different series.

Treatment with antibiotics

The use of antibiotics for the treatment of urethritis is based on diagnostic results taking into account the identified pathogen. They also take into account the man’s age, presence chronic diseases and the cause of the development of urethritis. Antibiotics should be taken as early as possible, following the norms and regimen of taking the drug. Tablet preparations are more popular due to their convenient use. Purpose antimicrobials depends on the type of bacterial urethritis, so most often they use:

At trichomonas urethritis Metronidazole, Doxycycline.

Metronidazole– has antibacterial, trichomonacid and antiulcer effects. It is quickly absorbed by the body creating bactericidal concentrations. It is not recommended for men with liver disease. Necessarily simultaneous treatment sexual partners.
Doxycycline– broad-spectrum antibiotic. Must be taken with meals big amount liquids. It is recommended to avoid sun exposure during use.

At gonococcal urethritis Cephalexin, Azithromycin, Metronidazole are prescribed.

Cephalexin– broad-spectrum antibiotic. It is highly concentrated in the kidneys, so it is often prescribed for diseases of the genitourinary system.
Azithromycin– creates high concentrations in areas of inflammation, providing a bactericidal effect. Plus this drug in maintaining bactericidal properties for 5 - 7 days after administration, this made it possible to prescribe short courses of treatment (from three to five days).

At nongonococcal urethritis Azithromycin, Fluconazole, Ofloxacin helps.

Fluconazole– has a pronounced antifungal effect, used to treat infections caused by fungal microorganisms. It is well tolerated. Can be taken regardless of meals. Use with caution in renal failure.
Ofloxacin– effective against microorganisms resistant to most antibiotics. It is used for urethritis due to its ability to be 80% excreted in the urine and remains in it for up to 24 hours. While taking the drug, it is not recommended to use drugs that reduce stomach acidity, which can reduce the effectiveness of therapy.

At urethritis of unknown cause Azithromycin, Metronidazole, Doxycycline, Cephalexin are prescribed.

Chronic urethritis

In case of incorrectly selected treatment or late diagnosis urethritis it turns into chronic form, which tends not to be bright severe symptoms, consisting in scanty discharge from the urethra and itching of the genitals. Also, chronic urethritis is characterized by a wave-like course, when the stages of exacerbation of the disease are replaced by stages of remission. Advanced urethritis leads to the spread of the disease to neighboring organs and tissues. Treatment chronic urethritis in men requires more thorough diagnosis and comprehensive treatment.

Medicines used:

Antibiotics with wide range actions(Doxycycline, Norfloxacin, Cephalexin, Ofloxacin, Gentamicin). Necessary to fight bacteria that cause urethritis.
Antifungal drugs taken when the fungal nature of the disease is detected (Fluconazole, Mikosept).
Herbal medicines(Canephron N, Cyston). Often used for chronic concomitant diseases, since they have a minimum of contraindications. They are the number one drug of choice if there are contraindications to use antibacterial drugs.
Probiotics(Linex, Acipol). To restore microflora disturbed by medications.

Instillation of the urethra, When medicine inserted directly into the urethra. These procedures are carried out in a hospital setting while maintaining sterility.

Physiotherapeutic procedures have a destructive effect on bacteria, reduce the activity of the inflammatory process and activate immune functions body. It is especially recommended for use in the presence of complications in men (prostatitis, epididymitis).

At electrophoresis sessions the medicine enters the body through electric current, which enhances its effect.

UHF therapy improves blood circulation and healing of the affected mucosa.

Laser therapy has an anti-inflammatory and bacteriostatic effect, improves blood supply to tissues, increasing cellular immunity.

Physiotherapeutic procedures are contraindicated if there is malignant tumor prostate.

Compliance with diet and drinking regime. Reducing the consumption of foods that irritate the mucous membrane and increasing foods with a diuretic effect promotes recovery. At drinking plenty of fluids The concentration of urine decreases, and it does not irritate the mucous membrane of the urethra. Therefore, you need to drink at least 2 liters clean water in a day.

