There are many causes of pain when urinating in men..

The main cause of pain is an infection in the internal genital organs, urethra, kidneys, bladder. E. coli, microbes, fungi - all these pathogenic bacteria can lead to discomfort.

How to relieve and treat pain when urinating in men at home - we'll talk about this below.

Pain before urination in men

It appears due to overdistension of the bladder caused;

• its overflow;
• inflammation of the bladder - cystitis;
• oncological disease.

Blood when urinating in men with pain indicates that the patient needs to urgently seek medical help.

Pain occurs due to contraction of the bladder. These symptoms may indicate the following problems:

• infectious diseases - genital herpes, gonorrhea;
• inflammatory process in the urethra;
• malignant tumor in the organs of the reproductive system, necrosis;
• cystitis, urethritis- seldom.

But the pain at the beginning of urination in men speaks of a disease such as urethritis.

The causes of pain, cramps during urination can be many diseases. Only a doctor can accurately determine the cause of the pain.

Pain after urination can be associated with various diseases: infections in the organs of the genitourinary system, kidney disease, and so on.

Pain at the end of urination can be moderate or sharp, and burning may be added to it.

To understand the cause of pain, you need to find out where the discomfort occurs.:

• pain in the abdomen during and after urination indicates the presence of stones in the bladder;
• pain in the groin during and after urination indicates problems with the prostate, prostate inflammation, prostate adenoma;
• pain in the head of the penis at the end of urination often indicates cystitis caused by E. coli, staphylococcus, chlamydia;
• lower back pain during and after urination indicates the presence of an infection in the genitourinary tract, stones in the bladder.
• pain in the urethra can be triggered by the appearance of various diseases of the genitourinary system.

They can be the cause of diseases such as:

What to do with pain during urination?

How to treat pain before, during or after urination in men? This question should be answered only by a doctor - a urologist or a venereologist based on the results of the tests.

Therefore, when uncomfortable sensations appear, you do not need to wait until the pain passes, you should consult a doctor as soon as possible to find out the cause of the problem and undergo adequate treatment.

At home, a man can only temporarily reduce pain, burning and itching. But only a doctor will help eliminate the cause of the disease, because without drugs (antibiotics, anti-inflammatory, non-steroidal drugs) it is impossible to cope with the disease.

Home treatment for urinary pain

At home, if a person becomes very ill and is waiting for the doctor to arrive, you can help him cope with the pain.

To reduce pain and burning during urination in men, you can resort to the help of such safe and effective recipes.

If you suspect urethritis

Linden decoction: 2 tbsp. spoons of linden flowers pour 2 cups of boiling water, leave for 30 minutes, strain. Drink before going to bed 250 ml of decoction.

Cornflower infusion: 1 teaspoon of flowers pour 250 ml of boiling water, leave for 1 hour. Strain, drink before meals 2 tbsp. spoons.

Cranberry juice- for pain in urethritis, you need to drink plenty of fluids, juice from fresh cranberries will help reduce pain.

Infusion of black currant leaves: take 3 tbsp. spoons of leaves and pour them with boiling water (0.5 liters). Take 3 times a day.

With urolithiasis

Decoction of potato peel: take 2 handfuls of peel, wash it, pour water over it to cover the cleaning. Boil the peel for 20 minutes, strain. Drink a decoction of 150 ml 3 times a day.

Lemon juice: squeeze juice from 1 lemon, dilute it with hot water (150 ml). Drink for 1 time.

Beetroot, carrot and cucumber juice: squeeze the juice from these vegetables in equal amounts, mix. Drink 150 ml 4 times a day.

parsley root: it needs to be washed, chopped (150 g), pour 1 liter of boiling water. After that, you need to simmer the root on low heat for half an hour. Strained broth is taken 5 times a day, 100 ml.

You can temporarily dull the pain, which is a sign of trichomoniasis, gonorrhea, using the following recipes:

garlic juice: Squeeze the juice from a few cloves of garlic. Drink juice in half a teaspoon 3 times a day.

Aloe juice: cut the plant lengthwise, squeeze the juice from 1 leaf, take it half an hour before meals, 1 teaspoon 3 times a day.

With prostatitis

At home, you can reduce pain during inflammation of the prostate gland will help such recipes:

Asparagus decoction: chop the root of the plant (2 tablespoons), pour boiling water over them (1 liter). Infuse for half an hour, take 150 ml 3 times a day. Asparagus has an excellent analgesic, analgesic effect.

Tansy tincture: pour 2 tbsp. spoons of the plant with vodka (300 ml). Take 10 drops 3 times a day.

Decoction of arnica: take 2 tbsp. spoons of the plant, pour them with 1 liter of boiling water. Drink like tea throughout the day. Arnica quickly relieves inflammation and pain.

To prevent the appearance of discomfort, burning and itching during urination, you must follow these recommendations:

Now you know what diseases cause discomfort when urinating, and also figured out how to relieve pain when urinating in men at home.

Despite the safety of herbal recipes for pain relief, do not rely on home treatment. After all, pain during urination is an alarming bell indicating serious problems in the body.

Therefore, in any case, when pain occurs, it is necessary to go to the doctor as soon as possible, pass the necessary tests, undergo the prescribed treatment with special antibacterial and other drugs.

Becomes getting into the urethra of pathogens of a bacterial, viral or fungal nature.

Pathogenic bioflora causes inflammation, suppuration, severe ass and burning.

The patient experiences pain not only in the urethra, but also in the scrotum, lower abdomen and even in the lower back. Unpleasant sensations are aggravated when going to the toilet, the patient often experiences an urge to urinate, which does not bring relief.

A characteristic sign of urethritis is discharge from the urethra.

