The inflammatory process in the urethra – urethritis, often attack young men. The disease is not going alone, need to be treated. But it is important to differentiate between infectious urethritis, as well as the symptoms in men the symptoms of non-infectious nature. The result of the treatment depends on proper, timely diagnosis.
The adopted classification for staging
The difference between the urethritis men, symptoms, treatment due to the type of pathogen, the stage of the process underlying health conditions. Relying on the cause of the inflammation, the two groups.
Infectious urethritis caused by a particular type of micro-organisms:
- the viruses
- the tuberculosis Bacillus
Noncommunicable urethritis, the event that is not related to the introduction of the pathogen:
- allergic reaction
- violation of the mucous membrane after
- medical procedures or injuries
- violations of the blood circulation, swimming pool, congestion
- obstacles outflow of urine
The duration of the course of acute or chronic processes, each of which has its own stages of development, and the clinical picture.
Acute urethritis in men occurs in three stages:
- The latent period is characterized by absence of symptoms, past 2 – 3 days, maximum a month.
- The period of pronounced clinic.
- Recovery or chronic disease, as well as the transition of the indolent form.
Chronic process in two distinct stages:
- Relapse – exacerbation of all symptoms occurs under the influence of adverse factors.
- Remission – hidden inflammation is characterized by prolonged vague manifestations.
Reasons supporting factors
The symptoms of urethritis in men causes are closely related.
- The infections transmitted by sexual contact. The main part of the disease is infection by the gonococcus, chlamydia, Trichomonas.
- Traditionally, pathogenic microflora usually present in everyone, but it suppresses the immune system. These are the following: Escherichia coli, Candida, staphylococcusok, streptococcus.
No infectious causes, diseases associated with stagnation of urine, lack of flushing of the urinary canal in a natural way, violation of the integrity of the mucous membranes.
- The formation of kidney stones.
- Manipulations associated with examination of the urinary tract: cystoscopy, catheterization.
- Allergic processes.
- Tumors education.
In addition, causes of urethritis, in men, there are factors that weaken the immune system, promotes rapid growth of pathogenic flora:
- prolonged hypothermia;
- poor nutrition, abuse salty, spicy food, vitamin deficiency;
- physical inactivity, stagnation of blood in the pelvis;
- the total decrease in the protective forces against the excessive physical and mental stress;
- neglect of personal hygiene;
- the effect of chemical stimuli.
In rare cases, the disease develops when the penetration of the infection in the chronic focus current blood or lymph.
Common symptoms in the acute period
Regardless of the pathogen, the symptoms of urethritis in men are more common. Occur the entire, or only a few manifestations, to be present continuously, or episodically. In general, the inflammatory process just the local symptoms. There are a burning sensation, pain when urinating, frequency of urination increases, while the urine becomes muddy colour. In some cases, detection of blood clots.
In addition to the general signs, symptoms, if a particular pathogen. They often differ in nature, intensity settings. Consider that the inflammation occurs in the urethra of different concentrations.
It starts badly, develops rapidly. Gonorrhea extreme pain in the time urination, intensive inflammation, hyperemia, edema of the head of the penis. Because of the large number of pus, the urine becomes muddy colour. The gonococcal infections are characterized by yellow river of the blood.
Characterized by constant unbearable itching, breathing emptying of the bladder. The process pain, burning sensation. The urethra appears thin grayish-white discharge, semen detected traces of blood.
Chlamydia urethritis in men is often asymptomatic, which is a high risk of transition to the chronic form. Burning pain in the short-term and little pronounced. The distribution of colourless or a small amount of pus, scanty, passing quickly.
The infected type
Candida lose refers to non-specific inflammation, occurs when the decrease in the protective forces in the body. It is characterized strongest pruritus, burning sensation, swelling, redness of the head. The distribution of thick, cheesy, white or pinkish-white color.
Viral urethritis characterized by weakly pronounced repeat offenders. The weakening of the immunity can cause specific rashes around the external opening of the urethra. Exacerbation may be accompanied by general malaise, pain in the joints.
Huge change in the incubation period, the first symptoms I noticed after 2 to 3 months after infection. Hallmark – purulent discharge of the urethra and other symptoms are poorly expressed, is clear.
In this form of inflammation of the allocation do not exist, but after the injury may be traces of blood in the urine. When stagnation occurs violation of urination, allergic inflammation – swelling of the fittest.
Manifestations of chronic form of the disease
What is urethritis, in men with the chronic form? The indolent, almost asymptomatic inflammatory process, which flows to the disease in the absence of necessary treatment. The latter years of alternating periods of calm and exacerbation.
Relapses usually occur after a disease, or prolonged physical and emotional stress. The symptoms resemble an acute stage of pain, decreased urination, discharge in the urethra channel, but in a benign form. In the absence of proper treatment, the symptoms gradually subside, a phase of tranquility.
In the period of remission, the symptoms disappear, or remind yourself of a slight burning sensation, occasional scanty discharge. The general condition is not suffer from urinary function is not compromised. Despite the fact that the clinic, a chronic form of dangerous complications.
Acute inflammation of the urethra can occur by itself, but in the absence of treatment, the infectious process into the surrounding organs, tissues. In men, urethritis often:
- inflammation of the foreskin;
- the retraction of the process, the prostate;
- the orchitis infection of the testes;
- inflammation of the bladder.