Maintaining personal hygiene rules. Showering, washing the genitals after urination and sexual intercourse prevent the proliferation of microorganisms.

Acute urethritis

The main thing in acute urethritis is prompt treatment. In men, acute urethritis is often treated with a ten-day course of doxycycline. This is due to its activity against a significant number of microorganisms and bacteria. The use of azithromycin is also effective. This course treatment lasting from one to five days. This short course of the drug has fewer side effects, but is ineffective in infectious processes in the prostate.

Acute urethritis is characterized by painful symptoms, so painkillers (No-shpa, Baralgin) are included in therapy. Bed rest will also ease the patient's condition.

For those suffering from urethritis, screening for the presence of sexually transmitted diseases is mandatory.

Nonspecific urethritis

In cases of nonspecific forms of urethritis, the urethra is “attacked” by microbes that are constantly in our bodies (streptococci, E. coli, staphylococci, fungi). High immunity prevents their reproduction, so the main treatment is aimed at increasing protective properties body. Treatment begins with immunostimulating drugs(Cycloferon, Uro-Vakson, Phlogenzyme, Gepon). After immunomodulators are prescribed antibiotics, which are selected depending on the course of the disease and complications that arise during the progression.

Antibacterial therapy It is also used locally in the form of urethral lavage (instillation). Using instillations microorganisms are washed out of the urethra, but use this procedure often not recommended, as the microflora of the mucous membrane is disrupted.

In case of chronic course nonspecific urethritis effective physiotherapy(electrophoresis, UHF, laser therapy). In cases of acute disease, physiotherapy is undesirable. Treatment of nonspecific urethritis does not require treatment of the partner.

In addition to drug treatment, it is also necessary to adhere to general rules:

Abstain from sexual intercourse.
Follow a diet (limit spicy, sour, salty foods, and alcohol).
Adhere to a therapeutic drinking regimen (drink at least 2–2.5 liters of water per day, include fruit drinks and herbal diuretic teas in your diet).
Avoid systematic entry into the body toxic substances(tobacco, alcohol, drugs, chemicals).

Bacterial urethritis

Therapy for bacterial urethritis is carried out antibacterial drugs, to which the sensitivity of the pathogen has been proven in laboratory. Also underway restorative therapy to stimulate the immune system and local urethral lavage for its complete cleansing from pathogens and their metabolic products.

Often bacterial urethritis men are susceptible after endoscopic procedures or using a catheter, it is therefore important to keep all objects in contact with the urethra sterile. At long-term use catheter, it is necessary to carry out timely sanitation of the urinary area.

Candidal urethritis

For the treatment of candidal urethritis in men, it is used antibacterial and antifungal therapy. Treatment is carried out at home under the supervision of a doctor. Fluconazole, levorin, amphotericin, and nystatin are most often used to treat this urethritis.

To restore the protective properties of the body, take immunostimulants. Usage enzyme preparations demanded due to improved microcirculation in infectious foci and increasing the effectiveness of drugs, which helps reduce the duration clinical manifestations urethritis and the duration of its treatment. Enzymes are also used to prevent prostatitis, which often occurs as a complication of urethritis.

Also used local procedures, this is instillation of the urethra with a solution of levorin, collargol, antibacterial creams for external use(clotrimazole, pimafucin).

Equally important in treatment is nutrition, in which it is better to exclude foods that contribute to the development of fungus ( flour products, sweet drinks) and add to the diet foods that prevent the growth of fungus (onions, garlic, propolis).
Treatment must be carried out together with a sexual partner and it is better to abstain from sexual intercourse until recovery.