They can be plentiful or very slight, have a light yellow, milky white, brownish or bloody tint.

With a protracted form of the disease, the urethra sticks together, crusts appear on the head of the penis, causing irritation and itching.

If left untreated, the disease becomes chronic, in which unpleasant symptoms become less pronounced, but during exacerbations they make themselves felt with severe attacks. Long-term activity of pathogens damages the walls of the urethra, bacteria and viruses cause inflammatory diseases of other organs of the genitourinary system. The disease is highly contagious and sexually transmitted.

Experts distinguish several varieties of the disease. Before proceeding with treatment, it is important to accurately determine the nature of the ailment.

Urethritis is divided into 2 large groups. They get into one. The cause of the disease can be an injury to the urethra, an allergic reaction, or reduced immunity.

A larger group is infectious urethritis. They occur against the background of sexually transmitted diseases: gonorrhea, trichomoniasis, genital herpes. This group also includes tuberculous urethritis. With attention to one's own health, it is impossible to miss the alarming symptoms, depending on the nature of the disease, they appear on the 3-7th day.

Home treatment: is it possible?

The main tasks in the treatment of urethritis are to eliminate the causative agent of the disease and restore the tissues of the urethra. Only a doctor of the appropriate qualification can cope with a venereal or tuberculosis infection. The issue of hospitalization is discussed on an individual basis, depending on the condition of the patients, the stage of the disease and a number of other reasons.

Urethritis of the infectious group is treated on an outpatient basis, the patient receives a course of antibiotics in tablets or injections. The drugs are able to destroy pathogenic bacteria, eliminate inflammation and prevent recurrence of the disease.

You cannot self-medicate. With the wrong selection of drugs, the acute phase can turn into a chronic one, which requires a longer and more complex treatment.

The doctor selects the necessary funds, he also calculates the course and dosage.

For a successful recovery, a complex of means is needed, including oral preparations and means for external exposure.

Therefore, before treating urethritis at home, a consultation with a specialist is required!

You can use them at home, it is important to be on time for examinations and strictly follow the doctor's instructions. If necessary, the specialist will supplement the therapeutic regimen, replace an ineffective drug or a drug that gives negative side effects.

Choice of medicine: the right therapeutic complex

The choice of drugs depends on the nature of the disease. Acute urethritis of a non-infectious nature and any variants of bacterial infections are treated with antibiotics, selecting them according to the type of pathogen.

Chronic non-infectious urethritis requires a combination of immunostimulants and antibacterial agents, homeopathic preparations give a good effect.

Treatment must be supplemented with balanced vitamin complexes that restore the body's natural defenses.

Antibacterial drugs

The choice of antibiotics depends on the type of infection.

With gonorrheal urethritis, drugs of the tetracycline, cephalospoline, erythromycin group are prescribed.

With complicated acute urethritis, 2 drugs can be used at once, for example, Gentamicin and Azithromycin.

Microplasma or gardenella urethritis requires the use of macrolides (eg Claritomecine) and tetracyclines (Doxycelin). With chlamydial urethritis, Azithromycin helps, which is supplemented with immunostimulants and vitamin complexes.

Viral urethritis is not treated with antibiotics.

It is advisable to use a complex of specialized antiviral drugs: Riboverin, Acyclovir, Famciclovir.

For external treatment of affected areas, antibacterial aqueous solutions are used: Miramistin, Chlorhexilin and their analogues.

The preparations are suitable for washing, lotions, douching.

Immunostimulants

Strong antibiotics suppress not only pathogenic microflora, but also beneficial bacteria. Complex immunomodulators will help restore the body's defenses. They are taken after a course of antibiotics along with vitamins. The task of immunostimulants is to accelerate tissue regeneration, improve blood flow, stimulate the production of red blood cells, and accelerate lymph outflow.

The choice of drug depends on the doctor.

Among the most popular means are Betaleukin, Ronoleukin, various interferons. The drugs are available in the form of capsules, tablets, solutions for injection.

Homeopathic preparations

In the chronic form of the disease, patients may be prescribed hormonal drugs.

Tablets, dragees and granules based on medicinal plants are well tolerated by the body, have a minimum of contraindications and are combined with other drugs.

Homeopathic medicines can relieve swelling and inflammation, soothe pain and burning, and facilitate the excretion of urine.

Among the popular remedies are Cyston, Canephron, Fitolizin and other drugs.

Vitamin complexes

These drugs can only be taken after taking antibacterial agents, as some macronutrients reduce the effectiveness of antibiotics.

The vitamin course lasts 2-3 months, after six months it must be repeated.

Folk remedies and methods

Tested folk recipes that stimulate urination, prevent inflammation, and increase the body's defenses will help supplement the drug regimen. Patients are recommended decoctions of medicinal herbs: lingonberry, raspberry and currant leaves, bear's ears, nettle, chamomile, yarrow, shepherd's purse, wheatgrass roots, linden blossom.

To prepare a decoction, a handful of dried or fresh raw materials is brewed with a liter of boiling water and infused warmly. Infusions and decoctions are taken before meals, a single dose is 100 ml.

Useful washing of the affected areas with a decoction of chamomile, oak or willow bark, stinging nettle. To enhance the effect, external procedures should be combined with taking the decoction inside.

Right lifestyle

A very important point is the observance of a balanced diet. It is recommended to exclude fast food, smoked meats and pickles, canned food, sausages from the menu. Hot spices and seasonings. Food should be cooked in the oven, double boiler or microwave, refusing to fry in a pan or deep-fry. Food should not irritate the gastrointestinal tract and provoke inflammation.

Foods rich in sodium, potassium, calcium, magnesium and iodine will help speed up recovery: fresh vegetables and fruits.

