Colpitis in men
Content:
- Colpitis symptoms in men
- Causes of colpitis in men
- Diagnosis of colpitis in men
- Colpitis treatment in men
Colpitis in men is not diagnosed, since it is a disease of the exclusively female genital area, which is an inflammation of the vaginal mucosa. However, during intimacy with a partner with colpitis, a man can become infected with pathogenic microflora. Most often, this does not entail the development of an inflammatory process, since the male reproductive system differs from the female, but there is a carriage, potentially dangerous for future partners. Moreover, if we are talking about colpitis of a specific etiology (Trichomonas, gonorrheal), a man can get sick himself.
The ingress of some opportunistic microorganisms (for example, yeast-like fungi of the genus Candida, E. coli and Pseudomonas aeruginosa, staphylococcus and streptococcus) into the urethra is also unsafe for a man and can cause urethritis, which manifests itself in inflammation, itching, cuts and discharge from the penis. Therefore, although such a disease as colpitis in men does not exist, unprotected sex with a partner suffering from colpitis can turn into very unpleasant consequences.
Statistics indicate that the majority of men with specific or infectious urethritis, due to the penetration of bacteria that cause colpitis in women, are those who are between the ages of 20 and 45, have an active sex life and at the same time neglect the use of condoms.
Colpitis symptoms in men
Symptoms that accompany this disease usually do not appear immediately after the infection enters the urinary tract.
Sometimes the pathology may not manifest itself at all, but most often men observe the following signs of urethritis:
- The appearance of a burning sensation and itching during urination;
- Pain arising at a certain frequency, localized in the pubic region;
- Difficulty with urine outflow, sometimes up to its acute retention;
- The presence of purulent discharge, possibly even with blood impurities;
- Feeling of plugging or sticking of the urethra in the morning.
Sometimes there is a complete symptom complex, and sometimes two or three of the listed symptoms are more or less clearly manifested. It all depends on the type of causative agent of the disease, its duration and the individual characteristics of the organism. It is worth noting separately that with this pathology, the body temperature never rises.
If the disease transforms into a chronic form, then the symptoms disappear completely or subside to such an extent that they cease to bother the man. However, after a certain period of time, the disease recurs and can lead to complications - cystitis, prostatitis.
Causes of colpitis in men
Among the causes of the development of the disease, one can single out:
- The penetration of pathogens into the urethra causing an inflammatory reaction. Among them are E. coli, staphylococci and streptococci. However, these bacteria are conditionally pathogenic and do not always cause a pathological process, but only if conditions are favorable for this. The development of an infectious inflammatory process is always provoked by pathogens such as chlamydia, mycoplasma, Trichomonas, gonococcus;
- Injuries of the urethra, which can be obtained during endoscopic examination - cystoscopy;
- The presence of urolithiasis. The development of inflammation is due to the fact that kidney stones can penetrate the ureter along the urine stream, and then into the bladder and urethra. Passing along it, stones with their sharp edges cause microtrauma, which contributes to the development of inflammation when bacteria hit the injured surface;
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Allergic diseases;
- Narrowing of the lumen of the urethra, which can be caused by prostatitis, tumor, prostatic hyperplasia;
- Congestion in the pelvic veins.
In addition, there are risk factors that provoke the development of the inflammatory process. This is hypothermia of the body, non-observance of the rules of intimate hygiene, chronic diseases, abuse of alcoholic beverages, malnutrition and injuries of the genitals.
Diagnosis of colpitis in men
In order for a correct diagnosis to be made, a man needs to seek advice from a urologist. After a visual examination, he will direct the patient to undergo a series of studies. Firstly, it will be necessary to pass urine for general and bacteriological analysis. In addition to this laboratory test, blood donation is most often required.
Secondly, the doctor will take a swab from the urethra and send it for microscopic and bacteriological examination. Sometimes the smear is sent for PCR, which is a highly accurate method for determining the causative agent of the disease.
In addition, in the arsenal of urologists there is such an endoscopic method as urethroscopy. It consists in the introduction of special equipment into the urethra, after which a full internal examination of the urethra is carried out.
As additional diagnostic methods used in special cases, ultrasound of the pelvic organs and micturitional cystourethrography can be noted.
Colpitis treatment in men
As for the treatment of the disease, the medical tactics will be based on what exactly caused the inflammation. Most often, the patient is prescribed a course of antibiotic therapy.
The choice of the drug is carried out only by the doctor, the same applies to the dosage, form of the drug and the duration of its administration:
- Taking antibacterial drugs of a wide spectrum of action (tetracycline, doxycycline, macrolides, cephalosporins, fluoroquinolones or sulfonamides) if the disease is of a mixed nature;
- If the pathology is caused by bacteria of the gonococcus group, then they are prescribed: erythromycin, olettrin, cifuroxime, thienam, cefaclor, rifampicin and other agents;
- If Trichomonas becomes the provocateurs of the disease, then in the overwhelming majority of cases the patient is prescribed metronidazole;
- With the candidal form of the disease, it is necessary to take antimycotic drugs, including nystatin, clotrimazole, levorin, amfoglucamine and others;
- To treat a disease caused by mycoplasmas or chlamydia, you will need to take drugs from the group of tetracyclines, macrolides or fluoroquinolones;
- When the urethra is damaged by the herpes virus, it is necessary to take antiviral drugs, such as acyclovir, valacyclovir, penciclovir, etc.
In addition, a man will have to give up intimate life during the period of treatment, adhere to a diet with the exception of fried, salty and spicy foods, and also not consume alcohol.
With a timely visit to a doctor and undergoing a full therapeutic course, the prognosis for recovery is favorable.
Author of the article: Lebedev Andrey Sergeevich | Urologist
Education: Diploma in the specialty "Andrology" received after completing residency at the Department of Endoscopic Urology of the Russian Medical Academy of Postgraduate Education in the urological center of the Central Clinical Hospital No. 1 of JSC Russian Railways (2007). Postgraduate studies were completed here by 2010.
