The inflammatory process in the urethra – urethritis, often strikes young men. The disease is not independent, it must be treated. But it is important to differentiate infectious urethritis and its symptoms in men symptoms of non-infectious nature. The result of the treatment is dependent on correct and timely diagnosis.
The difference urethritis in men symptoms and treatment due to the type of pathogen, the stage of the process, underlying medical conditions. Relying on the cause of the inflammation, there are two groups.
Infectious urethritis caused by specific types of micro-organisms:
Noncommunicable urethritis, a phenomenon which is not related to the introduction of pathogens, as follows:
For the duration of the course there are acute and chronic processes, each of which has its stages of development and clinical picture.
Acute urethritis in men occurs in three stages:
Chronic process has two distinct phases:
Symptoms of urethritis in men and the causes are closely related.
Non-infectious causes of disease, which are associated with stagnation of urine, lack of flushing the urinary channel in a natural way, a violation of the integrity of the mucosa.
In addition to these causes of urethritis in men, there are factors that weaken the immune system, promotes rapid growth of pathogenic flora:
In rare cases, the disease develops when the prevalence of infection with chronic focus with a current blood or lymph.
Regardless of the causative agent of the symptoms of urethritis in men have more in common. This can occur in a whole or limited to a few of the manifestations that is present continuously or episodically. Normally the inflammatory process is limited to the local symptoms. There is burning sensation and pain when urinating, frequency of urination increases, while the urine becomes muddy colour. In some cases, the detection of blood clots.
In addition to the General signs, there are symptoms specific for a particular pathogen. Often differ in the type and intensity of the choices. Think of how inflammation occurs in the urethra of different etiologies.
It starts badly, develops very quickly. Gonorrhea is an extreme pain in the time urination, intense inflammation, hyperemia, edema of the head of the penis. Due to the large number of pus, the urine becomes muddy colour. For gonococcal infections are characterized by a yellow discharge with blood.
It is characterized by a constant unbearable itching, difficulty with bladder emptying. The procedure is pain and a burning sensation. From the urethra, occurring and the rare grey-white releases, and the semen detected traces of blood.
Chlamydial urethritis in men is often asymptomatic, causing a lot of the risk of its transition in the chronic form. Burning and pain the short-term and a little smaller. The granting of a colorless or with a small amount of pus, scanty, passing quickly.
Candida lose refers to non-specific inflammation and occurs when there is a reduction in the protective forces of the body. It is characterized strongest pruritus, burning sensation, swelling and redness of the head. The allocation of thick, cheesy, white or pinkish-white in color.
Viral urethritis is characterized by weakly pronounced relapsing. With the weakening of immunity can lead to specific rashes around the external opening of the urethra. Acute may be accompanied by General weakness, pain in the joints.
Has a huge difference in the incubation period, the first symptoms may be noticed after 2 – 3 months after infection. Character – purulent discharge from the urethra, and the other symptoms are poorly expressed, is not clear.
In this form of inflammation of the allocation do not exist, but after an injury, may be traces of blood in the urine. When it comes to the stagnation of the violation of urination, in allergic inflammation, the swelling of the fittest.
What is urethritis in males in the chronic form? This is an indolent, almost asymptomatic inflammatory process in which the flow of the disease in the absence of the necessary treatment. It can take many years, with alternating periods of peace and aggravation.
Relapses usually occur after the disease, or prolonged physical and emotional stress. The signs are similar to the acute phase of pain, impaired urination and discharge from the urethra channel, but in a more innocent form. In the absence of appropriate therapy, the manifestations gradually subside, and there is a phase of peace.
In the period of remission, the symptoms disappear, at all, or remind yourself of a slight burning sensation, occasional scanty discharge. The general condition does not suffer from urinary function is not compromised. Despite the clinic, a chronic form of dangerous complications.
Acute inflammation of the urethra can occur in isolation, but in the absence of treatment in the infectious process involved the surrounding organs and tissues. In men, urethritis often goes:
Combined cystitis and urethritis in the male have a single causative agent in 90% of cases, this is E. coli, and infections that are transmitted by sexual contact. Aggravating factors, which include: hypothermia, prolonged stress, serious viral diseases and weakening the immune force.
Acute cystitis in men is manifested as follows:
After identification of the pathogen, the combination of urethritis and cystitis, are treated in the same way. Treatment is to be made by the end of the year, as both diseases are prone to chronic process.