Seafood, seaweed, dairy products. A complete source of protein will be poultry meat and sea fish.

The menu includes natural diuretic and anti-inflammatory products: fresh berries, watermelons, melons, zucchini, cucumbers, jelly and fruit drinks from cranberries, lingonberries, raspberries, black currants.

It is necessary to abandon foods that retain fluid in the body and drinks with caffeine, which can provoke an exacerbation of the disease.

During treatment, alcohol in any form is strictly prohibited; quitting smoking will speed up recovery and help avoid complications.

During home treatment of urethritis in men, the patient should lead a measured life, avoid stress and overexertion, and rest as much as possible. Refusal of sexual intercourse is recommended, since urethritis in any form is very contagious. It is necessary to follow the rules of hygiene, take a shower daily, use antibacterial wipes after each visit to the toilet. You should refrain from visiting the gym, bath or pool.

Treating urethritis at home can bring very good results. In order for the therapy to be effective, it is important to observe the daily regimen, follow the doctor's instructions and in no case interrupt the treatment course.

Urethritis is an inflammation of the urethra, in women it often occurs with minor symptoms, so there is a prejudice that it is not necessary to treat it with medications. And you don't even need to go to the doctor. Sit in a basin with potassium permanganate, everything will pass.

We will not persuade anyone. Let's present reliable data why the treatment of urethritis in women is considered by physicians as any disease that is harmful to health. It is proved that after a certain period of time urethritis contributes to:

• the transition of inflammation to the bladder and kidneys (cystitis, pyelonephritis);
• infection of the appendages and uterus;
• becomes the cause of female infertility, because it violates the patency of the fallopian tubes;
• ectopic pregnancy.

These threatening problems force the attending physician to offer patients different ways to get rid of urethritis.

When should treatment be started?

You need to see a doctor immediately after identifying unpleasant symptoms: pain and pain when urinating, the appearance of blood in the urine, itching in the external genitalia.

The doctor will definitely prescribe the necessary examinations. They are needed to identify the specific cause of the disease, its infectious agent. After receiving the results, optimal anti-inflammatory drugs can be prescribed.

General recommendations should be followed immediately, after receiving detailed instructions from the doctor.

Tips are:

• exclusion from the diet of hot spices, pickles and marinades, smoked foods, all types of alcohol;
• additional consumption of fresh fruits, juices without preservatives and sugar, multivitamins (to support immunity);
• cessation of wearing synthetic underwear, slimming trousers, belts (cause stagnation in the pelvic organs);
• increasing the daily volume of water you drink up to 1.5–2 liters;
• reduction of physical effort, load, a break in fitness classes;
• enhanced prevention of hypothermia.

Do I need to inform my husband or sexual partner?

For the period of treatment, you will need to give up sexual activity. In women, it is impossible to treat urethritis without the simultaneous sanitation of the sexual partner. Practice shows that the most common pathogens are sexually transmitted microorganisms (gonococci, Trichomonas, chlamydia and others).

It is not possible to conduct an investigation on the topic “who infected whom”, urgent measures are needed. The man suffers even more than the woman. A smart person will understand everything without complaints, because the only thing is which of the partners will be the first to go to the doctor and be examined.

What medicines are used in the treatment?

Urine and urethral smear tests allow not only to identify the causative agent of the disease, but also to find out by bacteriological seeding to which antibiotic it has sensitivity, and to which resistance has already formed. It will take about a week of additional time. It is more rational to start therapy with broad-spectrum antibiotics. They are able to deal with several groups of pathogens at once. The most effective for nonspecific urethritis are:

• semi-synthetic penicillins;
• group of macrolides;
• cephalosporins.

Depending on the severity of clinical manifestations, the doctor selects the dosage, method of administration (tablets, injections). Consideration should be given to the predisposition to allergic reactions to medications, concomitant chronic diseases. A course of antibiotics usually lasts five to ten days.

Women should be warned about such a mistake as stopping treatment on their own, changing the dose or increasing the duration of therapy. This cannot be done, because infectious pathogens adapt to the drug, form their protective forms and become resistant to destruction.

Own illiterate choice of antibiotic before bacteriological examination complicates the subsequent diagnosis and recognition of the infection. In such cases, curing urethritis becomes more difficult. Tell the doctor which drug has already been used to avoid unnecessary repetition.

Specific types of the disease require the appointment of other antimicrobial agents:

• If urethritis is caused by yeast-like fungi, antifungal drugs are used, all antibiotics are canceled.
• If a mycoplasma infection is detected in the analysis, agents from the group of macrolides, imidazole derivatives are indicated.
• With chlamydia - it is necessary to combine antibiotics with a low dose of corticosteroids.
• In the case of trichomonas infection, a specific drug Trichopolum (Metronidazole) is used.
• Herpetic urethritis - treats the antiviral agent Acyclovir and its analogues.

If the patient takes alcohol during treatment with Trichopolum, then a reaction in the form of a collapse is possible (the drug is sometimes used in the treatment of alcohol dependence)

In practice, there are cases of simultaneous presence of a combined infection of fungi, Trichomonas and bacteria. Therefore, in the treatment it is necessary to change antibiotics, prescribe two drugs at once, alternate courses.

If the woman's condition is satisfactory, the body temperature is normal, then the treatment can be carried out at home. At elevated temperature, the threat of spread to the upper urinary tract or genitals, inpatient therapy is offered. Currently, polyclinics have day hospitals and treatment rooms where a patient can be referred.

A woman will feel the effectiveness of the use of medicines on the third day after the disappearance of pain during urination, burning and itching.

How is a gonorrhea infection treated?

