Urethritis bleeding is one of these nine types of urethritis!

Due to changes in the environment and pace of life, many people have come to deal with urethritis. Urethritis is the most common type of men's disease, and the causes of the disease are also varied. Below, the editor lists some common types of urethritis in life to help more patients and friends identify themselves.

Male urethritis is divided into the following types:

1. Acute urethritis

Patients with acute urethritis may have slight differences in clinical manifestations due to different pathogens. Generally speaking, patients will experience urethral discomfort and itching or pain in the urethra or urethral opening at the early stage of the disease, especially when urinating. Urethral pain and obvious redness and swelling of the urethral opening may soon occur, as well as urinary pain, frequent urination, and urgency. There will also be mucous or purulent secretions, and the secretions will form lumps on the urethral opening or underwear. In severe cases, penile swelling and even difficulty urinating may occur. Patients usually do not have enlarged inguinal lymph nodes. Those with urethral mucosal damage or bladder involvement may experience urethral bleeding or hematuria.

2. Chronic urethritis

Patients with chronic urethritis often lack obvious clinical symptoms, but may also experience urethral discomfort, itching or burning sensation, pain during penile erection, mucous secretions at the urethral orifice in the morning, bifurcated or thinned urine stream, frequent urination, painful urination or dripping urine, mild redness and swelling at the urethral orifice or no obvious abnormalities, urethral abscesses or fistulas, and swelling or tenderness in the lower abdomen or bladder area if the disease affects the bladder.

3. Acute gonococcal urethritis

Acute gonococcal urethritis usually develops after a latent period of 2 to 8 days after infection. Early symptoms include redness, swelling, itching or mild pain at the urethral opening, and urethral secretions are mostly mucous. However, after 1-2 days, it may turn into yellow purulent. Subsequently, the redness and swelling may develop to the entire glans penis and form urethral eversion, the frequency of urination increases, and urination pain is obvious. The bilateral inguinal lymph nodes are red, swollen, painful, and may even become purulent. Those with excessive foreskin or phimosis may develop glans penis balanitis. Chronic gonococcal urethritis can be caused by the natural transformation of acute gonococcal urethritis after one week. At this time, the patient's acute symptoms are significantly alleviated, the redness and swelling of the urethral opening and glans penis subside, the secretions are mucous, and there may be urethral discomfort or pain.

4. Non-gonococcal urethritis

The incubation period of patients with non-gonococcal urethritis is generally longer, averaging 2 weeks and sometimes up to 5 weeks. In the early stages of the disease, white or clear mucous secretions can be seen at the urethral opening, which often appear in the morning or when squeezed. Patients may have no urination irritation symptoms or only mild pain, but severe cases may also have obvious redness and swelling of the urethral opening and urethral pain.

5. Tuberculous urethritis

Tuberculous urethritis is usually caused by the spread of tuberculous mycobacteria in the lesions of urinary tract tuberculosis, seminal vesicle tuberculosis, prostate tuberculosis and penile tuberculosis to the posterior urethra. Patients may show urethral discharge, frequent urination, dysuria, hematuria or urethral bleeding. If urethral stenosis occurs, the urine stream may become thinner, the urine jet may be shortened, urination may be weak, and urination may be difficult. During examination, a thick and hard cord-like urethra may be felt in the perineum. Urethral stenosis can lead to secondary infection and abscessation of the urethra, and occasionally urethrorectal fistula may form.

6. Bacterial urethritis

Bacterial urethritis commonly occurs during or after treatment with antibiotics, in cases of excessive foreskin or phimosis, strong and excessive masturbation, insertion of a catheter, endoscope or other hard objects into the urethra, urethral stones, injection of irritating or corrosive chemicals or reagents into the urethra, etc. The main clinical manifestations of patients are redness, swelling or pain at the urethral opening, itching, discomfort or pain in the urethra, urinary pain, urgency and frequency, and a small amount of mucous secretions at the urethral opening, which may gradually turn into purulent secretions.

7. Viral urethritis

Viral urethritis is caused by herpes simplex virus or human papillomavirus infection. Patients may develop papules or water blisters at the urethral opening. Patients may not have obvious urethral symptoms, but may also have mild pain, urination discomfort, etc.

8. Fungal urethritis

Fungal urethritis, like bacterial urethritis, is also a urinary tract infection caused by the imbalance of normal urethral flora. The patient's symptoms are similar to those of bacterial urethritis, but may be milder. The main clinical manifestations are redness, swelling or pain at the urethral opening, itching, discomfort or pain in the urethra, urinary pain, and a small amount of viscous secretions. In patients with fungal urethritis, their wives or sexual partners often have recurring symptoms or a history of fungal vaginitis.

9. Trichomonas urethritis

The incubation period of patients with trichomonal urethritis after infection is 4 to 28 days, and most patients may have no symptoms. A small number of patients may have urethral discomfort, itching or mild pain, urination pain and penile erection pain. Patients may find mucous secretions at the urethral opening when they wake up in the morning, and occasionally there may be purulent secretions. Severe cases may lead to cystitis, prostatitis, epididymitis or penile head dermatitis. In patients with trichomonal urethritis, their wives or sexual partners may also often have symptoms or a history of trichomonal vaginitis.