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What to do if urethritis does not go away


What To Do If Urethritis Does Not Go Away

How to treat urethritis? Recovery Secrets


Tell me how to treat urethritis quickly and effectively! This is the main request that patients turn to the urologist at 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 when urinating), 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 should be timely.


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



  • 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);
  • improving immunity with the help of immunostimulating agents and non-specific measures (hardening, normalization of nutrition, etc.);
  • fighting the inflammatory response.

Non-infectious 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. This stepwise approach helps to quickly eliminate the pathological process, and also contributes to the most complete restoration of the structure of the urethra, which was damaged by inflammatory mediators and microbial toxins.



Why inform the 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, at 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, 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 that will help you understand why the doctor prescribed you this or that pharmacological drug.


Rules of drug therapy:



Surgical treatment


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 it 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:


If some pathogen is detected, then this leaves an imprint on the terms of treatment:



  • for trichomoniasis and gonorrhea, therapy is carried out simultaneously;
  • for 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 (an additional gonovaccine is administered according to the scheme). Of the antibacterial drugs used:



  • cephalosporins (first line);
  • fluoroquinolones (second line);
  • Latest generation tetracyclines

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:


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), antibiotics are prescribed in parallel with:



  • 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, the latest generation tetracyclines 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 soreness 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.
  • Avoid alcohol, hot spices, spices and marinade. These foods increase urinary tract irritation, 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 complete cure?


Antibiotic treatment, 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 they are detected, then antibiotic therapy is prolonged.



Criteria for cure of 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;
  • prostatic secretion analysis;
  • 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 the provocation and after the 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;
  • no or little inflammation in the urethra.


Chlamydial urethritis - cure criteria


Immediately after completion of antibiotic therapy, a clinical assessment 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.


Second stage of examination:



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

A person is considered recovered if there are no clinical and laboratory signs of inflammation, and no chlamydia is detected in a smear by immunofluorescence.



Cure mycoplasmosis (ureaplasmosis)


It is mandatory to evaluate the cure after a course of treatment, because 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 level of leukocytes;
  • mycoplasma or ureaplasma.


Trichomonas urethritis - cure


Trichomonas can easily turn into dormant forms. Therefore, it is imperative that after the end of the course treatment, an assessment of the cure is carried out three times:


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



Conclusion


Urethritis is not just 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 run into complications already, make it a rule to be examined for urogenital infections once a year, and if pathogens are detected, to carry out the treatment that the specialist will prescribe.



Warning symptoms and timely treatment of urethritis in men: medical and invasive


Urethritis is a disease of the urinary system, in which the urethral mucosa becomes inflamed and damaged.


This occurs most often against the background of infection with sexually transmitted diseases during sexual contact, but there is also the concept of non-infectious urethritis.


This type of disease is mostly associated with physical damage to the urethra due to a blow, hypothermia, or passage through non-bladder stones (which, in turn, predominantly form in the kidneys).


What is urethritis and how is it treated, and which doctors should I contact for help? - All this and more you will find in this article.



What is it?


The urethra is a short canal that runs directly through the penis. It connects the head and the bladder. Urine exits through this channel during urination. Urethritis is a disease caused by inflammation or damage to the urethra due to exposure to not any external stimuli.


Doctors classify this disease into the following types:


Gonorrheal urethritis causes a gonococcus to enter the urethra. In fact, this is a subtype of infectious, but it is distinguished into a separate category, since in this case the venereologist is already involved in the treatment (since gonococcus provokes gonorrhea).


Infectious urethritis occurs when various kinds of bacteria enter the urethral cavity.


These are mainly staphylococci and streptococci, which also tend to stimulate suppuration.


That's why with urethritis very often pus mixed with blood is also released from the urethra.


And the edges of the outgoing channel on the head can even stick together, which brings a lot of inconvenience and discomfort to a man.


The disease is also classified into acute and chronic, depending on the etiology and course of the disease. In most cases, it is the acute form that is diagnosed, and the chronic form is a complication. Also, doctors do not indicate urolithiasis that has lasted for several years.


The main differences between urethritis and cystitis are described here.



Causes of urethritis in men and symptoms of the disease


The main causes of urethritis are:



  • violation of the rules of personal hygiene;
  • systematic unsafe sex;
  • chronic urolithiasis;
  • complication of catarrhal infectious diseases;
  • physical impact on the groin area.