Gonorrheal urethritis is within the competence of venereologists. It is important to consider the lack of immunity formation after a single case of gonorrhea. A woman can become infected again and get sick in a more severe form.

The patient will be referred to the dermatovenerological dispensary. The general requirements for nutrition and regimen do not differ from those given above.

The prevalence of gonorrhea and the independent rash use of antibiotics has led to an increase in cases of primary resistance of gonococci to penicillin drugs. Therefore, the best efficacy is observed with the simultaneous use of fluoroquinolones and cephalosporins.

• washing the urethra with solutions of Collargol, silver nitrate;
• cauterization of overgrown granulations with concentrated silver nitrate.

The course of treatment lasts from seven to ten days. The cure must be confirmed not only by the usual laboratory analysis, but also by a provocative test. Apply one of the following:

• the introduction of Pyrogenal intramuscularly;
• gonovaccine;
• heating with inductothermy;
• intake of alcohol and fatty foods.

After provocation, urethral smear tests are examined for three consecutive days

If gonococci and leukocytes are not detected, then a month later the last control study follows by bacterioscopy and cultures on the media. The absence of pathogenic flora indicates a complete cure.

Types of local treatment

Local treatment significantly helps to relieve the unpleasant symptoms of urethritis, leads to recovery faster. The most acceptable antiseptic is the drug Miramistin in the form of a spray. It is recommended for application to the area of ​​the urethral outlet twice a day. The course will take 10 days. Some women experience a slight burning sensation.

Anti-inflammatory and antiseptic properties are possessed by folk remedies in the form of decoctions of herbs taken orally, added to baths. Plants with a moderate diuretic effect are recommended for drinking. They “wash” the urinary organs and “carry out” microorganisms. Decoctions are brewed in the form of tea, taken 2-3 times a day. You can create a renal combination using:

• birch buds;
• shepherd's bag;
• knotweed;
• parsley leaves;
• juniper berries.

For douching and baths can be used:

• chamomile and calendula flowers;
• celandine.

The broth is brewed in a thermos overnight, filtered and added to warm water for a sitz bath. A woman should take it until it cools down. Usually 10 sessions are recommended. Medicinal decoctions are added to the solution for washing, douching, vaginal tampons.

Antibacterial and antifungal agents are made in the form of vaginal suppositories. They are most effective when combined with urethritis colpitis (inflammation of the vaginal mucosa). Apply at night.

The best effect is observed if the woman first takes a bath, then, in the supine position, deeply inserts the candle into the vagina

A mandatory option for therapy with vaginal suppositories is the use of probiotics. This is a "kit" of normal bacteria that inhabit the lower urinary tract and vagina and fight infection. Apply after a course of antibiotic treatment during the restoration of the flora.

In the chronic course of urethritis, women, in addition to anti-inflammatory therapy, are prescribed immunomodulators, agents that enhance immunity. These include:

• special candles;
• taking ginseng tinctures;
• lure;
• lemongrass;
• aloe;
• bioadditive Transferfactor.

Use of physiotherapy methods

Physiotherapy methods help relieve inflammation by:

• direct negative effect on pathogenic microorganisms;
• relaxing the smooth muscles of the urethra and relieving painful symptoms;
• activation of general and local mechanisms of self-defense.

The inclusion of physiotherapy in the treatment regimen for urethritis is considered as the standard of care.

The vaginal nozzle is effectively used to bring the laser beam to the area of ​​inflammation

The following methods are effective:

• medicinal electrophoresis - increases the concentration of antimicrobial agents and antiseptics directly in the lesion by 1.5–2 times;
• galvanotherapy against the background of taking pills or injections allows you to create a depot closer to the urethra.

The duration of the procedures is 20 - 30 minutes, up to 10 sessions are assigned per course.

• Infrared Laser Therapy- the beam is directed to the projection area of ​​the urethra on the anterior abdominal wall. Access through the paravertebral lumbosacral points is also used. Intracavitary laser irradiation using a special nozzle is more suitable for the treatment of men. The procedure lasts about 5 minutes daily, 8-10 sessions are enough for a course.
• Thermomagnetotherapy- has a local warming effect at a depth of up to 5 mm. This allows you to sanitize the urogenital area and create more favorable conditions for local drug therapy. Special devices gradually raise the local temperature to 45 degrees. It is possible to use rectal heating, a combination with laser therapy, electrophoresis.
• UHF-therapy - helps to relieve muscle spasm.
• Intravenous blood irradiation with a laser beam- is considered one of the modern ways to activate all body systems. Known for its analgesic effect, desensitizing (with allergic urethritis), antibacterial, decongestant.
• Ozone therapy - irrigation is carried out with an ozone-oxygen mixture using a special ozonator. The strong oxidizing action of ozone is used, which can kill bacteria and viruses.

The irradiation mode is chosen as sparing or training

Physiotherapy may be contraindicated in the presence of concomitant diseases (tumors, hypertension). If the patient has urethritis when referring to sanatorium treatment, then all physiotherapy procedures will have to be abandoned. Balneological baths, mud therapy at the time of exacerbation are categorically contraindicated.

With secondary chronic bacterial urethritis caused by diseases of the kidneys, gynecological organs, the question of the use of natural sources in therapy will be determined by the doctor of a particular sanatorium.

How to confirm the cure?

Despite the absence of complaints from a woman, to determine the final recovery, it is necessary to undergo a control examination.

Urine tests, a smear from the urethra are prescribed. With non-gonococcal urethritis, one control study is sufficient. If no pathogenic flora is found in it, the woman is considered healthy. In the case of determining the remnants of pathogens, the course of treatment continues, the means change. The required dosage of drugs is again selected.

Urethritis treatment for women should not be delayed. The threat of chronicity is accompanied by complications, disrupts the functioning of the reproductive organs, endangers family members.

