Urethritis is an inflammatory process of the mucous membrane of the urethra (urinary channel), which causes a number of bacterial, viral and fungal agents. It is considered the most frequent pathologies of the genitourinary system in men who are sexually active without the use of barrier contraceptives and have more than one partner. Most often, it runs against other inflammatory diseases of the genital organs.
Given the peculiarities of the anatomical structure in men, urethritis is more severe than in women.
In the urethra pathogenic microflora gets in the way:
Causes of urethritis
Doctors allocate a certain list of factors that provoke the development of urethritis.
- chronic stress;
- local trauma;
- lack of personal hygiene;
- poor nutrition;
- severe systemic pathology;
- chronic disease;
- related diseases of the genitourinary system.
Directly can cause urethritis 2 groups of reasons:
- stagnation of blood in the venous network of the pelvis;
- kidney stones;
- injury to the urethra;
- hyperplasia of prostate;
- Escherichia coli;
Given the pathological mechanism of urethritis is:
- primary, when the inflammation is formed directly in the urethra;
- secondary, in which the infectious agent into the urethra comes from the pathological focus elsewhere in the body.
Regarding the localization of inflammation to the walls of the urethra distinguish urethritis:
Symptoms of urethritis in men
With the development of the disease the man makes the following complaints:
- 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;
- 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.
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.
Causes and symptoms of chronic urethritis
Chronic urethritis is observed 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 and other diseases.
Diagnosis of urethritis in men
Confirmation of diagnosis is based on examination of the patient, which includes the following points:
- Consultation with a urologist. The doctor finds out the complaints of men conducts an objective inspection of the genitals. Also take into account the presence of chronic diseases, urethritis in history.
- Laboratory diagnosis: sowing smear the bacteria from the urethra (it allows to detect and to determine the type of pathogenic microorganisms and to establish their sensitivity to antibiotics); PCR (allows you to quickly and accurately identify the causative agent in urological smear); urinalysis (with his help determine the level of the lesion of the urinary tract); microscopy (its mission and targeting learning material at the cellular level).
- Instrumental methods: urethroscopy (it is performed after decrease in acute period for a sight inspection of the walls of the urethra under optical magnification); diagnostic ultrasound (provides the ability to visualize the bladder, prostate, kidney, and to evaluate any changes in them); an x-ray of the urethra (performed after a preliminary introduction into it of radiopaque substances, when the acute stage is not carried out).
Treatment of urethritis in men
The treatment of this disease in most cases can be done at home, if the patient visits the medical institution to undergo therapeutic treatments. Hospitalization of the patient is required only in severe cases.
Important: before you can treat urethritis, must correctly identify the causative agent, as this depends directly on the effectiveness of therapy eliminates the risk of transition to a chronic.
Treatment of urethritis includes the following items:
- the rejection of sexuality at the time of therapy;
- compliance with drinking regime;
- abstinence from alcohol;
- antibiotic therapy;
- the refusal of sharp and spicy food;
- means of immunotherapy (if necessary);
- local treatment (performed after decrease in acute symptoms in the administration of medicines in liquid form into the urethra).
Drugs and medications for urethritis
The choice of antibiotic have the right to exercise only the doctor, after bacteriological examination. This is justified by the fact that the improper selection of drugs may cause complications and failure of therapy. Antibiotics can be used in any form (tablets, injection, suppositories).
Prevention of urethritis
To minimize the risk of disease men should follow these rules:
- to avoid injury of the penis;
- drink plenty of fluids;
- to avoid frequent change of sexual partners;
- promptly treat any disease;
- to avoid hypothermia.