Treatment of urethritis: how to treat different types of urethritis in women and children. How to treat urethritis? Secrets of recovery How to quickly cure urethritis

23.02.2021

Urethritis is an inflammatory process that occurs in the walls of the urethra.

Urethritis itself (as an independent disease) is more common in males. Women, along with inflammation of the urethra, also acquire inflammation of the bladder.

As soon as you suspect symptoms of urethritis, do not hesitate to contact your doctor. This disease can be caused by bacteria and viruses, the activity of which can subsequently lead to complications.

Most often, the disease occurs against the background of other diseases of the genitourinary system or pelvic organs, in addition, due to the structural features of the female urinary system, cystitis often develops almost simultaneously with urethritis. Therefore, every woman should know the symptoms and treatment of this disease.

Causes

What it is? Causes of urethritis include bacteria, fungi, and in some cases viruses such as the herpes simplex virus. Although usually only the urethra is affected, in some cases the vagina, fallopian tubes, uterus, and ovaries can also be affected. The E. coli bacteria that causes urinary tract infections can also cause urethritis.

Here are some situations or diseases that can cause this disease in women:

: The "Neisseria gonorrhoeae" organisms that cause gonorrhea can move up the female urethra during sex with an infected partner.
and herpes simplex are also common sexually transmitted diseases that can lead to this disease.
Insufficient hygiene: Poor vaginal hygiene can also cause problems. However, you should refrain from using strong-smelling soaps and perfumes in this area.

Forms of the disease

Depending on the cause, urethritis in women is divided into infectious and non-infectious. Infectious urethritis, in turn, can be of several types:

nonspecific - most often caused by Escherichia coli, streptococci or staphylococci and proceeds as a classic purulent inflammation;
specific - is one of the symptoms of sexually transmitted diseases (mycoplasmosis, chlamydia, trichomoniasis, gonorrhea, candidiasis);
viral - caused by the herpes simplex virus or human papillomavirus (HPV).

According to the duration of the course, urethritis in women is divided into acute and chronic.

Signs of urethritis

The first signs of urethritis in women include:

Discharge from the urethra(the nature of the discharge depends on the pathogen, most often there are greenish or white-yellow or bloody discharge with an unpleasant odor).
Lower abdominal pain- it is constant, of low intensity.
Burning (itching) in the urethra, redness of the outlet of the urethra.

Most often, the symptoms of urethritis in women appear several hours or days after sexual intercourse.

Symptoms of urethritis in women

In acute urethritis, the characteristic symptoms in women are burning,. In some cases, there may be purulent discharge from the opening of the urethra.

In the future, pain and swelling become less pronounced, and the discharge may stop. Urine is usually clear with single purulent filaments.

In most cases, the acute form of urethritis is accompanied by frequent irresistible urge to urinate, as well as noticeable pain at the end of it.

Common symptoms of urethritis in women:

In acute urethritis, both in men and women, there is a decrease in appetite, weakness.
Subacute is characterized by a decrease in swelling and pain, the discharge becomes less abundant or stops completely. Crusts may come out of the urethra in the morning.
If there is Trichomonas urethritis in women, symptoms develop several weeks after infection, while about a third of cases of the disease occur without specific manifestations. The disease is characterized by: itching and burning sensation in the urethra, as well as in the area of the external genital organs. Chronicization of trichomonas urethritis leads to the disappearance of symptoms.
With insufficiently effective treatment, urethritis can provoke chronic development: complaints are usually associated with neurotic phenomena. Most often, these are small sections from the urethra, which increase under the influence of provoking causes: alcohol consumption, hypothermia, sexual arousal. Symptoms of chronic urethritis often resemble the clinical manifestations of torpid urethritis.
Candidal urethritis with yeast infection of the urethra. It is accompanied by mild symptoms: minor, discomfort in the lower abdomen, itching in the urethra.

If urethritis in women is not cured in a timely manner or the treatment was not prescribed correctly, then the disease can become chronic, in which case it will be much more difficult to treat the disease.