Content

Urethritis is an inflammation of the urethra that can be caused by various factors. It affects men and women, but the former causes much more discomfort - the male urethra reaches a length of twenty-four centimeters, while the female - only four. How is urethritis treated in men, what are the causes of the onset of the disease and its symptoms?

What is urethritis in men

Urethritis in men is an inflammation of the urethra, the passage through which urine passes. The reasons for its appearance are infection or mechanical injury. Infection occurs during sexual intercourse if the partner has an STD due to poor hygiene. Injuries appear due to medical procedures, urolithiasis. Often, the disease develops after hypothermia, when immunity decreases and pathogenic microorganisms become more active. Possible complications: inflammation of the prostate gland, testicles, infertility.

Symptoms and signs

Attentive attention to the symptoms of the disease will help to avoid long-term treatment, to prevent its development. Main features:

• Itching, sharp pain during the release of urine, burning.
• Discharges that are mostly foul-smelling.
• Hyperthermia is occasionally observed.

The incubation period after which the symptoms of the disease appear depends on the type of disease and ranges from several hours (allergic) to several years (tuberculous). An experienced specialist will prescribe the necessary tests to determine which species struck the man’s body and provide the necessary treatment.

Diagnostic methods:

• Blood test.
• Urinalysis for leukocytes.
• Research on venereal diseases.
• Determination of the sensitivity of the pathogen to antibiotics.
• Ultrasound of the pelvic organs.

What is dangerous, complications

If proper treatment of acute urethritis in men is not prescribed, the disease can become chronic, which can cause serious complications in patients. For example, prostatitis, in which the prostate gland becomes inflamed, inflammation of the seminal vesicles, testicles, narrowing of the urethra.

How to treat

Timely treatment will help to avoid possible complications. It is carried out with the help of various drugs - antibiotics, antiseptics, antioxidants, immunotherapy, vitamins, immunomodulators, topical agents. The dosage is prescribed by the doctor. It is important to observe proper nutrition, give up alcohol and cigarettes.

Antibiotics

A course of antibiotic therapy is prescribed after examinations: external examination, blood, urine, smear. Then the type of urethritis, the pathogen that provoked it, is determined. In the treatment, the use of common antibiotics is excluded, since the sensitivity of the bacterium to the drug depends on its strain. What antibiotics are used for treatment?

Antibiotics of the nitroimidazole group:

• Metronidazole. An antimicrobial agent that promotes the destruction of protozoan cells disrupts the synthesis of DNA of microorganisms, which contributes to their death. The drug is effective for trichomonas urethritis, is available as a solution for injection, in the form of suppositories, tablets. Adverse reactions are possible: nausea, abdominal pain, headache, diarrhea, allergic reactions, anorexia, unpleasant taste in the mouth, dryness, urinary incontinence, change in its color.

The drug is contraindicated in leukopenia, organic lesions of the nervous system, with renal failure, allergies to the components that make up the composition.

• Secnidazole. It provokes the death of the pathogen cells, is effective in the fight against Trichomonas bacteria. Available in the form of granules, which must be dissolved before oral administration. May cause side effects: nausea, diarrhea, bad taste in the mouth, stomatitis, leukopenia, allergic reactions, dizziness, ataxia. Contraindicated in blood diseases, CNS lesions, allergies to the drug.

Tetracycline groups:

• Doxycycline. Suppresses protein synthesis by microorganisms. Helps in the treatment of gonococcal and non-gonococcal urethritis. Release form: capsules, tablets, injection solution, oral solution. May cause digestive disorders, as well as anemia, thrombocytopenia, allergic reactions.

Fluoroquinolones:

• Moxifloxacin. Suppresses the activity of microorganisms, effective against a variety of pathogens. It is prescribed for a wide range of diseases, as well as during the treatment of male urethritis. Exists in the form of a solution for infusion and tablets. Common adverse reactions: abdominal pain, dyspepsia, dizziness, headache, change in taste. Contraindications: epilepsy, hypersensitivity, severe diarrhea, age under eighteen.
• Ofloxacin. Destabilizes the DNA of infectious pathogens, affects many bacteria. The drug is prescribed during the treatment of any type of urethritis. The dosage form is a capsule. Possible side effects: disorders of the digestive, nervous system, taste, hearing, smell, allergic reactions. Contraindicated in children under 18, during epilepsy, after traumatic brain injury, stroke, if there is an allergy to the drug.
• Levofloxacin. Suppresses DNA synthesis of many microbes. Release form: tablets, solution for infusion. Possible unpleasant reactions: disorders of the digestive system, decreased pressure, hypoglycemia, disorders of the nervous system, disturbances in the functioning of the sense organs. Contraindications: epilepsy, age under 18, tendon damage after treatment with quinolones.

Triazoles:

• Fluconazole. An agent that destroys the fungus helps during the treatment of candidal urethritis. Release form: capsules, tablets, solution for oral administration and infusion, syrup. Side effects: nausea, flatulence, taste changes, dizziness, headache. Learn more, .

Contraindicated when taken simultaneously with terfenadine, astemizole.

Quinoxalines:

• Dioxidine. An antibacterial agent that helps when other medicines are ineffective. Available as an ointment, aerosol, solution for injection, external, intracavitary use. Reactions are possible: allergy, after intravenous or intracavitary exposure, disorders of the digestive system, fever may occur, after topical application - dermatitis. Contraindications: adrenal insufficiency, allergy to the drug.

