Urethritis – Kidney and Urinary Tract Disorders

By

Talha H. Imam

, MD, University of Riverside School of Medicine

Reviewed/Revised Dec 2022

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Topic Resources

Urethritis is infection of the urethra, the tube that carries urine from the bladder out of the body.

• Bacteria, including those that are sexually transmitted, are the most common cause of urethritis.

• Symptoms include pain while urinating, a frequent or urgent need to urinate, and sometimes a discharge.

• Antibiotics are usually given to treat the infection.

(See also Overview of Urinary Tract Infections [UTIs] Overview of Urinary Tract Infections (UTIs) In healthy people, urine in the bladder is sterile—no bacteria or other infectious organisms are present. The tube that carries urine from the bladder out of the body (urethra) contains no bacteria… read more .)

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Urethritis may be caused by bacteria, fungi, or viruses (for example, herpes simplex virus Herpes Simplex Virus (HSV) Infections Herpes simplex virus infection causes recurring episodes of small, painful, fluid-filled blisters on the skin, mouth, lips (cold sores), eyes, or genitals. This very contagious viral infection… read more ).

Sexually transmitted infections Overview of Sexually Transmitted Infections (STIs) Sexually transmitted infection (STI) refers to an infection that is passed through blood, semen, vaginal fluids, or other body fluids during oral, anal, or genital sex with an infected partner. .. read more are common causes of urethritis. Organisms—such as Neisseria gonorrhoeae, which causes gonorrhea Gonorrhea Gonorrhea is a sexually transmitted infection caused by the bacteria Neisseria gonorrhoeae, which infect the lining of the urethra, cervix, rectum, or throat, or the membranes that cover… read more —can spread to the urethra during sexual intercourse with an infected partner. Chlamydia and the herpes simplex virus are also commonly transmitted sexually and can cause urethritis (see Chlamydial and Other Infections Chlamydia and Other Nongonococcal Infections Chlamydial infections include sexually transmitted infections of the urethra, cervix, and rectum that are caused by the bacteria Chlamydia trachomatis. These bacteria can also infect… read more ). When men develop urethritis, the gonorrheal organism is a very common cause. Although this organism may infect the urethra in women, the vagina, cervix, uterus, ovaries, and fallopian tubes are more likely to be infected. Trichomonas Trichomoniasis Trichomoniasis is a sexually transmitted infection of the vagina or urethra that is caused by the protozoa Trichomonas vaginalis and that causes vaginal irritation and discharge and sometimes… read more , a type of microscopic parasite, also causes urethritis in men. Urethritis may also be caused by the bacteria that commonly cause other urinary tract infections, such as Escherichia coli Escherichia coli Infections Escherichia coli (E. coli) are a group of gram-negative bacteria that normally reside in the intestine of healthy people, but some strains can cause infection in the digestive… read more .

In both men and women, there is usually pain during urination and a frequent, urgent need to urinate. Sometimes people have no symptoms. In men, when gonorrhea Gonorrhea Gonorrhea is a sexually transmitted infection caused by the bacteria Neisseria gonorrhoeae, which infect the lining of the urethra, cervix, rectum, or throat, or the membranes that cover. .. read more or chlamydia Chlamydia and Other Nongonococcal Infections Chlamydial infections include sexually transmitted infections of the urethra, cervix, and rectum that are caused by the bacteria Chlamydia trachomatis. These bacteria can also infect… read more is the cause, there is usually a discharge from the urethra. The discharge is often yellowish green and thick when the gonococcal organism is involved and may be clear and thinner when other organisms are involved. In women, discharge is less common.

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Other disorders that cause pain during urination include bladder infection Bladder Infection Cystitis is infection of the bladder. Usually, bacteria are the cause of cystitis. A frequent need to urinate and pain or burning while urinating are the most common symptoms. Doctors can often… read more and vaginitis (inflammation of the vagina).