Chronic urethritis

It is accompanied by periodic cramps during urination and sharp pains in the lower abdomen that occur from time to time. Acute symptoms of inflammation of the urethra in women disappear within 2-2.5 weeks. This does not mean that the disease has disappeared. On the contrary, this is a reason to go to a specialist to start treatment, until the pathogens have penetrated much deeper during the “dormant” stage.

The most common causes of this type of disease are local and general hypothermia, excessive alcohol consumption and frequent sexual intercourse.

Complications

With untimely access to a doctor and the transition of malaise into a chronic form, complications of urethritis occur. The most serious complication is the condition in which the urethra (urethra) bakes and hurts, the inability to eliminate pain in any way.

Another disease of the urethra in women can give complications to the bladder and kidneys: provoke cystitis or pyelonephritis, transform into purulent urethritis in women. With a neglected form, a urethral cyst may form, its narrowing or restriction of the urethra.

Treatment of urethritis in women

In the case of uncomplicated urethritis, treatment does not require hospitalization and occurs at home. A woman needs to clearly follow the doctor's prescriptions and periodically visit the clinic to monitor the progress of therapy.

Depending on the symptoms of urethritis, the appropriate treatment is prescribed, it will depend on the pathogen.

During the period of therapy should:

avoid hypothermia;
refrain from sexual intercourse (even with a condom) until a complete cure;
strictly follow the rules of personal hygiene.

In most cases, the treatment of urethritis in women is limited to a course of antibiotics, they are actively fighting the causative agent of the disease, which was found during sowing.

How to treat utretritis in women can be divided into 3 main points:

The use of complex actions aimed at restoring the properties of the walls of the urethra. Of particular importance, this action acquires when diagnosing complex forms of the disease, when inflammation is no longer directly associated with infection.
Restoration of the microflora of the vagina. Urethritis will return again and again until the infection of the urethra by certain microorganisms from the vagina stops. There is only one way to break this vicious circle - to populate the vagina with microorganisms that should be there. This action is selected individually for each patient.
Work on the restoration of the immune system. With long-term treatment and inflammation of the urethra, immunity often suffers, both of the whole organism as a whole and of the wall of the urethra. As in the previous paragraph, an individual course of restoration of the immune system is prescribed. Therefore, weak immunomodulators will not give anything without additional actions and drugs.

Drug therapy depends on the diagnosed form of urethritis:

Nonspecific urethritis	Broad-spectrum antibiotics are shown: cephalosporins (cefazolin, cefotaxime, ceftriaxone); sulfonamides (sulfazol, urosulfan); macrolides (azithromycin, clarithromycin); fluoroquinolones (clinafloxacin).
Gonococcal	Antibiotics are prescribed: erythromycin, spectinomycin, oletethrin, ceftriaxone, cefuroxime, rifampicin, cefacor, etc. those that have a detrimental effect on chlamydia. But in each case, the drug is selected individually.
Trichomonas	The doctor may prescribe: the antimicrobial drug metronidazole (trichopol), as well as the drugs of choice - benzydamine, imorazole, ornidazole, chlorhexidine, iodovidone suppositories.
Candidiasis	It requires the use of antifungal drugs: levorin, nystatin, natamycin, amphoglucamine, clotrimazole.
Mycoplasma	It is treated with antibiotics from the tetracycline group (doxycycline, tetracycline).
Chlamydial	Antibiotics from the tetracycline group (tetracycline, doxycycline), erythromycin, clarithromycin, azithromycin, clinafloxacin have proven themselves well.
Viral	Treatment with antiviral drugs is often indicated - ganciclovir, acyclovir, ribavirin, famciclovir, penciclovir, etc.

At the end of this course of treatment, in most cases, all symptoms and pain disappear, but there are rare cases when traditional treatment does not help. This usually happens with advanced forms of urethritis, when the infection is gone and the symptoms remain.

