Urethritis is an inflammation of urethra.
It is a very common disease. More then half of men that see a doctor have symptoms of urethritis.
Urethritis is mainly caused by infections. This means infections – bacteria, viruses, fungi Ц give rise to the disease.† There are urethritides not connected with infection (allergic or radiation). They are rare.
Kinds of Urethritis
There are two basic kinds: specific and non-specific.
Specific urethritis always results from infection Ц gonococcus, chlamydia, microplasma, trichomonas, gardnerella. The infections can combine with other infections, bacteria and fungi.
Non-specific urethritis results from pathogenic microorganisms Ц streptococci, staphylococci, E.coli, fungi.
Symptoms and methods of treatment are similar. The difference is that when a definite kind of microorganism is found not only a patient should be treated but all their partners.
- Excessive cold (once or permanently)
- Heavy exercises
- Many sexual partners and high sexual activity
- Stone disease (stones or send passing through urethra can hurt it and cause urethritis)
- Food habits (alcohol, spicy, sour, salty, pickled in big amounts; these substances are irritant for urethra when in urine)
- Chronic inflammatory diseases
- Insufficient water intake
- Irregular urination (when† urinating, bacteria are washed from the walls of the bladder)
- Surgical and medical procedures (urethral swab or urinary catheterization)
Symptoms of Urethritis
They include pain, burning, itch, and other unpleasant feelings with urination. They can be present in the tip of inside the penis and in perineum. Urethral discharges.
Urethra can carry outside from the body:
- Lubricating fluids (during sexual excitement; normal);
- Blood (urethral injuries, always a cause to see a doctor);
- Prostate secretion (in men who have chronic prostatitis, during defecation or after intercourse).
If the discharge is different it may be a sign of urethritis.
Development of Disease
Specific urethritis can be present after the first sexual contact. Still if a person got infected long ago and they was just an infection carrier the signs can occur any time.
Non-specific urethritis may also result from an intercourse. More often it occurs after a classic vaginal intercourse with a partner who has abnormal vaginal flora. It is possible with anal sex. As a result a man develops postitis and urethritis. An inflammation of urethra may occur due to weakened immunity on its wall. Infection spreads from intestine, skin, through blood from any part of the body. Infection abundantly spreads during sexual intercourse. Infection does not show up as immunity on the urethral walls is strong. Inflammation occurs when protection fails. During urethritis acute and remission periods happen. In other words, the symptoms get stronger and weaker. When acute they may disturb severely and mildly. In remission, they may be slightly felt or not felt at all. Inflammation takes new tissues and progresses with every exacerbation. Complications develop.
Complications of Urethritis
Inflammation may spread to prostate, bladder and scrotum. It may result in prostatitis, cystitis, epididymitis, orchitis. The diseases may be considered as complications of urethritis.
Urethral stricture may result from a long chronic urethritis. It will be seen on weakened urine flow. If uncared for a long time, an operative approach will be needed.
Colliculitis is an inflammation of seminal colliculi, point inside urethra, where ducts for seminal vesicle get open and they throw out semen. Inflammation in this place results in several symptoms Ц burning, sharp and drilling pain sensations. The pains spread to perineum, scrotum and lower abdomen.
Diagnostic Procedures for Urethritis
On suspicion of urethritis, infection should be detected. The reason may be in infection or any abnormal flora. Patient gets tested for both reasons.
Then, they are tested for complications Ц tests for prostate, bladder and scrotum organs.
Treatment begins after all necessary test results have come.
Treatment for Urethritis.
The main goal during treatment is to eliminate infection from urinary tract and restore its walls. Antibacterial therapy solves the first task. The medications are selected according to the test results. Medications for side effects and vitamins go along with the antibiotics. They strengthen immunity. Different ferments are indicated.
In our clinic, a person takes a course of instillation of the urethra. That means medicine is given inside urethra. It is an easy procedure and men usually do it themselves. The medicine restores the urethral walls which improves the symptoms.
Instillations are necessary during treatment for STIs, when all infection should be cleared up. Instillation is the only way to treat urethritis, when antibiotics cannot be used.
Prevention of Urethritis
Try to avoid causing factors. They include:
- Chronic inflammations, especially of pelvic organs
- Penile injuries
- Casual sex
- Excessive cold
- Use of alcohol
- Eating too spicy, sour, fried and pickled foods
- Stool problems (constipation and diarrhea)
The problems cannot be avoided totally. Call for an appointment with a Urologist and have necessary tests. This will keep you from many problems.