Discharge from the genitourinary canal is found mainly during or after urination in men. You need to be able to distinguish between normal physiological discharge and pathological discharge, which are often the first symptoms of a disease of the genitourinary system. DischargeThe nature of allows us to establish the etiology of the disease and make a preliminary diagnosis.
Types of pathological discharge in men
Pathological discharge is caused by diseases of the genitourinary canal and organs adjacent to it. Pathological factors, characterized by various etiologies, cause damage to the urethra, leading to the appearance of discharge. This process is called leukocyte urethritis (urethritis). Pathological factorsMay be infectious, chemical or mechanical in nature.
mucous purulent discharge
- Such secretions contain serous exudate, urogenital mucus and a small number of leukocytes. They look like a translucent milky-white liquid.
- Such discharge can serve as a sign of trichomoniasis, chlamydia and ureaplasmosis. These diseases are rarely accompanied by pain, aching and itching. Basically, their manifestation is limited to mucopurulent discharge at the completion of urination.
purulent discharge
- Their appearance is considered a symptom of infectious urethritis. Purulent discharge consists of cells of the damaged epithelium of the genitourinary canal and urethral mucus. They contain an increased concentration of leukocytes. Purulent discharge looks like a thick liquid that is completely yellow orIt is slightly green.
- Often, such discharge is accompanied by pain, aching, itching, burning when urinating and is usually very abundant. Most often these are symptoms of trichomoniasis and gonorrhea.
Blennenteria
When white discharge appears, a man should pay attention to its consistency.
White discharge with cottage cheese consistency. Basically, such discharge indicates male candidiasis (thrush), and is rare. Candidiasis can be caused by chemotherapy or antibiotic treatment, as well as a decrease in immunity; It is not transmitted sexually.White discharge with foamy consistency. Such discharge often becomes a sign of trichomoniasis, and may also indicate the presence of chronic prostatitis. If the cause is prostatitis, the discharge is often accompanied by a decrease or loss of potency and difficulty urinating.
diagnosis
No matter what the pathological discharge looks like, a man should consult a urologist. Only a doctor can correctly diagnose the disease and select treatment; It is useless to diagnose it yourself. To accurately determine the cause of the discharge, samples are usually taken for culture on nutrient media and bacteriological studies. Additional diagnostic tools depend on what disease is suspected. Is; It can be urography, CT, ultrasound.
Treatment
The treatment program depends on the symptoms of the disease causing the man's discharge.
std. In this case, both partners must undergo treatment. As a rule, it is antibacterial therapy, which is wisely combined with immunomodulatory drugs. Sometimes local treatment is also added (physiotherapy, prostate massage, urethroplastyin the setting of medication), as well as a special diet. The specific program depends on the type of STD.Thrush. Male candidiasis in most cases is eliminated by local treatment, but in advanced cases, general medications are required. In addition, it is necessary to take medications that strengthen the patient's immunity and a special diet.
discharge from penis
Discharge from the penis is considered normal if it does not cause discomfort or other negative symptoms. Otherwise, they are symptoms of various sexually transmitted pathologies or disorders of the genitourinary system and other structures of the body.
How to distinguish normal condition from pathology?
| Signal | Ideal | deviation |
|---|---|---|
| time of appearance, frequency | Before, during, or after intercourse, during arousal | Despite intimacy, after sleeping, after urination, after defecation, sometimes continuous dripping |
| dirt | characteristic (egg white or chestnut) or odorless | Rotten, sour, smelly, fishy etc. |
| Colour fastness | Transparent or white, consistency often resembling that of crude protein, sometimes sticky, sticky | Dry, thick, white, green, brown, surrounded by blood clots and pus. May be transparent in case of viral disease |
| additional symptoms | No | itching, burning, redness, pain |
When is discharge from the penis normal?
A healthy adult person does not have any intense discharge at rest. However, this is the norm in some situations:
- precum, When aroused, a sticky, colorless substance is released – a lubricant to create an environment conducive to the normal transport of sperm. Doctors will suspect a problem if there is a complaint of large amounts of pre-ejaculate with low sexual arousal.
- to speak, We are not talking about ejaculation as a substantial completion of intercourse, but rather about the residue that sometimes comes out after intimacy. Usually it is a few drops of white or colorless liquid. Are.
- ejaculation during wet dreams, It is an involuntary ejaculation caused by sexual overexcitation and increased amounts of testosterone. Often occurs in dreams.
- Smegma is a secretion from glands located in the area of the petals of the foreskin., Acts as a protective fluid and lubricant for the head of the penis. Due to this it does not dry out, does not swell and does not get injured. The amount of smegma is small, almost invisible on underwear. However, hormonal changesWith, it increases; If the imbalance is not associated with pathology, this is also normal.
Large amounts of smegma can enter the urethra, where it accumulates and "fades", forming torn flakes, as happens with thrush. This is also considered conditionally the norm. : If adequate hygiene is observed, the problem disappears.
When is discharge a symptom of any disease?