A diet should become an obligatory component of treatment - salty and spicy foods, marinades and smoked meats are excluded from the diet, drinking plenty of water and observing a dairy-vegetarian diet during the acute stage (exacerbation of chronic inflammation) is shown.

During this period, it is important to reduce physical activity, exclude alcoholic beverages, smoking and hypothermia, and limit sexual contacts.

Drugs for the treatment of urethritis

Now a few words about how to treat urethritis in women, and what drugs are considered the most effective in the fight against this unpleasant disease. In the treatment of inflammatory lesions of the urethra, the following groups of medicines are used:

Antibiotics are essential to help fight infection. Their reception is possible only after a series of tests that determine the sensitivity of the infection to certain antibiotic drugs. Taking a general antibiotic without first determining the pathogen, in some cases, you may not achieve the effect of treatment.
Special antiseptic sitz baths, which will additionally help neutralize the infection.
Physiotherapy, involving the use of electrophoresis on disease areas, heating applications.
Tampons treated with medicated ointments that are inserted into the vagina.
All kinds of means that stimulate, support the immune system - immunomodulators, immunostimulants.
The vitamin complex will also help the body cope with urethritis.

Together with drug treatment, physiotherapeutic procedures are prescribed (vaginal electrophoresis or on the pubic area with Furadonin solution, diadynamic therapy of the lumbosacral zone). To increase immunity, immunomodulators, multivitamins are used.

Prevention

Prevention of urethritis in women includes the following activities:

hormone replacement therapy for menopausal disorders;
avoidance of physical and mental stress;
careful observance of the rules of personal hygiene;
avoidance of hypothermia;
prevention of artificial termination of pregnancy;
regular sex life with a regular partner, refusal of casual sex;
preventive examinations at the gynecologist at least 2 times a year (according to indications more often).

Forecast

With timely detection and active treatment, urethritis in women usually ends in recovery. The transition of the disease to a chronic form may be accompanied by the development of complications, which worsens the prognosis.

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:

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.
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.
Injury to the urethra during any medical procedure. So, for example, damage can occur during cystoscopy, bougienage, and so on.
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.
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:

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.
Unconventional sex.
Insufficient fluid intake. The natural process of removing fluid from the body will be disrupted.
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:

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.
You can determine acute urethritis by burning and pain when urinating.. There is swelling, the urethra becomes red. Abundant discharge from the urethra.
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.
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:

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.
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:

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.
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.
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.
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.
Urethrography - an X-ray contrast agent is injected into the urethra, after which an X-ray examination is performed.
traditional analyses. A biochemical analysis, a general blood test, a urine test are taken.
PCR diagnostics is a fast and accurate research method.
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:

Macrolides, fluoroquinols, cephalosporins are prescribed.
gonorrheal urethritis- ceftriaxone, cefacor. Those antibiotics to which chlamydias and gonococci are sensitive are taken.
Trichomonas urethritis- suppositories iodovidone, trichopol are prescribed.
Candida urethritis clotrimazole and fluconazole.
Chlamydial urethritis- macrolides and tetracyclines are used for treatment.
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:

Immunostimulants and probiotics are necessary in order to activate the body's natural defenses.
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.
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.
Local therapy - liquid medicines are injected into the urethra. The procedure is allowed strictly in a medical institution.
Bougienage.
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:

During sexual intercourse, you should use contraceptives.
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.
In no case should hypothermia be allowed.
Several times a year, you should visit the hospital and undergo a preventive examination.
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.

Content

Men of different ages who are faced with urethritis often turn to a urologist. This disease is manifested by severe symptoms in the form of pain and burning during urination, which brings discomfort. If left untreated, the acute form of the disease can turn into a chronic one, which will give serious complications to the male genitourinary system. Familiarize yourself with the types and principles of treatment of urethritis.