Macrolides:

• Erythromycin. The antibiotic blocks the synthesis of proteins of microorganisms, which leads to their destruction. One of the safest and most effective remedies that is used during the treatment of male urethritis. It is taken intravenously and orally. Side effects - digestive disorders, tinnitus or hearing loss. Contraindicated if the patient has a significant hearing loss, as well as when used together with terfenadine, astemizole.
• Clarithromycin. An antibiotic derived from erythromycin with a stronger antibacterial effect. It is taken orally. Side effects: disorders of the digestive system, systems. Contraindicated in children under 12 years of age, with allergic reactions to the drug.

Azalides (macrolide derivatives):

• Azithromycin. Suppresses protein synthesis of pathogens, has cellular and extracellular effects. Helps during the treatment of gonorrheal, non-gonorrheal urethritis. Common side effects: digestive system disorders - diarrhea, nausea, abdominal pain. Contraindications: hepatic, renal failure, hypersensitivity.

At the moment, macrolides are used to treat various types of urethritis - one of the safest means. Previously, antibiotics of the penicillin group, for example, bicillin, were often prescribed, but due to the development of resistance to it by many microorganisms, it is prescribed in exceptional cases.

Tablets

Antihistamines will help to avoid allergic reactions, remove possible side effects:

• Tavegil. Has a long lasting effect. Helps with various types of allergic reactions of the body. You need to drink the drug twice a day - in the morning and in the evening. Possible side effects: nausea, headache, dry mouth. Contraindicated in children under one year old, when taking MAO inhibitors.

Medicines that restore the gastrointestinal tract are also useful:

• "Yogurt". It normalizes the intestinal microflora, improves the digestion process, and is useful for the prevention of dysbacteriosis. It is taken simultaneously with antibiotics, which negatively affect the body. You need to consume two to five tablets per day, with food, for several weeks. In order not to reduce the effectiveness of the antibiotic, the breaks between doses should be at least one and a half hours.

Vitamins:

• Vitamin B, the drug "B Complex" from "Biotek". Improves cellular metabolism, useful in complex therapy and men. Take one tablet daily with food.
• Vitamin PP or nicotinic acid. Helps in the treatment of infectious diseases. It should not be taken by hypertensive patients, allergy sufferers, and diabetics.

Other medicines

With urethritis, complex therapy is used, therefore, during treatment, as a rule, several types of drugs are prescribed at once.

Immunomodulators:

• Polyoxidonium for injections. It helps the body cope with infectious diseases. It is prescribed as injections of 6 mg daily for three days, then a day break, and again taking the drug. From five to ten injections of the drug are carried out.

Antiseptics for washing:

• methylene blue. The disinfectant is used as a 0.02% solution with water.
• Hydrocortisone. If the entire urethra is affected, installations with this drug are used.

Antiviral ointment:

• Acyclovir. Topical ointment, which will be especially effective in treating if a man suffers from herpes urethritis. Apply to the affected area five times a day, take from five to ten days.

Observance of preventive measures will help to avoid such serious treatment - reducing the frequency of sexual intercourse with unverified partners, using condoms, constant thorough hygiene, a diet that excludes food that irritates the mucous membrane, drinking at least one liter of water during the day.

Treatment with folk remedies

• Cranberry. The juice from this plant will help the body fight inflammation, prevent the formation of stones, which is useful for urethritis in men caused by urolithiasis.
• Black currant. Three tablespoons of the leaves of the plant must be poured with two cups of boiling water, insist. Take twice or thrice throughout the day. It is useful to make decoctions, compotes from the berries of this plant.
• Parsley seeds. Pour a teaspoon of seeds with one liter of cool water, strain after eight hours. Tincture should be consumed three times a day, three tablespoons.

Species

Depending on the causes of urethritis, it is divided into specific and nonspecific. The first type of disease is caused by infections that are transmitted during sexual intercourse (pathogens - gonococcus, herpes, ureaplasma, trichomonas, chlamydia, mycoplasma, gardnerella). The emergence of a non-specific species is facilitated by a violation of the microflora caused by a fungus, staphylococci, streptococci, Escherichia coli. Let's take a closer look at the different types of diseases.

Trichomonas

Trichomonas urethritis is caused by Trichomonas bacteria, which are sexually transmitted and can cause acute irritation. With the active influence of the pathogen, whitish or transparent discharge may appear from the glans penis. Patients experience classic symptoms, as well as a sensation of "goosebumps" in the genital area.

Bacterial

The bacterial species is classified as a nonspecific variety of the disease. The pathological process is caused by various microorganisms, mainly chlamydia, streptococci, E. coli. Inflammation of the urethra is accompanied by purulent discharge.

candida

Candidal or mycotic urethritis is a rare occurrence. It can appear in men who have a disease such as diabetes, or have undergone long-term treatment with antibacterial agents. This species is characterized by cheesy white or watery discharge, mild symptoms. May be complicated by prostatitis.

non-specific

Nonspecific urethritis is a disease that was caused by a pathogen other than specific bacteria (herpes, chlamydia, etc.), or several microorganisms at once. Now this area is not well understood, doctors are only looking for specific causes that cause this type of disease. It could be an allergic reaction, prostatitis.

Acute gonorrheal

Gonorrheal urethritis in men is a sexually transmitted disease that manifests itself as a result of infection with gram-negative diplococci. They not only affect the urethra and contribute to its inflammation, the mucous membranes of the genitourinary system are also infected. Gonorrheal urethritis is characterized by redness of the urethral outlet, purulent discharge, induration on the head, acute pain, burning.

Gonococcal

Gonococcal urethritis may be asymptomatic or characterized by pus that is released from the urethra, swelling of its outlet, hyperemia. An asymptomatic course is dangerous - it can serve as a further infection of sexual partners. Therefore, men who have frequent sexual intercourse with different women should be regularly examined.