Infections of the urethra that are not treated or are inadequately treated may cause a narrowing (stricture) of the urethra. Urethral Stricture A urethral stricture is scarring that narrows the urethra. A urethral stricture may be Present from birth Develop after an infection or injury A urethral stricture most commonly results from… read more A stricture increases the risk that infections will develop in the bladder or the kidneys. Untreated gonorrhea Gonorrhea Gonorrhea is a sexually transmitted infection caused by the bacteria Neisseria gonorrhoeae, which infect the lining of the urethra, cervix, rectum, or throat, or the membranes that cover… read more rarely leads to an accumulation of pus (abscess) around the urethra. An abscess can cause outpouchings from the urethral wall (urethral diverticula), which can also become infected. If the abscess perforates the skin, the vagina, or the rectum, urine may flow through a newly created abnormal connection (urethral fistula).

Doctors can usually make a diagnosis of urethritis based on the symptoms and examination. A sample of the discharge, if present, is collected by inserting a soft-tipped swab into the end of the urethra. The urethral swab is then sent to a laboratory for analysis so that the infecting organism can be identified.

Sexually transmitted infections Overview of Sexually Transmitted Infections (STIs) Sexually transmitted infection (STI) refers to an infection that is passed through blood, semen, vaginal fluids, or other body fluids during oral, anal, or genital sex with an infected partner… read more (STIs) that cause urethritis may be prevented by using a condom.

Treatment depends on the cause of the infection. However, identification of the organism causing urethritis can take days. Thus, doctors usually begin treatment with antibiotics that cure the most common causes. For sexually active men, treatment is usually with a ceftriaxone injection for gonorrhea plus oral azithromycin or oral doxycycline for chlamydia. If tests exclude the possibility of gonorrhea and chlamydia, then the man should be tested for other disorders, such as trichomoniasis. Women may be treated as if they had cystitis. Bladder Infection Cystitis is infection of the bladder. Usually, bacteria are the cause of cystitis. A frequent need to urinate and pain or burning while urinating are the most common symptoms. Doctors can often… read more An antiviral drug, such as acyclovir, may be needed for a herpes simplex infection. If the cause is suspected to be an STI, the person’s sex partners should be evaluated for treatment. Men who receive a diagnosis of urethritis should be tested for HIV Human Immunodeficiency Virus (HIV) Infection Human immunodeficiency virus (HIV) infection is a viral infection that progressively destroys certain white blood cells and is treated with antiretroviral medications. If untreated, it can cause… read more and syphilis. Syphilis Syphilis is a sexually transmitted infection caused by the bacteria Treponema pallidum. It can occur in three stages of symptoms, separated by periods of apparent good health. Syphilis… read more

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Urethral Discharge in Females | 8 Causes for Urethritis in Women

Symptoms of menopause

Menopause is the name for the natural process by which the menstrual cycle (period) stops happening in a woman. Usually, the process is gradual (takes months or years) and occurs from the age of 45 to 55 years. Menopause is officially diagnosed once a woman stops having a period for 12 months continuously. A woman with menopause will notice a decrease in the number and regularity of her periods until they completely stop. In addition, she may notice a number of symptoms that occur as a result of decreased estrogen levels, such as hot flashes, changes in mood, sleep problems, vaginal dryness, changes in libido, and changes in sexual function. Certain medications exist that can decrease these symptoms.

Rarity: Common

Top Symptoms: fatigue, delay in or irregular periods, vaginal discharge, anxiety, trouble sleeping

Symptoms that always occur with symptoms of menopause: delay in or irregular periods

Urgency: Self-treatment

Yeast infection

A vaginal yeast infection, also called genital/vulvovaginal candidiasis, is actually caused by the fungus Candida albicans and is very common. The organism is a normal inhabitant of the mouth, gastrointestinal tract, and vagina.

Antibiotics can kill off the healthy bacteria in the vagina, allowing overgrowth of the fungus. Women who are pregnant, on the birth control pill, or diabetic are more prone to yeast infections, as are those who have weakened immune systems. It can also be transmitted through sex or through mouth-to-genital contact.

Symptoms include itching, burning, pain, and soreness inside the vagina and on the external tissues (the vulva,) and a thick, white vaginal discharge.