What is urethritis in men

Inflammation of the urethra in men is called urethritis. Under the urethra understand the urinary canal in the form of a thin hollow tube with a bend, the length of which is 16-24 cm, and the width is up to 8 mm. Pathogenic microbes, viruses or fungi are able to settle in the walls of this duct and cause an inflammatory process on its mucous membrane. Pathology is more common in men who have an active sex life, neglecting barrier contraceptives.

Due to the special structure of the male urethra, the pathogenic microflora multiplies rapidly. This leads to swelling of the mucous membrane, retention of urine outflow, and complications are acute pain, intoxication. Urethritis is manifested by severe pain, accompanied by the spread of infection up the genitourinary organs in the absence of treatment.

Causes of urethritis

A specific inflammatory process in the urethra is caused by genital infections. It affects young men who often change sexual partners or who have sex without using a condom. The main causative agents of specific urethritis are trichomonads, Candida fungi, mycoplasmas, gonococci, chlamydia. Other causes of the disease:

severe hypothermia - leads to acute inflammation, exacerbates chronic pathology;
urolithiasis - injury to the mucous membrane of the urethra when moving sand or stones;
catheterization, cystoscopy - diagnostic and therapeutic procedures that can cause complications;
allergic reactions - inflammation against the background of the penetration of foreign agents into the body;
cystitis, prostatitis, pyelonephritis - inflammatory diseases of the genitourinary system of men;
chronic foci of infection in the body;
congestion in the pelvic organs;
Neglect of personal hygiene;
weakening of the immune system against the background of stress, psycho-emotional stress, malnutrition, beriberi or hypovitaminosis, bad habits.

Nonspecific urethritis is caused by microbes: E. coli, staphylococcus aureus, streptococcus. The disease takes a chronic form as a result of:

weakness of the immune system;
spread of pathology to other organs;
incorrect or incompletely completed treatment of acute urethritis.

Species

There are several types of classification of the disease, depending on various factors. Known Species:

According to the infectious agent - specific and nonspecific urethritis in men. The first type is caused by bacterial (including gonorrheal), viral, fungal pathogens. Nonspecific urethritis is a purulent inflammation, the development of which is promoted by staphylococci, streptococci, E. coli. The disease develops against the background of a cold, problems with the gastrointestinal tract. Mixed urethritis can cause tubercle bacillus.
According to the course of the disease - chronic and acute urethritis in men. The latter is characterized by severe pain, severe itching and burning. The chronic process starts with improper treatment or its absence, its symptoms are not pronounced, but it is more dangerous.
According to the features of the flow - primary and secondary urethritis. The primary one is formed in the urethra, while the secondary infectious agent enters the urethra from another inflammatory focus.
According to the localization of inflammation on the wall of the urethra - total, anterior, posterior.

Symptoms of urethritis in men

Signs of urethritis in men differ depending on the nature of the inflammation. In the chronic type of the disease, the swelling of the urethra disappears, the discharge becomes smaller in volume. In the absence of therapy, bacterial strains will penetrate into the prostate gland and seminal vesicles, leading to the development of prostatitis, epididymitis, vesiculitis and other complications. The acute course is characterized by symptoms:

profuse purulent discharge from the urethra of a yellow-green color;
subfebrile condition - a persistent increase in body temperature;
increased urge to urinate;
swelling of the urethra;
itching, burning, sharp pain;
bleeding at the end of urination.

Diagnostics

Suspecting signs of urethritis, a man should contact a urologist for advice and analysis. The doctor takes into account complaints, examines the genitals, studies the causes of the disease. In laboratory diagnostics, bacterial culture is carried out from the urogenital tract. This helps to identify the type of microbe causing the disease. Using the PCR method (polymerase chain reaction), the pathogen is quickly and accurately determined from a urological smear.

A man takes a urine and blood test to determine the level of damage to the urinary tract, rheumatic tests are taken. Microscopy of a smear from the urethra is performed to study the material at the cellular level. Of the instrumental methods, ureteroscopy is used, which is performed after the weakening of the acute process to examine the walls of the urethra. It is possible to conduct ultrasound diagnostics to visualize the bladder, prostate, kidneys. In a chronic process, urethrography is performed - an x-ray study of the urethra after the introduction of a radiopaque substance into it.