Quite often, the provoking factor of the disease is phimosis, that is, the impossibility of opening the head. At the same time, the front part of the penis is always covered with a layer of foreskin, and due to the complexity of local hygiene, bacteria, dirt, and the remnants of secretions (smegma) accumulate there.


All this in total leads to the fact that pathogenic bacteria or fungi (most often candida) penetrate the urethral cavity.


The main symptoms of urethritis are:


With all this, a man may experience a slight increase in body temperature, chills, pain in the bladder area. In severe cases, urethritis can transform into prostatitis or lead to narrowing of the urethra.



Can we cure the disease?


Urethritis is not an incurable disease. However, there are certain cases in which the disease flows into a chronic form and alternates with periods of remission. This occurs, for example, against the background of urolithiasis, or when inflammation is provoked by the papillomavirus.


It is completely impossible to recover from it, but the disease will make itself felt only during a period of weakened immunity, when the body loses the ability to resist the viral pathogen.


But infectious forms, as well as gonorrhea, can be treated with the complex effect of broad-spectrum antibiotics in combination with the use of immunomodulatory drugs (enhancing the response of the immune system). That is, the curability of urethritis is directly related to the form of its occurrence.



Independent course of the disease


Urethritis may go away on its own. This happens if the damage to the urethral mucosa is caused by the passage of non-stones from the bladder and kidneys.


In this case, the mucous membrane recovers on its own in about 1-2 months.


Infectious urethritis can also go away on its own, but only if we are talking about simple bacteria that the body can cope with on its own.


However, in the absence of specialized therapy, there is a high risk of urethritis passing into the chronic stage, in which it will be much more difficult to get rid of the disease.


That is why doctors everywhere recommend that when the first signs of inflammation or damage to the urethra appear, seek qualified help as soon as possible. If urethritis is not treated in any way, the following complications may develop:



  • constriction of the urethra;
  • prostatitis (inflammation of the prostate gland, which can develop into prostate cancer);
  • hormonal imbalance due to the negative impact on the glands responsible for the synthesis of sex hormones (we are talking about the prostate gland and testicles);
  • infertility.

In certain situations, even phalloplasty may be required, that is, a surgical operation in which the normal primary shape of the penis is restored.



Which doctor should I contact for help?


To undergo an initial examination with a suspected disease, you can contact a general practitioner.


He, due to his broad diagnostic classification, will establish the type of disease and refer you to a specialist doctor who will prescribe a treatment regimen for urethritis.


And who treats urethritis in men? With blood and urine tests, you get to a urologist. Urethritis is fully consistent with his specialization.


The only exception is gonorrheal urethritis. He is treated by a venereologist, but after confirmation of the presence of gonococci in the urethra is received.


In fact, this is already gonorrhea, not urethritis (it is correct to assume that gonorrhea is one of the subspecies of urethritis, which can give complications to the entire urinary system, including the bladder, kidneys).


In rare cases, if the urethritis does not go away, the patient should also contact the surgeon if you suspect a narrowing of the urethra or blockage of the entire urethra.


Emergency surgery required.



Treatment options


How to treat urethritis in men? The basis of the treatment of inflammation of the urethra in men is the use of antibiotics, as well as compliance with the rules of personal hygiene. Temporarily, it will be necessary to carry out all these procedures several times a day, as well as wear special underwear linings (if there is a need for this and a large amount of ichor is released).


In the medical treatment of urethritis, immunomodulators are also prescribed, if a viral infection is suspected. Antibiotics are ineffective against them, so therapy implies all kinds of support for immunity in getting rid of the pathogen.


At the same time, you need to see a doctor every other day to adjust the treatment algorithm.


What does invasive urethritis treatment mean? It includes minimally invasive procedures and surgery.


Of the minimally invasive methods for treating urethritis in men, only the installation of a catheter can be used to prevent difficulties during urination. Gluing the urethra is treated in a similar way with a significant release of pus (with an infectious form of urethritis).


However, all this can be done at home. Hospitalization is not required (but it is still better to focus on the recommendations of the attending physician).


But surgical operations are an extreme case. It is prescribed mainly for blockage of the urethra, or when suppuration of the urethra has occurred.


In this situation, a partial amputation is performed followed by phalloplasty. Operations can also be performed when the urethra is blocked with stones and sand.


How to treat urethritis in men by turning to traditional medicine? He advises drinking cranberry juice and an infusion of blackcurrant leaves in the morning.


