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Colpitis in men not diagnosed, since this is a disease exclusively of the 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 one, but carriage occurs, 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, Escherichia 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, pain and discharge from the penis. Therefore, although there is no such disease as colpitis in men, 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.
Symptoms of colpitis in men
Symptoms that accompany this disease usually do not occur immediately after infection in 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 that occurs with a certain frequency, localized in the pubic region;
Difficulties with the outflow of urine, sometimes to its acute retention;
The presence of purulent discharge, possibly even with blood impurities;
Feeling of a blockage or stickiness in the urethra in the morning.
Sometimes there is a complete symptom complex, and sometimes two or three of the listed signs are more or less clearly manifested. It all depends on the type of pathogen, its duration and the individual characteristics of the organism. Separately, it is worth noting 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 that cause the development of the disease, we can distinguish:
Penetration into the urethra of pathogens that cause an inflammatory reaction. Among them are Escherichia 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, mycoplasmas, Trichomonas, gonococci;
Injuries of the urethra, which can be obtained during an endoscopic examination – cystoscopy;
The presence of urolithiasis. The development of inflammation is due to the fact that stones from the kidneys can penetrate the ureter along the flow of urine, and then into the bladder and urethra. Passing through it, the stones cause microtrauma with their sharp edges, which contributes to the development of inflammation when bacteria enter the injured surface;
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. These are hypothermia of the body, non-compliance with the rules of intimate hygiene, chronic diseases, alcohol abuse, malnutrition and genital injuries.
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. First, it will be necessary to pass urine for general and bacteriological analysis. In addition to this laboratory test, a blood test is most often required.
Secondly, the doctor will take a smear from the urethra and send it for microscopic and bacteriological examination. Sometimes a 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 ureteroscopy. It consists in introducing 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 voiding cystourethrography can be noted.
Treatment of colpitis 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 broad-spectrum antibiotics (tetracycline, doxycycline, macrolides, cephalosporins, fluoroquinolones or sulfonamides) if the disease is of a mixed nature;
If the pathology is caused by bacteria of the gonococcal group, then prescribe: erythromycin, oletethrin, cifuroxime, thienam, cefaclor, rifampicin and other agents;
If trichomonas become provocateurs of the disease, then in the vast majority of cases, the patient is prescribed metronidazole;
With candidal form of the disease it is necessary to take antimycotic agents, including nystatin, clotrimazole, levorin, amphoglucamine and others;
For the treatment of disease caused by mycoplasmas or chlamydia, you will need to take drugs from the group of tetracyclines, macrolides or fluoroquinolones;
When the urethra is affected by the herpes virus it is necessary to take antiviral agents, such as acyclovir, valaciclovir, penciclovir, etc.
In addition, a man will have to give up intimate life for the period of treatment, adhere to a diet with the exception of fried, salty and spicy foods, and also not drink alcohol.
With a timely visit to the doctor and the passage of a full therapeutic course, the prognosis for recovery is favorable.