Treatment of urethritis in men

Most cases of diseases are successfully treated at home, but for some therapeutic procedures, a man will have to visit the hospital. Only severe forms of the disease require hospitalization of the patient. Principles of treatment of urethritis:

refusal of sexual activity during therapy;
maintaining water balance, drinking plenty of water;
refusal of alcohol;
antibiotic therapy;
means of immunotherapy;
local treatment after the acute process subsides (instillation (introduction) of drugs into the urethra itself, the use of ointments);
nutrition correction: rejection of fatty, fried, spicy, smoked, pickled, salty foods, carbonated drinks;
hypothermia, stress should be avoided.

Medical therapy

The medicine for urethritis in men is prescribed only by the attending physician after bacteriological examination and determination of the pathogen. Incorrect selection of the drug can cause complications. Antibiotics are often used in the form of tablets, injections, suppositories:

With nonspecific urethritis - Doxycycline, Erythromycin, Clarithromycin, Tetracycline, Ceftriaxone, fluoroquinolones, sulfonamides.
With specific inflammation of the urethra - Spiramycin, Oletetrin, Doxycycline, Cefodizim, Cefotaxime, Cefoxitin, Rifampicin, Spectinomycin.
With gonorrhea - Miramistin, Natamycin, Nitazol, Chlorhexidine, Tinidazole, Cidipol, Metronidazole, Furazolidone, Cefaclor, Fuzidin, Spiramycin.
With candidal urethritis - Amphotericin, Levorin, Clotrimazole, Nystatin.
With chlamydia - fluoroquinolones, Doxycycline, Levomycetin, Azithromycin.
With trichomonas form - Metronidazole, Nitazol, Trichomonacid. The last drug is administered by insertion into the urethra. A 1% solution is used. The procedure is carried out every day in a course of 5-6 days.
With mycoplasmosis - Tetracycline.
With the herpesvirus form of the disease - Penciclovir, Acyclovir, Ganciclovir, Ribavirin.

Chronic gonorrheal urethritis requires the introduction of an antibiotic solution into the urethra. Therapy is supplemented by taking drugs based on adrenal hormones (Prednisolone, Dexamethasone). Therapy can be supplemented by washing the urethra with antiseptics, prescribing immunostimulants (Timalin, Mielopid), multivitamins (emphasis on vitamins A and E). Physiotherapy is applied outside the stage of exacerbation - magnetotherapy, electrophoresis, laser exposure, treatment with ultrahigh-frequency pulses are carried out.

ethnoscience

To maintain immunity, fight the inflammatory process, mitigate the acute signs of urethritis, you can use some methods of traditional medicine. They can be used after consultation with the doctor. The most popular of them:

You need to chop fresh parsley leaves, pour a tablespoon of raw materials with 500 ml of boiling water, leave for several hours under the lid, filter. In case of exacerbation, it is required to take a mixture of 50 ml every two hours.
In a glass of boiling water, you need to take a teaspoon of crushed yellow Zelenchuk (it has antiseptic and antimicrobial properties). It will take 15-20 minutes to insist the mixture, then it is drunk warm instead of tea during the day. As a substitute for Zelenchuk, currant leaves are well suited.
Decoction of oak bark. Used for purulent discharge, swelling, itching. It has an astringent and antiseptic effect. A tablespoon of raw materials should be brewed with a glass of boiling water, leave for half an hour, strain. The tool is used to wash the urethra.
Cornflower infusion will restore the balance of microflora, destroy pathogenic microorganisms. It is necessary to brew a tablespoon of flowers with a glass of boiling water, leave for an hour, strain. Take the mixture should be 50 ml before each meal.

