Urethritis in men and inflammatory disease of the walls of the urethra, which often caused various infectious factors bacteria, viruses, fungi or protozoa.
In addition to infectious causes, inflammation can be caused by allergic, chemical or traumatic impact. Urethritis is accompanied by itching, discharge from the urethra, burning and pain. Without timely treatment, the disease leads to the development of cystitis, prostatitis or inflammation of the testicle and its appendages, and in some cases, not cured urethritis can result in the narrowing of the urethra.
That is why when the first symptoms of infection, you must consult a specialist to prevent its progression.
What is it?
Urethritis - an inflammatory process that is localized in the urethra. The disease occurs often enough, regardless of gender and age. To clearly understand what urethritis in men, treatment and symptoms of this disease, you should have an idea of the anatomy of the male urethra.
Depending on the causes of urethritis in men are divided into infectious and non-infectious and infectious, in turn, gonococcal and non-gonococcal.
Non-gonococcal urethritis is divided into types depending on the causative agent:
- bacterial (caused by conditionally pathogenic microflora);
- mycotic (candidal, fungal);
Noncommunicable urethritis in men may be of the following types:
- congestive (congestive).
For the duration of the disease secrete fresh (acute, subacute and torpid) and chronic urethritis.
Depending on localization of pathological process:
- anterior urethritis – in the anterior urethra, T. Zn. located closer to the outlet at the head of the penis;
- rear – to the rear part of the urethra, t Zn. localized closer to the bladder.
On the primacy of the development of the inflammatory process there are the following types of urethritis in men:
- primary – when an infectious disease develops in the urethra;
- secondary – when the infection in the urinary tract penetrating from adjacent organs, which are the source of infection.
Most often infectious agents get into the urethra from the bladder, prostate gland, where inflammation develops.
What are the causes of urethritis?
The main causes that cause development of urethritis in men physicians include:
- Diseases that can be transmitted through sexual intercourse without a condom (herpes, HPV, gonorrhea, Trichomonas, Ureaplasma, chlamydia, etc.). Basically inflammation in the urethra is only a symptom of such infections.
- Violation of metabolic processes (especially in the pelvic area).
- The effects on the body various toxic substances.
- Stagnant processes that occur in the pelvic area. This leads to the development of congestive urethritis. The appearance of stagnation of venous blood is preceded by constipation, hemorrhoids, practice of interrupted intercourse.
- Allergies which can be caused by food, personal hygiene or taking certain medications.
- A large number of acidic and salty food with lots of spices in the diet, which can irritate mucous membranes.
Predisposing factors inflammation of the urethra are:
- unprotected sex with carriers of infection;
- failure to observe the rules of personal hygiene;
- injury of urethra (including during medical procedures);
- kidney stones;
- stagnation in the pelvic organs;
- disorders of metabolism;
- irrational nutrition;
- allergic reactions;
- urethral irritation from chemicals contained in the means for body care, spermicide's, a condom, etc.
Untimely or improper treatment of urethritis in men dangerous the appearance of serious complications: pyelonephritis, cystitis, orchitis, balanoposthitis and prostatitis.
The symptoms and the first signs of urethritis in men
With the development of urethritis male complains of these symptoms:
- low-grade fever;
- swelling of the urethra;
- at the end of urination possible spotting in a small amount;
- the pain during urination;
- the pain of a sharp character in the urethra;
- the allocation of purulent character from the urethra, which can have a color from yellow to green, and stands out in a large amount in the beginning of the inflammatory process.
This clinic develops regardless of what urethritis: non-specific or specific. The only difference is that non-specific urethritis is confirmed if swabs for other infections not give a positive analysis.
The chronic process occurs quite rarely and it happens on the background of such situations:
- weak immune system of the patient;
- prevalence of the pathological agent on other organs;
- improper or insufficient treatment of urethritis in Stroy form.
Note: if the disease goes into the chronic stage, swelling of the urethra takes place, and highlight the decrease. Often man thinks that the disease has passed, but in fact the disease has moved into the latent phase. If not to conduct therapy, the strains of bacteria that have settled in the prostate gland and the seminal vesicles, the result will provoke prostatitis, epididymitis, vesiculitis.
For male urethritis the following types of events:
- In the absence of any treatment of urethritis or if it is not properly treated the disease can move from acute to chronic.
- The occurrence of prostatitis.
- Vesiculitis — that is inflammation of seminal vesicles.
- Orchitis — that is, inflammation of the testicle.
- Balanitis — inflammation of the skin on the tip of my penis.
- Balanoposthitis — this means inflammation of the inner layer of the foreskin.
- Narrowing of the urethra that occurs as a result of lack of proper treatment of urethritis or in the chronic course of this disease. Advanced cases of stenosis require surgical intervention.
Is the number of existing complications of male urethritis is due to the fact that the inflammation of the urethra may reach other organs and begin to develop it: the scrotum, bladder and prostate gland can become victims of urethritis. To avoid complications, you need a special prevention of urethritis.