Non-gonococcal

Non-gonococcal urethritis in men can be caused by various microorganisms, but chlamydia is in the first place. Also, the appearance of the disease can be triggered by herpes, Escherichia coli. This is one of the most common types of the disease.

gardnerella

Gardnerella bacterial urethritis has been little studied by doctors, because it occurs in a man almost asymptomatically and can go away on its own, but sometimes causes complications - couperitis, epididymitis.

Fungal

One of the most common causes of fungal urethritis is the entry of pathogens into the body of a man during intercourse. This contributes to a decrease in immunity. Symptoms - watery whitish discharge, "curd" plaque.

rear

With posterior urethritis, the inflammatory process occurs in the membranous and prostate glands. Symptoms of this type: cloudy urine, bloody discharge, increased urge to urinate, severe pain at the end of urine output.

Video

Treatment of the disease can be quick and easy if you seek help in time. At the first suspicious symptoms, go to an appointment with a urologist, who will determine the cause of concern and prescribe treatment.

Attention! The information provided in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment, based on the individual characteristics of a particular patient.

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Urethritis is an inflammatory process that affects the walls of the urethra. The disease occurs frequently, equally in women and men. Diagnosis is not difficult.

How to relieve the symptoms of urethritis? Treatment of the disease depends on which pathogen caused it. Ignoring the symptoms can lead to the pathology turning into a chronic form of development, and the infection will begin to move to other tissues and organs.

The main reason for the development of the disease in men and women is the penetration of the infection into the urethra and its further development.

The most common causes of urethritis are:

1. Infection can occur through unprotected sexual contact. This reason often concerns those who do not have a permanent sexual partner, do not use a condom.
2. Bladder disease can cause urethritis. With the development of the inflammatory process, the bladder is not completely emptied, urine stagnates, pathogens begin to multiply, and urethritis occurs.
3. Injury to the urethra during any medical procedure. So, for example, damage can occur during cystoscopy, bougienage, and so on.
4. Allergy to certain foods, drugs, and other substances that enter the body. If there is a tendency to develop allergies, then it is the urethra that can respond to inflammation, especially if there are concomitant factors.
5. Neglect of personal hygiene rules. Despite the fact that it is already the 21st century, doctors still continue to diagnose cases when non-compliance with the rules of intimate hygiene becomes the cause of the development of urethritis.

But, even having protected themselves from the elementary causes of the development of the disease, many people still become its victim. In everyday life, there are other risk factors in which infection occurs.

The following can be attributed to them:

1. Hypothermia of the body. This can happen after a long stay on the street, in the absence of warm clothes, work in hazardous industries, and so on.
2. Unconventional sex.
3. Insufficient fluid intake. The natural process of removing fluid from the body will be disrupted.
4. Bad nutrition. This concerns the abuse of spicy, fried, salty foods, as well as bad habits.

You can learn more about the causes of the development of the disease from your doctor.

Symptoms of the disease

Signs of the disease are simply impossible to miss, the first thing that begins to bother a person is severe pain when urinating. To prevent further development of the disease, you should seek help from the hospital at this stage.

Otherwise, in addition to unpleasant symptoms and pain, purulent discharge will join. In rare cases, the opening of the urethra can become very inflamed.

Other specific signs of urethritis:

1. In the advanced stage, severe inflammation of the urethra occurs. Symptoms may resemble the development of prostatitis. If left untreated, after a while, the symptoms may disappear, but serious complications will appear in the future.
2. You can determine acute urethritis by burning and pain when urinating.. There is swelling, the urethra becomes red. Abundant discharge from the urethra.
3. The acute form of the disease becomes subacute. Allocations at this stage may disappear, urine becomes transparent in color. You can observe the selection of purulent threads.
4. If left untreated, the subacute form will turn into a chronic form.. Neurotic phenomena appear, insignificant discharge from the urethra. With hypothermia or sexual arousal, the disease worsens.

As mentioned above, the symptoms of urethritis can be confused with prostatitis. Pain and difficulty urinating may be present in both disorders. That is why it is forbidden to engage in self-diagnosis and self-treatment.

Many patients who decide to seek help in the hospital do not know who exactly they need to go to: a urologist or a venereologist. A venereologist should go to those who lead a promiscuous sex life. If the patient has a permanent sexual partner or he is absent at all, then the first doctor to visit is a urologist.

Types of urethritis

The disease is divided into two groups - infectious urethritis and non-infectious. In the first case, several microorganisms can provoke pathology. Below we consider the main types of infectious urethritis.

Bacterial

After nonspecific pathogenic bacterial flora enters the urethra, bacterial urethritis may begin to develop.

Bacterial urethritis can be divided into several groups:

1. Primary - there are chronic and acute forms. The acute form is asymptomatic, there is no strictly defined incubation period. You can observe the release of pus and mucus from the urethra. When you try to go to the toilet, itching and burning are observed, the urethral mucosa and the external opening may swell.
2. Secondary. It develops due to the presence of an inflammatory process in any infectious disease. The form flows long and in a latent form. In the morning, pus may be discharged from the urethra, pain when urinating.

Before prescribing treatment for bacterial urethritis, it is necessary to determine how sensitive the bacteria are to a particular drug. If there is a concomitant disease in the form of cystitis, the treatment will be complex, may include physiotherapy. The video in this article explains in more detail how this form of the disease develops.

gonorrheal urethritis

The causative agent of the disease is gonococcus, it enters the body of a healthy person through unprotected sexual contact. Infection can also occur through household items that are in common use.

A venereologist deals with the treatment of such a disease. After therapy, the patient is given a kind of provocation, at certain intervals it is checked. Immunity to the disease after the treatment is not developed, which is why you can face re-infection.

candidamicotic urethritis

The type of disease is rare. It occurs because yeast fungi infect the urethra.