Complication of male urethritis

If the disease is not treated or treated insufficiently, this can lead to the further development of the inflammatory process. From the focus of chronic infection, pathogens will enter other organs and tissues, causing:

pyeloferitis (inflammation of the kidneys);
cystitis (inflammation of the bladder);
orchitis (inflammatory process in the testicles);
prostatitis;
balanoposthitis (inflammation of the head and foreskin of the penis).

Inflammation of the prostate gland (prostatitis) can lead to diseases of the reproductive system, lead to sexual dysfunction and infertility. If you do not treat gonococcal urethritis, accompanied by congestion in the urethra, it will end with a complex lesion of the joints, organs of the urinary system, and irreversible damage to the urethra.

Prevention

To minimize the risk of urethritis, men need to follow certain rules. Prevention measures:

avoid injury to the penis;
maintain water balance;
avoid frequent change of sexual partners, promiscuity;
timely treat any infectious and inflammatory diseases;
avoid hypothermia;
observe personal hygiene;
use barrier methods of contraception;
do not tolerate the urge to urinate, empty the bladder on time;
increase immunity, play sports, temper;
avoid stress, overexertion;
give up alcohol, smoking;
stick to proper nutrition.

Video

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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.

Tell me how to treat urethritis quickly and effectively! This is the main request that patients turn to the urologist on an outpatient appointment, because with improper treatment, the disease progresses and recurs more than once. And this negatively affects intimacy and, in general, human health. We will tell you how to properly treat urethritis and what you need to know for this.

General principles of treatment

How to make it so that you no longer remember these unpleasant symptoms (pain and cramps during urination), which cause so much discomfort? For this, urethritis must be treated taking into account the cause (infectious or non-infectious) that led to its development. No cause, no disease. But the fact is that it can be completely eliminated only with acute inflammation. If it passes into the chronic stage, then the causative factor goes into the background, and those violations that were caused by the root cause come to the fore. Eliminating them is not always easy. That is why treatment must be timely.

Microorganisms are the most common cause of inflammation of the urethra. How to cure infectious urethritis? His treatment includes 2 directions:

Etiotropic, i.e. acting on the cause (bacteria, viruses, fungi, etc.) - antibiotics, antiviral or antifungal agents, respectively.
Pathogenetic, i.e. affecting the mechanisms of progression of pathology:
- elimination of developmental anomalies (narrowing of the urethra);
- treatment of a purulent process in adjacent organs (in the paraurethral glands in men and in the Bartholin glands of the vaginal vestibule in women);
- increasing immunity with the help of immunostimulating agents and non-specific measures (hardening, normalization of nutrition, etc.);
- fighting the inflammatory response.

Noninfectious urethritis is rare. Its etiotropic therapy, depending on the type (tumor, traumatic, metabolic, etc.), may include the following activities:

normalization of metabolic processes to eliminate phosphate, oxalate, urate and other disorders, when these substances enter the urine in large quantities;
tumor removal;
restoration of the integrity of the damaged urethra.

Urethritis also needs to be treated taking into account the degree of activity of the inflammatory process. Treatment in the acute phase is carried out mainly by means of systemic exposure, and when inflammation subsides, local therapy (physiotherapy, administration of drugs into the urethra) can be added. Such a stepwise approach helps to quickly eliminate the pathological process, and also contributes to the most complete restoration of the structure of the urethra, which has been damaged by inflammatory mediators and microbial toxins.

Why should you inform your sexual partner?

For the correct treatment of the most common (infectious) urethritis, simultaneous treatment of the sexual partner is mandatory. If this is not done, then urethritis will reappear again and again, because. all causative organisms are sexually transmitted. Therefore, with the next sexual contact, a new infection will occur.

Thus, the correct treatment for urethritis is the treatment of both partners, regardless of whether the man (woman) has symptoms or not. It is worth remembering that in some cases, microbial urethritis can be asymptomatic or with subtle manifestations (minor discharge on underwear), but the person is infected and is a source of infection.

Until the fact that both partners are cured, any sexual contact is prohibited!