That is, all tips aimed at strengthening immune function, as well as increasing acidity (pH level) will do.


But such advice should not be used as a primary therapy.


A visit to the doctor is a must, and it is already necessary to discuss the use of alternative methods of treatment with him.


All about the treatment of the disease at home is in this publication.


Your attention is a photo of urethritis in men, the symptoms and treatment of which are described above:



How long does the therapy last?


How long is urethritis in men treated? The duration of treatment for urethritis for each man will be purely individual. First of all, it depends on the type of disease. That is, if the inflammation of the urethra is provoked by an infection, then it is enough to take a course of antibiotics, and then temporarily refuse sexual intercourse. This will take from 3 to 14 days.


How long does the treatment of viral urethritis last? As a rule, longer, up to 1 month. But non-infectious urethritis (and even chronic) may turn out to be completely incurable. In extreme cases, an implant is implanted, which prevents the urethra from narrowing. Here, each case of the disease will be considered individually.


To sum up, urethritis is inflammation or physical damage to the urethra. More often, it is the infectious form of the disease that is diagnosed, when the inflammation is provoked by bacteria. This form is treated with antibiotics.


Prevention of urethritis includes only the observance of the rules of safe sex and the prevention of the development of chronic diseases of the urinary system. If you refuse treatment, the disease urethritis can develop into infertility or prostatitis.


We also suggest watching a useful video on the topic of the article:



What to do if urethritis does not go away


Urethritis is a chronic or acute inflammation of the urethra (urethra). The disease can occur in an infectious or non-infectious form.



Reason for appearance


The treatment of urethritis begins with determining the cause of its occurrence. Only after the cause has been established, the doctor can choose the appropriate treatment for this patient.


Urethritis may be of infectious origin. The causative agents of a particular disease enter the body through sexual contact or by sharing personal hygiene items.


The non-infectious origin of the disease suggests that urethritis was not obtained sexually. The cause of the disease can be insufficiently well-processed medical instruments, injuries of the urethra, allergic reactions, etc.



Symptoms of urethritis


One of the first symptoms of urethritis is painful urination. Contacting a specialist is desirable at this stage, since it is likely to prevent the further spread of inflammation. If you continue to ignore the discomfort that occurs during urination, purulent discharge becomes the next symptom. In some cases, inflammation of the external opening of the urethra can be observed.



  • In total urethritis, inflammation of the entire urethra occurs. Symptoms may be similar to those of prostatitis. In the absence of timely treatment of the disease, the symptoms may disappear by themselves after a while. However, complications will follow later.
  • Acute urethritis can be defined by the presence of sharp pain and burning during urination. The lips of the urethra are painted bright red, swelling appears. There is a strong discharge from the urethra.
  • After an acute form of the disease, a subacute form may occur. Discharge from the urethra may decrease significantly or disappear altogether. Urine with subacute urethritis becomes transparent. Purulent threads may be present.
  • In the absence of timely treatment, urethritis can become chronic. Patients complain of neurotic phenomena. Small discharge from the urethra is possible. Exacerbations of the disease occur when drinking alcohol, sexual arousal or hypothermia.

Urethritis is sometimes confused with prostatitis. Difficulty and painful urination are characteristic of both diseases. That is why it is unacceptable to engage in self-diagnosis. Also, do not take any independent action to treat the disease.


For patients who decide to see a specialist, it is often very difficult to make a choice and decide which doctor is best to go to: a venereologist or a urologist. It is recommended to contact a venereologist for those for whom casual sex is not uncommon. If the patient has a permanent sexual partner or does not currently have a partner at all, you can first contact a urologist.



Types of urethritis


Urethritis is divided into two groups - non-infectious and infectious. The latter variety can be provoked by two groups of microorganisms: non-specific (E. coli, staphylococcus, etc.) and specific (provoking sexually transmitted diseases). Let us consider in more detail the main varieties of infectious urethritis.