In most cases, this is the result of long-term use of antibiotics. You can also become infected through sexual contact. Clinical symptoms may be absent, but burning and itching during urination may be present.

Viral urethritis

The development of pathology is promoted by the urethroconjunctivitis virus. It can multiply rapidly in the urethra, vagina, and cervix. At the same time, an inflammatory process begins to develop on the corresponding organ.

The infection can be transmitted through sexual contact. The pathology proceeds sluggishly, vessels can be affected. Often there are difficulties in treatment.

Trichomonas urethritis

The form of the disease is distinguished by appearing white spots with foam from the urethra. Mild itching may be present. The incubation period is up to two weeks. A possible complication is trichomonas prostatitis. In 20% of cases, unpleasant consequences occur.

Diagnostics

Diagnosis of urethritis takes place in several stages, they include the following:

1. Questioning the patient, as well as analyzing the information received. The specialist is interested in what worries the patient, when the first symptoms were noticed, and also when the last sexual intercourse was.
2. Urological examination - conducted by a gynecologist or urologist. The urethra is examined, as well as the nature of the discharges present - scanty or abundant, with or without a smell, they are viscous or liquid. You should examine the external genitalia, whether there are erosions, rashes, plaque, etc. on them.
3. A swab is taken from the urethra, sent for sowing to a nutrient medium, and the cell composition is examined under a microscope. With the development of trichomonas urethritis, actively moving flagella can be seen in fresh secretions.
4. Ureteroscopy is an instrumental examination method. A thin probe with fiber light guides is inserted into the urethra, this allows you to see the walls of the canal, as well as the degree of its narrowing. In the acute phase of the disease, such an examination is prohibited.
5. Urethrography - an X-ray contrast agent is injected into the urethra, after which an X-ray examination is performed.
6. traditional analyses. A biochemical analysis, a general blood test, a urine test are taken.
7. PCR diagnostics is a fast and accurate research method.
8. Ultrasound examination of the pelvic organs - in women, the condition of the ovaries, uterus and bladder is monitored, in men - seminal vesicles, prostate gland, bladder.

After evaluating all the data from the examination passed, a diagnosis is made. Treatment is prescribed individually for each patient, taking into account the stage of development of the disease, age and other things.

Treatment Methods

Treat the disease with antibiotics. The drug is selected by the doctor, depending on the pathogen and the severity of the disease. In the acute form, broad-spectrum antibiotics are prescribed, after which drugs to which sensitivity has been identified are prescribed.

Therapy, depending on the form of the disease, may be as follows:

1. Macrolides, fluoroquinols, cephalosporins are prescribed.
2. gonorrheal urethritis- ceftriaxone, cefacor. Those antibiotics to which chlamydias and gonococci are sensitive are taken.
3. Trichomonas urethritis- suppositories iodovidone, trichopol are prescribed.
4. Candida urethritis clotrimazole and fluconazole.
5. Chlamydial urethritis- macrolides and tetracyclines are used for treatment.
6. Antiviral drugs are prescribed to treat viral urethritis.

In order to reduce the inflammatory process and relieve reactive edema, it is recommended to use non-steroidal anti-inflammatory drugs, for example, suprastin, aspirin, no-shpa.

Other therapies to treat the disease:

1. Immunostimulants and probiotics are necessary in order to activate the body's natural defenses.
2. Biostimulants - homeopathic remedies or aloe. They are used only during exacerbation of the chronic form, as a result of which the body's resistance increases.
3. Enzyme therapy - it is recommended to take enzymes under the action of which proteins will be broken down. It has an immunomodulatory and anti-inflammatory effect.
4. Local therapy - liquid medicines are injected into the urethra. The procedure is allowed strictly in a medical institution.
5. Bougienage.
6. Physiotherapy. Medicinal baths are taken, electrophoresis with antibiotics is done.

Interesting! Alternative medicine can complement the main treatment.

In order for the treatment to be successful, you should drink as much liquid as possible, eat a lot of fruits and vegetables. If diuretics were prescribed, then potassium will be excreted from the body, which is why its deficiency should be replenished with raisins, dried apricots, and prunes.

The photo below is an example of how the treatment is carried out.

Most patients are treated at home, only those who develop an acute form are hospitalized. As for such manipulations as bougienage, instillations and injections, they are carried out in a hospital.

Prevention

In order to avoid the development of the disease and prevent its recurrence after treatment, simple recommendations should be followed:

1. During sexual intercourse, you should use contraceptives.
2. Follow the rules of personal hygiene. If sexual intercourse without a condom took place, you should immediately go to the toilet and wash the genitals with plenty of water and liquid soap. In the first two hours after this, it is recommended to treat the genitals with an antiseptic solution.
3. In no case should hypothermia be allowed.
4. Several times a year, you should visit the hospital and undergo a preventive examination.
5. You can't have sex with strangers.

More detailed instructions for maintaining a proper lifestyle are issued by a doctor. It should be remembered that the missing treatment can lead to numerous consequences, and treating them is much more difficult than the disease itself.

Frequently asked questions to the doctor

Hypothermia and urethritis

Not so long ago, I was very cold, tell me, can urethritis occur because of this?

Hello, yes, hypothermia is one of the factors due to which the disease develops. But it is worth noting that the disease itself is caused by bacteria, and hypothermia is just a provoking factor.

Burning

Sometimes I am faced with the fact that after sexual contact there is a burning sensation in the urethra, tell me what it could be?

Burning is a symptom of irritation of the mucous membrane in the urethra. If after a few hours it passes, then there is nothing to worry about, if not, perhaps this indicates urethritis.