What are the symptoms of urethritis in men?

Male urethritis mainly manifests as frequent urination, urgency, dysuria, urethral discharge and perineal discomfort. Urethritis may be related to bacterial infection, urethral injury, decreased immunity and other factors. It usually needs to be diagnosed through urine examination and urethral secretion culture.

1. Frequent urination and urgent urination

Inflammation of the urethra will lead to a significant increase in the frequency of urination. You may urinate several times per hour, and the urge to urinate is unbearable. This condition is more noticeable at night and may affect sleep quality. Mild frequent urination can be relieved by drinking more water to dilute the urine. If it lasts for more than two days or is accompanied by fever, you need to seek medical treatment.

2. Burning pain during urination

Burning or pins and needles pain in the urethra during urination, especially at the end of urination. Some patients describe a burning sensation in the urethra. In severe cases, urination may be interrupted due to pain. In the acute stage, antibiotics such as levofloxacin hydrochloride tablets and cefixime dispersible tablets can be used as directed by the doctor, together with sodium bicarbonate tablets to alkalinize the urine to relieve symptoms.

3. Urethral secretions

In the morning, yellow or white purulent discharge from the urethra can be seen, and there are often stains on underwear. The secretions of gonococcal urethritis are thick and thick, while the secretions of non-gonococcal urethritis are thinner. The secretions need to be collected for Gram staining microscopy and culture. After the pathogen is identified, targeted treatments such as azithromycin granules and roxithromycin capsules can be used.

4. Perineal swelling

When inflammation spreads to the prostate or seminal vesicles, there will be a heavy and falling feeling in the perineum, which is aggravated by sitting for a long time or defecating. It may be accompanied by dull pain in the testicles or soreness in the lumbosacral region, which needs to be differentiated from prostatitis. It is recommended to avoid cycling pressure, use hot compresses to relieve discomfort, and conduct a prostate fluid test if necessary.

5. Hematuria and fever

Severe infection may lead to terminal hematuria or full-scale gross hematuria. An increase in body temperature exceeding 38°C indicates systemic infection. This situation is common when combined with pyelonephritis or prostate abscess, requiring intravenous injection of broad-spectrum antibiotics such as ceftriaxone sodium, and urinary tract ultrasound to rule out complications.

You should drink more than 2000 ml of water every day and avoid spicy food and alcohol stimulation. Choose pure cotton breathable underwear and change it daily, and pay attention to cleanliness before and after sex. If symptoms recur or last for more than a week, the urine routine needs to be reviewed and the medication regimen adjusted. During treatment, swimming, hot spring bathing and other activities that may cause cross-infection are prohibited.