How to treat burning sensation in urethra when urinating

In real life, some male friends experience a burning sensation in the urethra when urinating. At this time, they can adopt the methods shared below to carry out corresponding treatment.

(1) Acute simple cystitis

Treatment: A three-day treatment is recommended, which is oral co-trimoxazole; or ofloxacin; or levofloxacin. Since the efficacy of single-dose therapy is not as good as the three-day therapy, it is no longer recommended. For areas where the resistance rate of pathogens to sulfamethoxazole is as high as 10% to 20%, nitrofurantoin can be used for treatment.

(2) Acute simple pyelonephritis

Treatment: Antibiotics are recommended for 14 days. For patients with mild acute pyelonephritis, the course of treatment can be shortened to 7 days with the use of highly effective antibiotics. For mild cases, oral quinolone drugs can be used for treatment. If the pathogen is sensitive to trimethoprim-sulfamethoxazole, this drug can also be used for oral treatment. If the pathogen is a gram-positive bacteria, amoxicillin alone or amoxicillin/clavulanate potassium can be used for treatment. For severe cases or those who cannot take oral medications, they should be hospitalized and treated with intravenous quinolone drugs or broad-spectrum cephalosporin antibiotics. For those who are resistant to β-lactam antibiotics and quinolone antibiotics, aztreonam can be used for treatment; if the pathogen is Gram-positive cocci, ampicillin/sulbactam sodium can be used, and combined medication can be used for treatment if necessary. If the condition improves, sensitive antibiotics can be selected for oral treatment based on the urine culture results. It is very important to adjust the regimen and follow up during the medication period. Urine culture should be performed every 1 to 2 weeks to observe whether the urine bacteria have turned negative. Quantitative urine bacteria culture should be performed at the end of the treatment and in the 2nd and 6th weeks after stopping the medication, and it is best to recheck once a month thereafter.

(3) Complex urinary tract infection

The treatment plan for complicated urinary tract infection depends on the severity of the disease. In addition to antimicrobial drug treatment, it is also necessary to deal with anatomical and functional abnormalities of the urinary system and treat other potential combined diseases. If necessary, nutritional support therapy is also required. If the condition is serious, hospitalization is usually required. First of all, underlying diseases such as diabetes and urinary tract infarction should be effectively controlled in a timely manner. If necessary, joint treatment with relevant professional doctors such as endocrinology is required. Otherwise, it is difficult to cure the disease with antibiotics alone. Secondly, based on experience, broad-spectrum antibiotics are used for intravenous treatment. During the medication period, the treatment plan should be adjusted in time according to changes in the condition and/or the results of bacterial drug sensitivity tests. Some patients still need combination medications, and the course of treatment is at least 10 to 14 days.