If not treated, the yeast infection can become “complicated,” severe, and difficult to cure.

Most yeast infections are diagnosed simply through the patient’s description of symptoms. Recurrent infections may be diagnosed through pelvic examination and vaginal swab.

Treatment often is just an over-the-counter cream, though oral anti-fungal medications are sometimes prescribed.

Vaginal trichomonas infection

Trichomonas vaginalis infection (or “Trichomoniasis” or “trich”) is a common sexually transmitted disease caused by a parasite of the same name. It affects over 3 million people per year, but only about 30% have any symptoms.

You should go see your primary care doctor in the coming days. He or she may order a number of tests to identify if the bug is actually the cause of your symptoms. Treatment involves prescription metronidazole or tinidazole.

Urinary tract infection

A urinary tract infection, or UTI, can involve any or all parts of the urinary system but most often affects the bladder and urethra.

Bacteria from the gastrointestinal tract – especially Escherichia coli (E. coli) – are the most common cause of UTIs. These bacteria spread from the anus to the urethra. Sexual activity can do this, but a UTI is not considered a sexually transmitted disease.

Women are more at risk for UTI than men. Due to female anatomy, the urethral opening is a short distance from the anus. Anyone who uses catheters to urinate is also prone to UTIs.

Common symptoms of less-serious UTIs include lower abdominal discomfort and pressure; burning or discomfort on urination; and cloudy or discolored urine.

Left untreated, the infection could spread to the kidneys and cause a medical emergency.

Diagnosis is made by having the patient describe the symptoms and by testing a urine sample for bacteria.

UTIs are caused by bacteria and so can be treated with antibiotics.

Prevention involves good hygiene and drinking plenty of water.

Symptoms of menopause

Menopause, or “change of life,” refers to the time when a woman no longer has menstrual cycles and can no longer bear children.

It is a normal occurrence and usual happens between ages 45 to 55. Menopause can be artificially induced by surgical removal of both ovaries, and by chemotherapy and/or radiation therapy for cancer.

Symptoms usually begin many months before periods actually stop. There will be irregular periods, vaginal dryness, hot flashes, weight gain from slower metabolism, and dry skin.

If not treated, some symptoms may affect quality of life. Hot flashes and hormonal imbalances can disrupt sleep, sexual function, and emotional health.

At menopause, risks of heart disease, osteoporosis, and urinary incontinence increase. Because periods can become irregular while pregnancy is still possible, testing is advisable before any medical treatment is done.

Menopause is diagnosed when an entire year has gone by without the woman experiencing a menstrual period. Blood testing for hormone levels can confirm menopause.

Treatment can be done for any troublesome symptoms, including hormone replacement therapy to ease hot flashes.

Pelvic inflammatory disease

Pelvic inflammatory disease, or PID, is the general term for a bacterial infection of a woman’s reproductive organs.

PID is most often a complication of a sexually transmitted disease (STD) such as gonorrhea or chlamydia. However, it is possible to get PID from other causes.

Any woman can be affected. It is most often found in sexually active women under age 25, especially those who have had PID before, have multiple partners, and/or douche frequently.

Symptoms include fever, lower abdominal pain, foul-smelling vaginal discharge, pain and/or bleeding during sex, and pain on urination.

Untreated PID can cause infertility due to damaged tissue in the reproductive tract, as well as chronic pelvic and abdominal pain. Unprotected sex partners will be infected as well.

Diagnosis is made through symptoms, pelvic examination, vaginal and cervical swabs, and urine tests.

Treatment is with a course of antibiotics. Be sure to finish all of the medication as directed, even when you begin feeling better.

To prevent PID, have all partners (male or female) tested for STDs and avoid unprotected sexual contact.

Rarity: Common

Top Symptoms: fever, abdominal pain or unusual vaginal discharge, vaginal discharge, nausea or vomiting, vaginal bleeding, pelvis pain

Symptoms that always occur with pelvic inflammatory disease: fever, abdominal pain or unusual vaginal discharge

Urgency: In-person visit

Normal case of vaginal discharge

It is perfectly normal for every woman to have a clear or thin white vaginal discharge which is more or less constant.

