Urethritis: Symptoms, Treatment, and Impact on Male Function - Urology

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Urinary tract infection (UTI)


Hello Doctor, I have been experiencing discomfort in my urethra (mucous discharge, slight pain during urination but no pus in the urine) for about a week before seeing a urologist.
After listening to my symptoms and examining the discharge from my urethral opening, the doctor diagnosed me with urethritis and prescribed an initial course of anti-inflammatory medication (the foreign medication name escapes me, taken four times a day: three after meals and once before bed, one tablet each time).
During the course of the medication, I experienced no mucous discharge or pain, and I took the medication for two weeks.
After stopping for two days, I noticed there was still some mucous discharge, but no pain during urination.
Upon returning for a follow-up, the doctor prescribed another anti-inflammatory medication (Norfloxacin) which I also took for two weeks.
Today is the second day after stopping that medication, and I still have slight mucous discharge and some burning sensation, but no pain during urination.

Could you please tell me if my symptoms are indicative of urethritis or if they could be related to another condition? (I do not have lower back pain, fever, or other symptoms; currently, I only have discharge and a slight burning sensation at the urethral opening.) Additionally, does urethritis affect male sexual function?

Mr. Huang, 20~29 year old female. Ask Date: 2015/12/25

Dr. Xu Weikai reply Urology


Mr.
Huang: Hello, urethritis does not affect sexual function.
However, if the pain is severe, it may hinder the ability to achieve an erection.
If inflammation persists, it could lead to other serious complications.
If there is a continuous discharge, it may be necessary to consider other non-bacterial microbial infections, such as Chlamydia.
Different types of antibiotics may be required.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if needed.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/25

More Info


Urethritis, or inflammation of the urethra, is a condition that can significantly impact male sexual function and overall health. Your symptoms, including the presence of mucus discharge and mild burning sensation during urination, align with typical signs of urethritis. The absence of severe pain or other systemic symptoms, such as fever or back pain, suggests that your condition may not be severe, but it still requires careful management.

Urethritis can be caused by various factors, including sexually transmitted infections (STIs) like gonorrhea and chlamydia, as well as non-infectious causes such as irritation from chemicals or trauma. The fact that you have experienced mucus discharge and a burning sensation indicates that there is inflammation present, which can be due to an infection or irritation.

The treatment you have received, including antibiotics like Norfloxacin, is appropriate for bacterial urethritis. It is crucial to complete the full course of antibiotics as prescribed, even if symptoms improve, to ensure that the infection is fully eradicated. If you notice that symptoms persist after completing the antibiotic course, it is essential to follow up with your healthcare provider. They may consider additional tests to rule out other potential causes, such as non-bacterial infections or other urological conditions.

Regarding the impact of urethritis on male sexual function, it can indeed have several effects. Inflammation and discomfort in the urethra can lead to pain during ejaculation, reduced libido, or even erectile dysfunction in some cases. The psychological impact of dealing with a health issue can also contribute to sexual dysfunction, as anxiety and stress can affect sexual performance. Furthermore, if urethritis is caused by an STI, there may be concerns about transmission to sexual partners, which can further complicate sexual relationships.

To manage your symptoms and minimize the impact on your sexual function, consider the following recommendations:
1. Follow Up with Your Doctor: If symptoms persist after completing your antibiotics, return to your healthcare provider for further evaluation. They may recommend additional tests, such as a urethral swab or urine culture, to identify the specific cause of your symptoms.

2. Avoid Irritants: During your recovery, avoid potential irritants such as soaps, lotions, or other chemicals that may exacerbate your symptoms. Opt for gentle, unscented products.

3. Stay Hydrated: Drinking plenty of water can help flush out your urinary system and may alleviate some discomfort.

4. Abstain from Sexual Activity: Until you have fully recovered and received clearance from your healthcare provider, it is advisable to abstain from sexual activity. This will help prevent further irritation and reduce the risk of transmitting any potential infections to partners.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and nature of discharge, pain levels, and any new symptoms that may arise. This information will be helpful for your healthcare provider.

6. Consider Counseling: If you find that your symptoms are causing significant anxiety or affecting your sexual relationships, consider speaking with a mental health professional who specializes in sexual health.

In conclusion, while urethritis can impact male sexual function, appropriate treatment and management can help alleviate symptoms and restore normal function. It is essential to maintain open communication with your healthcare provider and follow their recommendations to ensure a full recovery.

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