Doctor's Notes on Urethritis in Men
Urethritis in men refers to inflammation of the urethra, the tube that carries urine from the bladder through the penis and to the outside of the body. This inflammation most commonly results from bacterial infections. Many sexually-transmitted diseases can cause urethritis in men, including Chlamydia, Trichomonas, and gonorrhea. Urethritis can also be caused by bacteria that are present normally in the stool, such as E. coli. Certain herpesviruses (HSV-1 and HSV-2) can also cause urethritis.
The Characteristic symptoms of urethritis in men include painful urination with a burning or stinging feeling, frequent urination (urinary frequency), penile discharge, blood in the semen or urine, and feeling a powerful urge to urinate (urinary urgency). Other associated symptoms are pain during sexual intercourse, cloudy urine, and difficulty starting the urine stream.
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ChlamydiaChlamydia is a bacterial sexual transmitted disease (STD) spread when people have sexual relations. Often, there are no symptoms. Chlamydia is caused by the bacterium Chlamydia trachomatis and is transmitted either from person to person through sexual contact (oral, anal, or vaginal); or from mother to child during birth. Symptoms of chlamydia may vary in men and women. Treatment is generally through antibiotics.
Dysuria (Painful Urination)Dysuria is the sensation of pain during urination and may be caused by a std or infection of the bladder, kidney, urethra, or prostate. A urinalysis will be performed to determine the bacteria causing the infection. Infections are treated with antibiotics.
GonorrheaGonorrhea is one of the most common sexually transmitted diseases (STDs). Gonorrhea is caused by the bacteria Neisseria gonorrhoeae, which may be transmitted through contact with genital fluids. Symptoms of gonorrhea may be different in men, and women. Treatment includes prescription antibiotics like ceftriaxone, Cipro, azithromycin and others, which cure the infection.
HIV and AIDSHIV has killed about 25 million individuals, and approximately 40 million people are currently living with the disease. Symptoms and signs of HIV include fever, headache, tiredness, and enlarged lymph nodes. Infections that happen with AIDS are called opportunistic infections. There is no cure for HIV/AIDS. Treatment usually involves a combination of at least three drugs to suppress the virus from replicating and boost the immune system.
Penile (Penis) Discharge Symptoms and SignsUnexplained penile discharge is usually a result of urethritis, that is, inflammation of the urethra. The urethra is the tube that connects the urinary bladder to the outside of the body and includes the opening at the end of the penis.
Sexually Transmitted Diseases (STDs)Sexually transmitted diseases (STDs) are among the most common infectious diseases in the United States. STDs can be spread through any type of sexual activity involving the sex organs, the anus or mouth, or through contact with blood during sexual activity. Examples of STDs include, chancroid, chlamydia, gonorrhea, granuloma inguinale, lymphogranuloma venereum, syphilis, genital herpes, genital warts, hepatitis B, trichomoniasis, pubic lice (crabs), and scabies.Treatment is generally with antibiotics; however, some STDs that go untreated can lead to death.
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.