Bacterial urethritis


If nonspecific pathogenic bacterial flora enters the urethra (in most cases this happens with casual sexual intercourse), Bacterial urethritis may occur. The disease also often occurs after prolonged bladder catheterizations or transurethral endoscopic manipulations. Bacterial urethritis is divided into:


Primary. It can have acute and chronic forms. Acute bacterial urethritis is usually insidious and does not have a well-defined incubation period. Pus and mucus are secreted from the urethra. There is pain when emptying the bladder, burning and itching in the urethra. There may be slight swelling in the area of the external opening and on the mucous membrane of the urethra. Hemospermia (blood in the semen) and ejaculation disorders can occur when the seminal tubercle at the back of the urethra is involved. Secondary. It can develop in the presence of a local inflammatory process in any infectious disease, such as pneumonia. Secondary nonspecific urethritis in most cases proceeds for a long time and latently. Adult patients may complain of pain during urination. There may be slight mucopurulent discharge in the morning. Children, unlike adults, rarely complain of painful urination. Hyperemia and gluing of the sponges of the external opening of the urethra are observed. In the treatment of bacterial urethritis, it is necessary to take into account the sensitivity of the pathogen to a particular prescribed drug, as well as pathogenesis and etiology. If urethritis goes along with cystitis, the doctor prescribes a complex treatment, which necessarily includes physiotherapy.


If general therapy is not effective enough, local treatment may be prescribed, for example, instillations of solutions of collargol, silver, etc. into the urethra.



Gonorrheal urethritis


The causative agent of the disease is gonococci that enter the body during intercourse. In addition, infection can occur through shared items, such as a towel.


Treatment of gonorrheal urethritis is carried out by a venereologist. Recently, the disease has been treated with cephalosporins, as it has been noted that gonococci have become less susceptible to traditional penicillin. After the end of treatment, it is necessary to test the patient for the presence of gonococci in his body. The patient is given a so-called provocation, which is repeated at regular intervals. Gonorrheal urethritis does not leave immunity. That is why there is a possibility of re-infection.



Candidamic urethritis


This type of urethritis is very rare. The disease can occur as a result of damage to the urethra by yeast fungi. In most cases, the onset of the disease is the result of long-term antibiotic therapy. In addition, candidamic urethritis can be transmitted through sexual contact. A variety of the disease can be almost asymptomatic. Possible whitish discharge from the urethra, itching and burning. If the patient takes antibiotics when making a diagnosis, the doctor cancels them and replaces them with antifungal drugs.



Viral urethritis


Most often, the urethroconjunctivitis virus contributes to the onset of the disease. The virus tends to multiply in the epithelial cells of the cervix, vagina, urethra and conjunctiva. In this case, inflammation of the corresponding organ occurs.


The infection can be transmitted sexually. The course of this type of disease is usually sluggish. Viral urethritis can be accompanied by joint damage. Some difficulties may arise during treatment. Broad-spectrum antibiotics are usually combined with corticosteroid hormones.



Trichomonas urethritis


This type of urethritis is distinguished by white, foamy discharge from the urethra. There may be mild itching. The development of the disease begins 5-15 days after infection. Chronic Trichomonas urethritis may be complicated by Trichomonas prostatitis. Complication is observed in 15-20% of cases. To prevent re-infection, both partners are treated simultaneously. If necessary, you can conduct a second course.



Urethritis in women


Contrary to popular belief that only men suffer from urethritis, the disease can often be found in women. However, given the fact that the urethra in the female body is much shorter than the male urethra, inflammation in women can be asymptomatic and painless. In this regard, the patient does not have the opportunity to consult a doctor in a timely manner, which can lead the disease to a chronic form. It is easiest to detect gonococcal urethritis on your own, as it is accompanied by sharp pains and purulent discharge from the urethra.


If the patient does not see a specialist in time, she develops cystitis, that is, inflammation of the bladder. The symptoms of both diseases are so similar that urethritis can be mistaken for cystitis, since the main symptom is frequent urge to urinate. The causes of urethritis in women can be:


Sexual infections; hypothermia; errors in the diet; gynecological diseases. Less common causes of urethritis include: Medical intervention. When performing cystoscopy and catheterization, an insufficiently competent doctor can damage the walls of the urethra or infect an infection, which contributes to the development of the disease. Irradiation. This reason is rare. However, radiation sickness can indeed lead to cystitis or urethritis. Urolithiasis disease. When the crystals and sand formed in the kidneys pass through the urethra, they damage the walls of the urethra. The urethra becomes very vulnerable. Urethritis in women, as well as in men, has complications. In addition to cystitis, one of the main complications is pyelonephritis. In addition, chronic urethritis in the absence of the necessary treatment can lead to deformation of the urethra, its narrowing. Deformation complicates the process of urination.