Urethritis. Types of treatment

How to treat urethritis? There are 3 main methods that are used in the treatment of this disease. Each of them has certain indications. Their correct definition is the key to effective therapy. So there are 3 types of treatment:

medication (most often performed);
physiotherapy;
surgical (usually indicated in the development of purulent complications).

What to take with urethritis? The attending urologist will answer this question. However, we will focus on the general principles of drug therapy, which will help you understand why the doctor prescribed you this or that pharmacological drug.

Rules for drug therapy:

Antibiotics are the most commonly prescribed class of drugs for this disease. They are indicated for bacterial infection. The effectiveness of therapy depends on the correct choice of the drug.
In the case of a chronic urethral infection, it is not easy for antibacterial drugs to "get" to the microorganisms in order to destroy them. To facilitate this process, immunostimulants are additionally used. These drugs cause the bacteria to go "out," making them visible to antibiotics.
With damage to the joints against the background of chlamydial urethritis (Reiter's syndrome), the introduction of corticosteroid drugs is indicated. They help to stop extremely strong inflammation, which leads to almost complete immobility of the joints.
Local treatment with antiseptic drugs. They are injected directly into the urethra.
Physiotherapy treatment increases the effectiveness of ongoing pharmacological therapy. As soon as acute urethritis subsides, physiotherapy can be applied (electrophoresis with drugs, UHF, diathermy, etc.). They are especially indicated if inflammatory lesions of neighboring urinary organs (prostatitis, cystitis, epididymitis) have developed.

Surgery

Urethritis can lead to cicatricial narrowing (stricture) of the urethra. This is an indication for surgery, the purpose of which is to expand the urethra to restore normal urine flow.

gonorrheal urethritis

Gonorrheal urethritis is very often associated with another urogenital infection. Either occurs against its background, or increases the likelihood of its development, and gonococci can "hide" in other pathogens. This causes frequent recurrence of gonorrhea. To avoid this, even before the start of drug therapy, the patient is examined for such infections:

trichomoniasis;
mycoplasmosis;
ureaplasmosis.

If a pathogen is identified, then this leaves an imprint on the timing of treatment:

with trichomoniasis and gonorrhea, therapy is carried out simultaneously;
with mycoplasmosis or ureaplasmosis, gonorrhea is first treated, and only then these infections.

In acute gonorrhea, it is enough to take only an antibiotic for the treatment of urethritis; in subacute and chronic gonorrhea, more complex therapy is performed (gonovaccine is additionally administered according to the scheme). Of the antibacterial drugs used:

cephalosporins (first line);
fluoroquinolones (second line);
tetracyclines of the latest generation.

The last group of drugs helps out when gonococci are insensitive (resistant) to first or second line drugs. In the United States, doctors have now generally abandoned the use of fluoroquinolones, tk. many bacteria (causative agents of gonorrhea) have developed protective factors against these antibiotics.

After treatment, the cure must be evaluated (see below)!

Chlamydial urethritis

This urethritis is sluggish, so its effective treatment necessarily involves taking both antibiotics and immunostimulants. Among the antibacterial drugs for chlamydia, those that are able to penetrate into the cell are shown:

macrolides;
tetracyclines.

Usually, antibacterial treatment lasts longer than the usual 5-7 days, so antifungal agents are prescribed to prevent candidiasis.

Mycoplasma and ureaplasma urethritis

The drugs of choice are tetracyclines, which are prescribed for a long time (1.5 - 2 weeks). Macrolides are also effective. They are used if tetracyclines have not led to a complete cure for the patient.

Due to the sluggish course of mycoplasmosis (ureaplasmosis), in parallel with antibiotics, the following is prescribed:

immunomodulators;
topical preparations.

Trichomonas urethritis

The main treatment is antibiotics. The most commonly used is metronidazole. If there are contraindications to it or such treatment is ineffective, tetracyclines of the latest generation are indicated, which are well tolerated.