The body protects the vaginal tissues by producing this light mucus from glands in the cervix and in the vaginal walls. This keeps the tissues lubricated so that they do not dry out and become irritated, and keeps the tissues slightly acidic because that helps to kill off any harmful germs.

The discharge is also a cleaning mechanism, clearing away any dead cells or bacteria as it moves out of the vagina. Douching is not necessary for normal discharge.

Vaginal discharge may change at different stages of life. During pregnancy, it becomes white and milky in appearance.

During and after menopause, the discharge lessens due to the drop in estrogen levels. If the dryness causes irritation or difficulty with sexual activity, a gynecologist can recommend an appropriate remedy.

Normal vaginal discharge never causes itching or has a foul smell, and is never any color other than clear or white.

Rarity: Common

Top Symptoms: vaginal discharge, mild vaginal discharge, white/gray vaginal discharge, clear vaginal discharge, severe vaginal discharge

Symptoms that always occur with normal case of vaginal discharge: vaginal discharge

Symptoms that never occur with normal case of vaginal discharge: vaginal itch or burning, painful urination, severe vaginal discharge, vaginal pain, abdominal pain (stomach ache), bleeding after sex, missed period, vulvovaginal odor

Urgency: Wait and watch

Disseminated gonococcal infection

Gonococcal cervicitis is an inflammation of the cervix – the passageway at the lower end of the uterus – caused by the bacteria Neisseria gonorrhoeae, or gonorrhea.

Gonorrhea is a sexually transmitted disease (STD) and spreads through unprotected sexual contact.

Symptoms include abnormal vaginal discharge, pain or discomfort during sex, and vaginal bleeding after sex. However, some women have few or no symptoms.

If not treated, gonococcal cervicitis can lead to further infection of the reproductive tract and to pelvic inflammatory disease, which can cause sterility.

Diagnosis is made after a cervical swab is taken and tested.

Treatment is through a course of oral antibiotics. Women diagnosed with gonococcal cervicitis should be further tested for other common STDs such as chlamydia and trichomoniasis, as they are often found at the same time.

The best prevention for gonorrhea is the use of a condom during sex, as well as testing of all sex partners so that they can be treated and not re-infect anyone.

Cervicitis in general can be prevented by not exposing the cervix to douching or other irritants.

Rarity: Ultra rare

Top Symptoms: fatigue, joint pain, fever, chills, moderate fever

Urgency: Primary care doctor

Chlamydia infection

Chlamydia is a common bacterial infection that is spread through unprotected sex. Each year, over 1 million Americans are diagnosed with this STD.

You should visit a physician to confirm the diagnosis where an antibiotic will be prescribed.

Bacterial vaginosis

Bacterial vaginosis is an inflammation of the vagina due to overgrowth of the bacteria which are normally present.

It is not considered an STD (sexually transmitted disease) but nearly all cases are found in women after unprotected sexual contact, especially with multiple partners.

Frequent douching is also a factor.

Male partners do not carry this condition, but it can spread between female partners.

Common symptoms include an itchy, foul-smelling discharge that may look grayish or greenish, as well as burning during urination. However, some women have no symptoms.

The greatest risks of bacterial vaginosis are secondary. The symptoms can be similar to actual STDs and so should not be ignored. This condition makes a woman more vulnerable to actual STDs, as well as to pelvic inflammatory disease and to infections following any gynecologic surgery.

Pregnant women with bacterial vaginosis are at risk for premature or low-birth-weight babies.

Diagnosis is made through symptoms, and/or pelvic exam and vaginal swab.

Treatment consists of oral medication, and sometimes a cream or gel that is inserted into the vagina.

Rarity: Uncommon

Top Symptoms: vaginal itch or burning, vulvovaginal odor, bloody vaginal discharge, white/gray vaginal discharge, thick vaginal discharge

Urgency: Primary care doctor

Atrophic vaginitis

Atrophic vaginitis is a condition causing dryness of the vagina. It is caused by a drop in estrogen levels, which happens due to menopause, stress, medication side effects, and childbirth. Other symptoms include painful sex and vaginal soreness.