Prior to the decision on how to treat urethritis in men, it is necessary to conduct a survey to identify the pathogen and determine its sensitivity to drugs. Diagnosis begins with history taking and visual inspection.
Take a common blood test to determine the intensity of inflammation the number of leukocytes. Urine for a rental in the morning – first, that flow after a night's sleep. Urine analysis allows to identify the infectious agent, and to carry out an analysis of sensitivity to antibiotics. Discharge from the urethra in men is also subject to bacteriological culture and microscopic examination. All laboratory tests are performed in the background of complete exclusion of antibiotics. In some cases, may require a document review, an ultrasound of the pelvic organs, radiography, endoscopy of the bladder and the urethra.
Treatment of urethritis in men does not require hospitalization and successfully performed on an outpatient basis. The choice of medication depends on the form of the disease and the result of cultures. The main group therapy – antibiotics. Methods of introduction vary and are agreed between the doctor and the patient. Medications that can be taken in tablet form, it is administered by intramuscular or intravenous injection, or delivered directly to the lesion with the catheter. Consider medications for the treatment of urethritis in men, according to the identified pathogen.
In 40% of cases monotherapy with cephalosporin antibiotics. In chronic process is more often assigned to the tetracycline group. Complicated gonorrheal urethritis in males treated with a combination of several groups of drugs.
Antibiotic therapy requires preventive reception of antimycotic drugs. Mandatory assigned immunomodulators and vitamins.
To control the effectiveness of treatment is necessary three times, with a specific time interval, to be tested for the identification of the gonococcus.
To treat this kind of applies a time-tested course taking metronidazole, or once a maximum dose. Displayed when immunostimulatory drugs, and fortified supplements.
How to treat chlamydial infection, determined by the physician based on the result of the bacterial analysis. The best result gives the progress of the treatment and an antibiotic from the tetracycline group. In conjunction with antibacterial prescribed hormonal therapy.
The finding in the urethra in men is a fungal infection requiring antifungal treatment in the form of tablets. Topically used antifungal ointment. Great importance is attached to the immunostimulatory therapy.
The more common infection with herpes simplex virus 1 and type 2. In this case, treatment of urethritis in men drugs antiviral action. There is an opinion that is completely cure herpes virus is not possible, but it is possible to achieve stable remission.
30 – 40% of cases, the infectious agent cannot determine, however, in the course of antibacterial treatment gives good results. How to cure urethritis in men, no further diagnosis? Called broad-spectrum antibiotics more groups. In addition, the presented antifungal and tonic. The insurance can be changed at the discretion of the treating physician.
The infectious process often extends through the urethra, so think about this, how to treat cystitis in conjunction with urethritis. Become a major pathogen of the bacterial microflora. Her treatment of the trust of the macrolide antibiotics, ftorhinolon or tetracycline. In addition, is assigned to a preventive antifungal treatment and taking a multivitamin.
In children, the main causative agent of disease is E. coli. Urethritis occurs in boys more often than girls, due to the development of phimosis and, consequently, creating a favourable environment for the growth of pathogenic flora.
The child becomes restless, he was tormented by the itching, painful urination. May be whitish with an admixture of pus discharge. The urine becomes cloudy with blood. Treatment of urethritis in men and treatment in children is antibiotics, but unlike the adult selection means for a child is conducted more carefully, focusing on the age group.
In the male sense, to go to the doctor with a similar problem a shame, but late or not the right treatment threatens many complications. The infection can spread to the surrounding organs, causing cystitis, pyelonephritis, prostatitis. The result is a violation of the sexual function and infertility.
Chlamydial infection is manifested by the subsequent defeat of the joint tissue and systematically conjunctivitis. Purulent urethritis leads to structural changes in the mucous membrane of urinary channel, its expansion and narrowing of the lumen.
If properly carried out the treatment, which can quickly and completely get rid of the problem, the prognosis in this case is favorable.
Understanding the causes of urethritis, and that it is difficult to establish preventive measures:
Acute inflammation brings a lot of unpleasant symptoms, but neglected, not cured, the process is much worse than their long-term consequences. Approximately 40% of men of retirement age suffer from prostatitis, and this is a direct result of chronic urethritis. The sad statistics, because there is inflammation of the urinary channel is completely treatable with all the recommendations.