If a man notices unnatural discharge from the penis, he should consult a doctor. It is difficult to independently determine the disease without medical education and diagnostic equipment.
The most common pathologies associated with the appearance or change of fluid secreted from the penis are STDs, inflammatory processes and disturbances in the functioning of muscle structures and the central nervous system.
sexually transmitted diseases
Sexual infections are initially asymptomatic, the incubation period is from 7 to 21 days, sometimes up to 6 months. Discharge appears when infected with the following diseases:
- hepatitis;
- HIV;
- Gonorrhea;
- Chlamydia;
- Trichomoniasis;
- candidiasis;
- Ureaplasmosis;
- human papillomavirus;
- mycoplasmosis;
- AIDS.
Chlamydia, ureaplasmosis, mycoplasmosis first cause clear, sticky discharge. The only sign of pathology is the absence of reasons for the natural appearance of the fluid. Further pathology leads to a change in the color and consistency of the secreted fluid - it becomes translucent, mucous. , becomes like pus.
Gonorrhea is characterized by foul-smelling green or brown discharge accompanied by severe pain and itching.
Hepatitis often causes small amounts of fluid to leak out; It accumulates on the head of the penis, and when it dries, a white layer is formed. A typical additional symptom is staining and darkening of the urine.
Candidiasis is accompanied by the appearance of cheesy clots, but their number is much less than in female "thrush". The head is accompanied by itching, burning and redness.
Trichomoniasis is characterized by frequent urination accompanied by stretchy, translucent mucus, pain and itching. The urethra becomes inflamed, the area around it becomes red and swollen.
inflammatory processes
Pathologies that cause discharge from the penis are not always sexually transmitted. Sometimes the problem occurs against the background of disseminated infection that occurs after tactile contact or transmitted by airborne droplets.
Large amounts of bacteria, viruses and fungi cause an inflammatory reaction. Abnormal discharge appears due to inflammation of the urethra, spermatic cord, spermatic tubercle, prostate gland, foreskin and other elements of the reproductive system.
The type of discharge depends on the microorganism that caused the disease. For example, bacteria almost immediately provoke the appearance of pus: the mucus is foul-smelling and also has an unpleasant color.
Changes in sperm quantity and quality
If sperm flows without prior stimulation and subsequent orgasm, this is a pathology. Doctors diagnose spermatogenesis. The cause is muscle disorders and central nervous system problems. More often in old age or advanced prostatitis, prostate adenomaHappens with.
Discharge with blood - appears with hematospermia, malignant neoplasms in the urethra, cancer of the penis, trauma. Sometimes the result of stones passing through the urinary tract.
diagnosis
The urologist, after listening to the patient's complaints and collecting anamnesis, examines the genitals. In this case, the specialist simultaneously takes prostate juice through rectal massage. Further laboratory tests are necessary:
- blood analysis;
- prostate secretion;
- analysis of urine;
- Sperm.
It is important to evaluate the discharge itself. To do this they are examined microscopically. It is this method that allows you to identify the main source of the problem - bacteria, viruses, fungi.
Next, the doctor moves on to instrumental diagnosis:
- Ultrasound of pelvic organs, penis, scrotum;
- Dopplerography;
- Radiography;
- MRI;
- whistle;
- Cystoscopy;
- urethroscopy;
- Scintigraphy.
If neoplasms are found during the examination, the diagnostician takes a puncture.
Treatment
Treatment methods depend on the diagnosis. First of all, the doctor prescribes drugs that are suitable to eliminate pathogenic microflora:
- Antibiotics;
- anti viral;
- Antifungal.
Urologists mainly prescribe medications orally, sometimes requiring intravenous or intramuscular administration of drugs.
Additionally, to relieve symptoms, a course of antihistamines and painkillers is required. Local medications – anti-itch creams, gels, ointments – help to get rid of itching.
Patients are shown sitz baths along with sedatives, pain relievers or anti-inflammatory drugs. Washing after each urination will help prevent the spread of infection.
If the problem lies in disorders of the central nervous system or endocrinological pathology, doctors involve highly specialized specialists.
additional treatment
Problems of the genitourinary system should be treated comprehensively. In addition to medications, doctors choose:
- rectal prostate massage;
- therapeutic massage of the lumbar region;
- exercise therapy;
- Physiotherapy;
- Reflexology.
Such procedures restore the natural metabolism and prevent stagnation. The urologist prescribes a special diet that helps to strengthen men's health. It is necessary to take vitamin complexes: vitamins C, E, A, group B. .
prevention
In most cases, the cause of discharge from the penis are sexually transmitted diseases. Therefore, the most effective preventive measure is careful selection of sexual partners and the use of barrier contraception.
Urologists also recommend following several rules:
- To live an active lifestyle.
- Monitor your health and get preventive checkups.
- Treat pathology in time.
- Wear loose underwear and trousers.
- Avoid frequent changes of sexual partners.
- Watch your diet. The diet should include vitamins, micro and macro elements necessary for a man: selenium, zinc, magnesium, calcium.