You should consider visiting a medical professional to discuss your symptoms. Atrophic vaginitis is evaluated with a review of your symptoms and a pelvic exam. Once diagnosed, it can be treated with estrogen replacement, moisturizers, and lubricants. Avoiding douching and perfumes may help dryness from worsening.

• Are you sexually active?
• Do you feel pain when you urinate?
• When was your last menstrual period?
• What color is the discharge?

Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

Discharge from the penis: symptoms, diagnosis and methods of treatment
Experience
Employed: 10 years

Normal discharge from the penis in men is considered to be clear discharge during an erection. This phenomenon is called physiological urethrorrhea and is a product of the activity of the urethral glands. White, yellowish, frothy or purulent discharge indicates some kind of pathological process. By color, smell, consistency, one can judge the causative agent of the infection.

Article contents

1. Prices for services
2. Types of secretions and their meaning
3. Other changes
4. Who heals?

Important!

The information in this article should not be used for self-diagnosis or self-treatment. For the correct diagnosis and treatment, you should always consult a doctor.

IMPORTANT! Sexually transmitted infections are the fate of people who frequently change sexual partners. Not all of these infections have pronounced symptoms, which is why they are called latent infections. Therefore, when changing partners, it is recommended to be tested for sexually transmitted diseases, even if there are no obvious signs of infection.

In most cases, unusual mucus is a sign of a sexually transmitted disease or sexually transmitted infection. The incubation period is 4 to 15 days after infection. Additional symptoms in some cases (see below) are redness of the head of the penis, itching, burning. When the infection spreads to the urethra, normal urination is disturbed: it becomes painful, frequent, difficult. There may be pain in the testicles, penis, pain in the lower abdomen.

Prices for services

Primary appointment with a urologist FOR MEN

Primary appointment – an appointment with a doctor of a specific specialty for the first time.
Includes a conversation with the patient, initial examination, history taking, if necessary, rectal digital examination.

Make an appointment

900 ₽

Primary appointment Head. otd. Urology Rylchikova I.V. + Ultrasound (includes a conversation with the patient, initial examination, history taking, if necessary, rectal finger examination, ultrasound of the prostate gland)

Primary appointment – an appointment with a doctor of a specific specialty for the first time.

Make an appointment

1400 ₽

Repeated appointment with a urologist

Make an appointment

700 ₽

Types of discharge and their meaning 9003 3

Bloody discharge from the urethra indicates hematorrhoea, a non-inflammatory disease caused most often by mechanical damage to the urethra. Such an injury can occur, for example, during an instrumental medical examination of the penis.

Sperm discharge from the urethra without sexual intercourse or spermatorrhea is a sign of a weak tone of the vas deferens, which in turn occurs as a result of chronic inflammatory processes.

White discharge , milky purulent-mucous nature, which is a mixture of leukocytes, mucus and serous exudate, is a symptom of non-gonococcal urethritis, that is, urethritis caused by non-gonococcus. Most often found in chlamydia, ureaplasmosis, mycoplasmosis. With such discharge, no other symptoms are observed – cramps, pain, itching.

White frothy or purulent discharge from the urethra, sometimes with an admixture of blood in the urine or streaks of blood in the semen, is noted in the inflammatory process caused by trichomoniasis. Additional symptoms of infection: burning, pain, feeling of heaviness, discomfort in the perineum or deeper in the pelvic region. Such symptoms are not always found in trichomoniasis.

FACT: According to WHO, more than 250 million patients with trichomoniasis are registered annually in the world.

Yellow, yellow-green, yellow-brown purulent discharge, thick, consisting of a mixture of epithelium, mucus and leukocytes is the main symptom of gonorrhea (gonococcal urethritis). With purulent discharge, pronounced subjective symptoms are noted: sharp pains, pain, itching.