After the acute inflammation in the urethra subsides, antiseptic solutions are injected into it. This helps to reduce the itching and excessive discharge associated with trichomoniasis. In women, trichomonas colpitis is treated in parallel with systemic antibiotics and local suppositories or ointments.

Nutrition for urethritis

Proper nutrition for urethritis is an excellent addition to ongoing therapy. Thanks to this, a person quickly returns to normal life, pain subsides, urination normalizes. How to eat right?

Urologists advise patients with urethritis to adhere to the following recommendations:

Increase the amount of fluid you drink to 3 liters per day. It should be filtered water without gas and sugar. It helps to remove microorganisms and toxins from the urinary tract, because. increased frequency of urination. In order to reduce pain in the first days, you can apply a special anesthetic gel to the mucous membrane in the urethra in a few minutes before going to the toilet.
Exclude alcohol, hot spices, spices and marinade. These products increase irritation of the urinary tract, further aggravating the severity of the pain syndrome.
Drink cranberry juice, which contains natural substances that have an antibacterial effect. They disrupt the attachment of bacteria to the epithelial cells of the urinary tract.

How to confirm a complete cure?

Treatment with antibiotics, unfortunately, is not always effective. Therefore, urethritis can be healed, but not cured. That is why, after some infections, the criteria for cure are necessarily evaluated. Such an assessment necessarily involves the setting of provocative tests that exacerbate a sluggish infection. If the results of the examination do not reveal the causative agents of the disease, then the treatment is considered completed. If detected, then antibiotic therapy is prolonged.

Treatment criteria for gonorrheal urethritis

Evaluation of recovery is carried out in acute gonorrhea 1-1.5 weeks after the completion of the course of antibacterial drugs. For this, the following examinations are carried out step by step for the patient:

analysis of discharge from the urethra and ureteroscopy;
rectal examination;
analysis of prostatic secretion;
provocative tests and re-examination. As provocateurs, gonovaccine is injected into the muscle and silver nitrate into the urethra.

A patient is considered recovered from gonorrhea if before and after provocation:

there are no gonococci in the prostatic secretion and urethral discharge, while the number of leukocytes is normal;
inflammatory changes in the prostate and seminal vesicles are not detected according to rectal examination;
there is no or slightly pronounced inflammation in the urethra.

Chlamydial urethritis - cure criteria

Immediately after completion of antibiotic therapy, a clinical evaluation of symptoms and laboratory analysis for the detection of inflammatory changes and chlamydia are carried out. If extracellular forms (elementary bodies) are found, then the course of treatment is increased by another 10 days.

The second stage of the examination:

in women - during the first two menstrual cycles immediately after the end of menstruation;
in men - within 2 months.

A person is considered cured if there are no clinical and laboratory signs of inflammation, and chlamydia is not detected in a smear by immunofluorescence.

Treatment of mycoplasmosis (ureaplasmosis)

Without fail, after a course of treatment, the cure is evaluated, tk. in the first 2 months after completion of therapy, relapses are not uncommon. For their exclusion within 4 months, 1 time in 30 days, an analysis of the discharge from the urethra is carried out. It should not contain:

inflammatory changes - increased levels of leukocytes;
mycoplasma or ureaplasma.

Trichomonas urethritis - cure

Trichomonas can easily turn into "dormant" forms. Therefore, after the end of the course of treatment, it is necessary to evaluate the cure three times:

1-1.5 weeks after therapy.
1 month after treatment.
1 month after the previous examination.

If the analysis three times did not reveal inflammatory changes and Trichomonas, then the person is considered recovered.

Conclusion

Urethritis is not just an inflammation of the urethra. These are also infectious risks for human health. Therefore, treatment should not be delayed. In addition, you may not even know that you are infected, because. many urethritis are asymptomatic. In order not to face complications already, make it a rule to be examined once a year for urogenital infections, and if pathogens are detected, to carry out the treatment that a specialist will prescribe.