Treatment with folk remedies

Folk remedies for the treatment of urethritis in men are used in addition to drug treatment. In acute cases, herbs are used in a monthly course, and in chronic cases, the course is extended to a year, but with mandatory breaks. The plants used must have antimicrobial, anti-inflammatory and diuretic effects. The following recipes have proven to be most effective:

Herb tea. To prepare tea, one tablespoon of raw materials is enough (currant leaf, lingonberry leaf, or Linden blossom) with a glass of boiling water brewed in a thermos for 20 - 30 minutes. Drink 30 - 40 minutes before meals.
Parsley infusion. For preparation in 500 ml. water at room temperature, add a tablespoon of fresh parsley and leave to steep for 7 hours. Take 100 ml. every three hours.
Infusion of parsley seeds. To prepare, pour 1 teaspoon of seeds into a liter cold water and leave to infuse for 8 - 10 hours. Strain and take three tablespoons every three hours.
Wheatgrass infusion. You need to add 2 heaped tablespoons of crushed raw materials to a glass (250 ml) of cold water and leave for 12 hours. Then strain and re-pour the wheatgrass with a glass of boiling water for 10 minutes. Mix both strained infusions and 100 ml each. taken three times a day.
Herbal collection. Take 20 grams of elderberry inflorescences, chamomile inflorescences, St. John's wort, and 10 grams of cornflower and calendula. A tablespoon of the prepared mixture is brewed with a glass (250 ml) of boiling water, after forty minutes, filtered and drunk at night.
Cranberry juice. Mash 500 grams of berries and squeeze out the juice. Pour the cake with two liters of water and bring to a boil. Strain and add the strained juice, and you can sweeten it a little with honey or sugar. Take at least a liter per day.
Black currant V fresh and brewed. It is better to eat currants separately from meals. For brewing, take both fresh and dried berries. Brew one tablespoon of fresh currants with a glass of boiling water and leave for 20 minutes. It is better to brew dry berries in a thermos; a teaspoon of dried berries is enough for a glass of boiling water.
Also used brewed chamomile baths for washing the genitals. Chamomile is good antiseptic, having an anti-inflammatory effect.
Treatment decoction oak bark also used in the form of baths. To do this, pour one teaspoon of crushed bark into a thermos with a glass of boiling water and leave for at least three hours. Use the warm, strained infusion for five-minute baths of the genitals three times a day. The duration of the course is three days. You should abstain from sexual intercourse during treatment.

Treatment options for urethritis folk remedies a lot, but before use, medical consultation is necessary.

Urethritis is a disease in which the inflammatory process affects the mucous membrane of the urethra (urethra). Many are sure that urethritis occurs only with sexually transmitted diseases, but this is not so. The disease can be either infectious or non-infectious.

In the vast majority of cases, infectious urethritis in men occurs as a result of infection with sexually transmitted infections (, etc.). Often, the inflammatory process in the urethra is caused by opportunistic flora (Escherichia coli, etc.) if hygiene rules are not followed; bacteria may enter the urethra from foci of inflammation in other organs.

The doctor can also diagnose non-infectious urethritis resulting from injury to the urethra during medical manipulations, when passing through the urinary tract. Cases of the disease occurring in men suffering from disorders in which the concentration of uric and oxalic acids, which irritate the mucous membrane, increase in the urine urinary tract. In rare cases, urethritis develops against the background of an allergic reaction. Non-infectious urethritis can quickly become infectious when bacterial flora joins.

Symptoms of urethritis in men

Symptoms of infectious urethritis usually occur 5-14 days after infection, and signs non-infectious urethritis may appear much earlier. The main symptom of the disease is pain, burning along the urethra during urination, as well as after it. It is this symptom that most often forces a man to see a doctor. The patient may also be bothered by mucous or purulent discharge from the opening of the urethra, redness and sticking of the urethral sponges, especially in the morning, blood may appear in the urine or seminal fluid. A man suffering from urethritis may also experience pain or other discomfort during sexual intercourse. A general deterioration in health is usually not observed, however, in men with reduced immunity, mild symptoms of intoxication may appear (weakness, increased body temperature to 37.5 ° C).

After 7-14 days, the described symptoms subside; if acute urethritis is not treated or treated incorrectly, the disease will become chronic, the treatment of which is more complex, lengthy and expensive. If you consult a doctor in a timely manner, acute urethritis is usually cured in 7-10 days without any consequences.

