Yellow semen with blood and red urethra

If the semen is yellow with blood and the urethra is red, it is likely that it is caused by urethritis. Urethritis is a very common male disease, which is very harmful and easily induces various complications. It needs to be treated in time after the disease. However, we still need to look at the symptoms of urethritis first and make a judgment based on our own situation. Let's take a look below.

Clinical manifestations of urethritis

Frequent urination, painful urination, urgent urination and hematuria. In the acute phase, men may have urethral secretions, which are initially mucous and later become purulent.

Differential diagnosis

1. Acute cystitis

The main symptoms are bladder irritation symptoms such as frequent urination, urgency, and pain during urination. However, patients with cystitis mainly experience pain at the end of urination, and bacterial growth is found in midstream urine culture.

2. Acute pyelonephritis

The main symptoms are sudden urinary frequency, urgency, pain and other urinary tract irritation symptoms, often accompanied by low back pain, chills, fever and other symptoms. Physical examination shows percussion pain in the kidney area, and routine urine examination shows pus cells.

3. Acute prostatitis

Symptoms include frequent urination, urgency and pain when urinating, but prostatitis also causes perineal discomfort, difficulty urinating and fever. Rectal examination reveals enlarged prostate with tenderness.

4. Gonococcal urethritis

Symptoms include frequent urination, urgency and pain when urinating, redness and swelling at the urethral opening, thin or purulent secretions, and often a history of unclean sexual intercourse. A smear test of urethral secretions may reveal gonococci, which can provide a clear diagnosis.

5. Bladder tuberculosis

Symptoms include frequent urination, urgency, and pain during urination. Pus cells are found in the urine. There is often a history of urinary tuberculosis, and acid-fast bacteria can be found in urine acid-fast staining.

6. Trichomonas urethritis

Symptoms include frequent urination, urgent urination, burning pain and itching in the urethra, and trichomonas can be found in urethral secretions.

Complications

Complications in male patients include epididymitis, prostatitis, seminal vesiculitis, etc.; complications in female patients include endometritis, salpingitis, pelvic inflammatory disease, peritonitis, etc.

Infection in the urethra can spread directly to the bladder or prostate, causing cystitis or prostatitis. If acute urethritis is not properly treated, it may be complicated by paraurethral abscesses, which can penetrate the penis skin and become urethral fistulas. Fibrosis during the healing process of urethritis can cause urethral stenosis.

treatment

1. Antibiotic Application

There are many kinds of drugs currently used for treatment. Two to three drugs should be selected and used in combination according to the type of pathogen and its sensitivity to the drugs. The curative effect is better. The medication should be continued for 7 to 10 days before it can be stopped after the symptoms disappear completely, the urine test is normal, and the bacterial culture is negative.

2. Adjunctive therapy

In the acute stage, you should drink plenty of water to increase urine volume and flush the urethra. If you have frequent urination, urgency, and pain, you can take anti-convulsants and remove various inducements that cause urethritis. Urethritis caused by sexually transmitted diseases should be treated at the same time as your spouse, otherwise it will be difficult to cure.

3. Local treatment

Applicable to chronic urethritis, contraindicated in acute stage. ①Urethra dilation. ②Urethra instillation of drugs. ③Endoscopic electrocautery