Combined cystitis, urethritis, the male only pathogen 90%, in this case, the E. coli, as well as the infections transmitted by sexual contact. Aggravating factors include: hypothermia, prolonged stress, severe viral disease and the weakening of the immune system forces.
Acute cystitis in men manifests itself as follows:
- pain, cramps when emptying;
- hyperemia, edema of the mucous membranes;
- difficulty urinating;
- purulent, bloody discharge from the urethra;
- discomfort in the lower abdomen, aching pain.
After identification of the pathogen, combined with urethritis, cystitis is treated in the same manner. Treatment should be discontinued, since both diseases tend to be chronic process.
Before you decide how to treat the 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.
The whole blood test, the intensity of the inflammation, the number of white blood cells. Urine test publisher of the morning, the first emptying after a night's sleep. Urine analysis allows you to identify the infectious and to conduct a sensitivity analysis to antibiotics. Discharge from the urethra, men are also subject to bacteriological culture, microscopic examination. All laboratory tests are conducted, the background of the complete exclusion of antibiotics. In some cases, it may be necessary instrumental tests, ultrasound of the pelvic organs, x-ray, endoscopy, urinary bladder, urethra.
Treatment of urethritis in men don't require hospital treatment, and successfully done on an outpatient basis. The choice of drugs depends on the form of the disease is the result of culture. The main group applied therapy – antibiotics. Methods for the introduction of a variable, or you don't agree-the doctor is sick. Medicines can be taken in the form of tablets, intramuscular or intravenous injection, or which are directly to the lesion with the catheter. Consider the drugs for the treatment of urethritis in men, depending on the identified pathogen.
Gonococcal bacterial inflammation
40% of the cases monotherapy with the cephalosporin antibiotics. The chronic process is more often assigned to the tetracycline group. Complicated gonorrhea of urethritis in men is treated with a combination of several groups of drugs.
Antibiotic treatment is necessary prior to purchase fungicides. Mandatory assigned immunomodulators, vitamins.
To control the efficiency of treatment is necessary three times, for a certain time interval should be examined to identify the gonococcus.
To treat this kind of apply the well-established, of course taking metronidazole, or if the maximum possible dose. Visible account immunostimulatory agents, and enhanced accessories.
The incidence of chlamydia
How to treat the chlamydia infection is determined by the doctor based on the result of the bacterial analysis. The best results give the treatment is an antibiotic of the tetracycline group. Together with anti-bacterial prescribed hormonal treatment.
The finding of the urethra in men is a fungal infection requires anti-fungal therapy in the form of tablets. Topically used antifungal ointment. Great importance is attached to the immunostimulatory therapy.
Common infection of the herpes simplex virus 1 and type 2. In this case, the treatment of urethritis in men antiviral drugs action. There is an opinion that completely cure cold sore virus is not possible, but it is possible to achieve stable remission.
Inflammation, of unknown etiology
30 – 40% of the cases, the pathogen could not be established, however, ongoing antibacterial therapy gives good results. How to cure the urethritis, in men, further diagnosis? Appointed by broad-spectrum antibiotics, several groups. Furthermore, the introduction antifungal and tonic. The program may vary at the discretion of the treating physician.
Therapy inflamed bladder
The infectious process often goes beyond the urethra, so consider how to treat cystitis with urethritis. There's a big pathogen of the bacterial microflora. The management trust of the macrolide antibiotics, ftorhinolon or tetracycline. In addition, there is assigned to prophylactic antifungal therapy, as well as a multivitamin.
The inflammation of the urethra, the boys
In children, the main pathogens of the disease E. coli. Urethritis occurs in boys more often than girls, due to the development of support just phimosis, consequently, the creation of a favourable environment for the growth of pathogenic flora.
The child becomes restless, that I was tortured with itching and painful urination. It can be whitish with an admixture of purulent discharge. The urine will be cloudy in the blood. Treatment of urethritis in men and treatment of children with antibiotics, but unlike adults, selection means that a child performed more carefully, in particular with regard to the age group.
Complications, and forecasts
A man of sense to go to the doctor with a similar problem a shame, but late, or not appropriate treatment is threatened by many complications. The infection can spread to the surrounding organs, which, cystitis, pyelonephritis, prostatitis. The result is a violation of the sexual function, or infertility.
Chlamydia infection manifests itself in the subsequent defeat a common fabric, regular conjunctivitis. Purulent urethritis leads to the structural changes, the mucous membrane of the urinary canal, the widening, narrowing of the lumen.
If done properly, the treatment is quick, completely get rid of the problem, the prognosis in this case is favourable.
Understanding the cause of the urethral inflammation, that it is easy to determine preventive measures:
- the deletion of doubtful sex;
- use condoms as protection;
- you need to keep the hygiene rules;
- attentive to the health, if the doubtful symptoms, immediately consult a doctor.
- during this period, the increased psycho – physical stress vitamin complexes;
- to avoid hypothermia;
- stick to a balanced diet, don't take part in harmful products;
- to strengthen the immune system.
Acute inflammation brings a lot of unpleasant symptoms, but neglected, not cured, the process is much worse than the long-term consequences. Approximately 40% of the men in the retirement age suffer from prostatitis, this is a direct consequence of the chronic urethritis. The sad statistics, because the inflammation of the urinary channel is completely treatable the proposals.