The symptoms of chronic urethritis are similar to those acute form diseases. Outside of an exacerbation, a man is usually not bothered by anything, however, when exposed to unfavorable factors, the inflammatory process worsens. The patient may experience mild pain in the urethra during and after urination, light discharge from the opening of the urethra and other signs characteristic of acute urethritis, but they will be less intense.

In men, asymptomatic urethritis also occurs; in this case, it can be diagnosed accidentally during examination for another reason. The first exacerbation of the disease may occur several months or even years after infection.

Treatment of urethritis in men

If symptoms of urethritis appear, you should consult a urologist. The patient must undergo examination to identify the causative agent of the disease and determine its sensitivity to antibacterial drugs. Do not be surprised if the doctor, in addition to a smear from the urethra, prescribes blood tests to detect.

Antibiotics are the basis of therapy for urethritis of any etiology. The range of antibiotics used in the treatment of this disease is quite wide. Drugs from the group of cephalosporins, tetracyclines, macrolides, fluoroquinolones are used; drugs are used less frequently penicillin series. Candidal urethritis requires prescription antifungal drugs. In many cases, two antibacterial drugs are prescribed at once.

The course of treatment lasts on average 10 days. It is necessary to strictly follow the regimen of taking antibacterial drugs. You cannot stop treatment on your own; this can lead to the disease becoming chronic.

The doctor may also prescribe local treatment, in addition to antibacterial therapy; most often this method of treatment is used for urethritis caused by sexually transmitted infections. Instillations are carried out ( drip administration medications in the urethra) solutions of Miramistin, Chlorhexidine, Decasan, etc., which have antiseptic and anti-inflammatory effects. The procedure is performed only as prescribed by a doctor by qualified medical personnel.

Since in most cases men suffering from urethritis have reduced immunity, it is recommended to take multivitamin complexes (Multitabs, Pikovit, Complivit, Biomax, Alphabet, etc.), as well as plant origin(echinacea, ginseng, lemongrass, eleutherococcus, etc.).

Since in the treatment of urethritis it is prescribed antibacterial therapy, then you should think about prevention. It is recommended to carry out a course of treatment with drugs (Linex, Normoflorin, Bifiform, Acipol, etc.).

When treating urethritis, attention should also be paid. During treatment and for several months after its completion, you should remove spicy, salty, pickled, smoked foods from your diet, and stop eating. Salts and acids excreted in the urine can irritate the mucous membrane urinary tract, thereby supporting the inflammatory process. It is useful to drink juices and fruit drinks made from cranberries, lingonberries, and black currants. The doctor may also recommend taking medicinal decoctions herbal infusions that have an anti-inflammatory effect (horsetail, St. John's wort, lingonberry leaves, etc.). Patients must comply drinking regime in order to maintain regular urination. This ensures the urethra is washed and bacteria and their waste products are removed from the urine.

During treatment, you should abstain from sexual intercourse, or use a barrier method of contraception (condom). The sexual partner of a sick man should also undergo examination and, if necessary, treatment, especially if the urethritis is caused by sexually transmitted infections. After completing the course of treatment, it is necessary to undergo a re-examination to assess the effectiveness of the therapy.

Complications of urethritis in men

Urethritis is a serious disease; do not hesitate to consult a doctor with this problem, since untimely or incorrect treatment may lead to the development serious complications. The infection may spread to other organs; patients may develop; the inflammatory process may affect the testicles and their appendages. Most severe complication Urethritis in men is a condition that can lead to incurable infertility and sexual dysfunction.

Which doctor should I contact?

If symptoms of urethritis appear in men, it is recommended to consult a urologist. If this is not possible, treatment of this disease can be carried out by a therapist or family doctor. If urethritis is caused by sexually transmitted diseases, the patient is examined by a venereologist. If the cause of inflammation was urolithiasis disease- consultation with a nephrologist is necessary. If urethritis recurs, it is recommended to visit an immunologist to rule out immunodeficiency conditions.