Treatment of urethritis in women involves 3 main stages:



  • At the first stage, it is necessary to remove the inflammation of the urethra itself;
  • At the second stage, the normal microflora of the vagina should be restored, especially if the urethritis was caused by a sexual infection;
  • At the third stage, all necessary measures are taken to restore the immune system. Increasing resistance makes the body less susceptible to various kinds of infections.

Prevention of urethritis in women has its own characteristics:



  • it is necessary to eliminate problems with the stool - constipation and diarrhea;
  • combination of anal and vaginal intercourse, as well as casual intercourse, should be avoided;
  • A visit to the gynecologist should be regular, regardless of the presence of symptoms.


Diagnosis of urethritis


At the first stage, the specialist needs to identify the cause of urethritis. To do this, you need to find pathogens. However, if pus is not released from the urethra, it will not be easy to determine the cause of the onset of the disease. Thermal, chemical and physical provocative tests are used to extract pus. The chemical method is considered the easiest: the patient takes the medicine, after which a copious discharge of pus begins. Thermal and mechanical methods are more complex and painful. To get pus, the mucous membrane of the urethra is irritated with a thin metal probe (physical method) or temperature effects (thermal method).


Further examination of secretions can be carried out in two ways: bacterioscopic or bacteriological. The first method of research involves examining a smear under a microscope. If it was not possible to establish the pathogen, the bacteriological method is used. Discharge from the urethra is placed on a nutrient medium. In case of a positive result, whole colonies of bacteria will grow on the nutrient medium.


There are more modern methods for detecting pathogens. Many medical centers use the polymerase chain reaction. This method of research involves the isolation of the DNA of the causative agent of urethritis from any biological fluid of a patient.


Patients who have ever had a pelvic injury may have an x-ray of the urethra. With the help of contrast radiography, defects in the walls of the urethra can be detected. In addition, ureteroscopy is widely used for research, in which a special optical device is inserted into the urethra.



Urethritis treatment


In most cases, antibiotics are used to treat urethritis. To achieve the best results, it is necessary to take into account the data of the antibiogram. This means that before prescribing antibiotics to a patient, the doctor must determine how high the patient's sensitivity to the prescribed medication is. An antibioticogram is performed a few days after the patient has been diagnosed. During these days, the patient should also not be left without medical care. The patient may be temporarily prescribed antibiotics from the penicillin group, that is, broad-spectrum antibiotics. Currently, semi-synthetic penicillins are widely used. This group of drugs has a stronger effect on the pathogen, while being resistant to the human biological environment. If this group of drugs is ineffective, the patient may be prescribed more effective antibiotics. It is also possible to prescribe antiseptic drugs for washing the urethra. For this procedure, decasan or more traditional furacillin is used. Rinsing should only be carried out by a specialist.


In order not to distort the picture of the disease, the patient should not self-medicate and take medicine before the doctor makes a diagnosis. It is possible to use folk recipes for the treatment of urethritis only after consulting a specialist. Some traditional medicine methods, such as diuretic teas, help to significantly speed up the healing process.


When undergoing treatment for urethritis, the patient must follow a diet that implies the rejection of products that increase the secretion of the urethral mucosa. These products, first of all, include spicy seasonings and spices.


It should be remembered that rehabilitation (psychological) after urethritis may be required not by the patient himself, but by his partner. Often, when urethritis is detected, partners unknowingly begin to accuse each other of treason. After the patient has been diagnosed, you can visit the doctor together. The specialist will explain to the partner of the patient that the presence of inflammation of the urethra does not indicate a man's infidelity.



Complications


Untimely treatment of urethritis can lead to numerous complications, the most common of which is inflammation of the kidneys, prostate or bladder. According to recent studies, there is a link between inflammation of the urethra and the appearance of testicular tumors. Treating complications caused by urethritis is much more difficult than the disease itself.



Preventive measures


The likelihood of a disease can be minimized if you follow some simple rules.



  • First and foremost, random connections should be avoided.
  • Good personal hygiene also reduces the chance of infection.
  • Rejection of bad habits: smoking and excessive consumption of hard liquor.
  • Regular preventive monitoring by a urologist.
  • Compliance with the diet: do not abuse spicy, pickled, salty foods.
  • Timely treatment of infectious diseases of the genitourinary system.
  • Avoid hypothermia.

Men suffering from inflammation of the pancreas, intestines, gallbladder and some other internal organs are at the greatest risk of getting sick. The probability of infection is also high in those who often suffer from angina.