Urethritis in men

24.06.2020

If you have painful urination and urethral discharge a few days after casual and unprotected sex, you are likely to have urethritis.

The urethra is a duct that carries the urine out from the bladder.

The final part of the urethra, the urethral meatus, is a small hole at the tip of the penis. It is an easy entryway for bacteria during sexual intercourse.

After entering the urethra, the causative bacteria penetrate into the walls lining cells and cause pyogenic infection (irritation and production of pus).

Mucopurulent or purulent discharge, painful urination, and urethral pruritus are symptoms of urethritis. However, many infections of the urethra is asymptomatic.

Although arising from urethritis, the bacteria can spread further through the urogenital tract to cause epididymitis.

We distinguish 2 types of urethritis:

  • gonorrhoeal urethritis (GU), also called Gonorrhea caused by Neisseria gonorrhoeae
  • non-gonococcal urethritis (NGU), caused by Chlamydia trachomatis, Mycoplasma genitalium, Ureaplasma urealyticum and Trichomonas vaginalis.

In a patient with symptoms of urethritis, we need to identify the bacteria causing infection. STD test is done on first catch urine or urethral swab. The samples that will be evaluated with Nucleic Acid Amplification Tests (NAAT).

The treatment will be done according to the causing bacteria and generally is highly effective. In a few refractory infections, bacterial culture and antibiotic sensitivity will be necessary to select an effective antibiotic.

Even if urethritis in men a not severe and easily curable infection, it will not develop any immunity and you are always exposed to reinfection and related complications for you and your partner.

Keep in mind that prevention is the main measure to avoid complications for you and your partner.