The first step is to consult a doctor-urologist, who will conduct the inspection. If you find an infectious disease, then the patient is sent for consultation to the doctor. The patient is assigned to the following study:
- it seems the analysis of urine and blood;
- take a swab of the discharge from the urethra;
- tests collect urine for bacterial culture and a nutrient medium;
- ultrasound of the kidneys and the genitourinary system;
For pathological test results indicate a significant excess of white blood cells and bacteria. If fungi are detected, then diagnosed with urethritis Candida species. A diagnostic has conducted studies that determine which antibiotics will affect pathology. The full study allows doctors to understand how to treat urethritis and what drugs to use to therapy has the greatest effect.
How to treat urethritis?
At home treatment of urethritis in men should be integrated. All procedures are performed on an outpatient basis, selects a medication specialist. The patient must scrupulously observe all assignments and adhere to certain recommendations during treatment. These include:
- temporary rejection of sexual contacts;
- strict observance of hygienic norms;
- execution of all medical recommendations relating to the duration of the course of treatment and medication;
- quitting bad habits (alcohol, Smoking);
A mandatory adjustment of the diet, aimed at the exclusion fatty, fried, spicy dishes, smoked meats, marinades, pickles, carbonated drinks, in short all products that can enhance the severity of the inflammatory process. The patient is recommended to drink more fluids, to respect the day, to avoid hypothermia, stress and the influence of other negative factors.
On average, the treatment virtually any form of urethritis takes several weeks. Treatment in no event it is impossible to throw if signs of improvement and decrease of clinical picture of the disease. At the end of treatment is test smear from urethral canal to confirm the recovery.
What antibiotics is prescribed for urethritis?
Cure of urethritis in men appoints only the attending physician after bacteriological examination and determination of the agent. Wrong selection of the drug can cause complications.
Often antibiotics are used in the form of tablets, injections, suppositories.
Chronic gonorrheal urethritis requires the introduction of antibiotic solution into the urethra. The therapy is supplemented by the administration of drugs based on the hormones of the adrenal glands. Supplement therapy can be by flushing the urethra with antiseptic, the purpose of Immunostimulants, multivitamins (emphasis on vitamins A and E). Physical therapy is used outside the acute stage – are held magnetotherapy, electrophoresis, laser treatment, processing of ultra-high frequency pulses.
In addition to the basic course of antibiotics, which act to suppress acute symptoms of the disease are common and other therapies, such as physiotherapy.
Local procedures involve the introduction of drugs directly into the urethra. Local treatments give good results, being a part of the treatment of urethritis.
Physiotherapy treatment is used only in chronic urethritis, acute inflammatory processes, they are contraindicated. Assign electrophoresis, UHF, laser therapy, magnetotherapy. But all these methods require a systematic and competent medical supervision.
At home treatment of urethritis should be complemented with proper nutrition and a healthy lifestyle. This is especially important when infection in several organs simultaneously. Consider the following guidelines:
- Try to consume more foods that have anti-inflammatory action. These include carrots, celery, parsley, blueberries and cranberries.
- Minimize the consumption of fatty, overly salty, spicy and smoked food.
- Try to drink plenty of clean water. It will help to reduce the concentration of harmful bacteria in the urine. This will lead to the weakening of the symptoms of the problem.
- To boost immunity, eat more fresh vegetables and fruits. Drink juices, jellies and compotes. Mandatory part of the diet should be cranberry juice and tea with rose hips.
- Is strictly prohibited the use of alcoholic beverages. Coffee, tea and cocoa can be drunk occasionally, in minimal quantities.
- You cannot use foods that have a urethra irritating. These include spices, hot spices, garlic, onion, spinach, horseradish and radishes.
Proper nutrition should be accompanied by moderate exercise and a complete rejection of bad habits. Try to spend more time outdoors.
It is important to understand that to completely cure the disease folk remedies impossible. However, their use along with medication helps to prevent relapse and accelerate recovery. This can be used decoctions and infusions of herbs that you can prepare at home:
- The infusion made from the leaves of black currant. This tool has an antiseptic effect and helps enrich the body with vitamins. To cook 3 tablespoons of dried leaves pour 250 ml of boiling water and insist to cool. After this infusion is filtered and taken 15 minutes before meals three times a day.
- A decoction of oak bark. This tool eliminates the pain and burning sensation, which appear at the time of urination. For cooking 1 tablespoon of raw material is poured 250 ml of boiling water and kept in a water bath for about 20 minutes. After cooling, the decoction is filtered and accepted on 1 tablespoon before each meal. Use the decoction can also sitz baths.
- Infusion of cornflower. To prepare 1 teaspoon of dried flowers poured 250 ml of boiling water and infused for at least 1 hour. After that, the medium is filtered and taken thrice a day before meals for 2 tablespoons. Medicine helps to relieve inflammation and normalize the microflora.
Preventive measures are simple measures that can virtually to zero to reduce the risk of any type of urethritis.
Avoid hypothermia and injuries of the penis. Lead a healthy lifestyle and drop your bad habits, if any. If in doubt about your partner, use barrier contraceptives, which help protect the body from infections that are transmitted sexually.
It is undesirable to have many partners for sex. Be sure to observe good personal hygiene, never use someone else's underwear and toiletries.