FACT: According to statistics, in the last few years, the incidence of asymptomatic gonorrhea has increased to almost 90%.

White, greenish and yellow mucous discharge, also occurs in inflammatory diseases: epididymitis, orchitis, vesiculitis, prostatitis in acute form.

Other changes

Along with the discharge from the urethra, there may also be a change in the shape of the urethral opening, the so-called “sponges”. Depending on how acute the disease is, the intensity of changes also differs. Patients experience edema, swelling, as well as a change in the color of the urethral opening, redness on the skin and some other symptoms.

Who treats?

With any of the symptoms listed above, you need to contact a urologist. The list of mandatory studies to determine the type of infectious agent includes tests for latent infections. The sooner the diagnosis is established and therapy is started, the higher the likelihood of a quick and easy cure.

Other articles by the author

• White discharge from the penis
• Frequent urination in men

Doctors

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Rylchikov Ivan Vladimirovich

KMN, urologist-andrologist, ultrasound specialist, head. department of urology
Clinic doctor Altermed Rylchikov Ivan Vladimirovich

Konovalov Dmitry Vladimirovich

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Doctor of the clinic Altermed Konovalov Dmitry Vladimirovich

Lebedev Alexander Andreevich

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Altermed clinic doctor Alexander Andreevich Lebedev

Pogunov Anton Sergeevich

Urologist-andrologist, ultrasound specialist
Altermed clinic doctor Pogunov Anton Sergeevich

Rabinyuk Sergey Anatolyevich

Urologist-andrologist, ultrasound specialist
Doctor of Altermed clinic Rabinyuk Sergey Anatolyevich

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I want to express my deep gratitude to the doctor Rylchikov Ivan Vladimirovich. In May 2020, I contacted him about testicular pain. Ivan Vladimirovich immediately identified a malignant neoplasm, determined that the tumor was localized within the organ, gave emergency recommendations for treatment, chose the right words so that I would not panic, but act. As a result, in August 2020, I underwent surgery, underwent three courses of chemistry and now I am completely healthy!!!!!!!!!!!!!!! Thank you Ivan Vladimirovich, you saved my life.

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Wonderful clinic, good doctor! Thank you!

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All hands could not reach to thank the urologist Nikolai Kanareikin, who takes on Oleko Dundich. cured my kidney in March and prescribed good medicines, including for the prevention of relapse after treatment. Thank you very much.

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03/20/2020

Doctor Rabinyuk Sergey Anatolyevich

Urologist Rabinyuk Sergey Anatolyevich, in Kupchino, I recommend!
A kind, attentive and sympathetic doctor, if someone has a fear of visiting a male doctor, then you should contact him. He prescribes the necessary tests and the correct treatment according to them. Some positive emotions.
Helped to find and fix the problem with which he was contacted.
I express my endless gratitude!!!

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01/25/2020

Doctor Rabinyuk Sergey Anatolyevich

Doctor from God! I was very skeptical about paid clinics, there was a case when I was bred in one of the commercial clinics. But before the new year, there was a need to visit a doctor and urgently, I didn’t want to waste time in a free one. All liked it. Let’s see what will happen next . So far, everything is great.

Yaroslav

12/29/2019

Doctor Rabinyuk Sergey Anatolyevich

Polite, tactful, accurate (men will understand) specialist. According to the received analyzes, nothing extra was prescribed in the treatment plan. Clear answers and recommendations for the future were given … Yes, and during the course of treatment (medical procedures) he could give advice and answer questions. By the way, S.A. Rabinyuk had already undergone treatment 3 years ago and therefore turned to him again, because. and for the first time everything suited me: both the treatment and the result .. I will advise as a specialist .. And all the staff with whom I had to communicate in the clinic are very friendly and professional.
Thank you.

11/20/2019

Doctor Rabinyuk Sergey Anatolyevich

Procedures and consultations performed by Dr. Rabinyuk S. A. were very effective. I am very grateful to the doctor.
Fully satisfied with the communication with the staff of the Altermed clinic (procedure room, administrators, call center) Thank you!

Victor

12/17/2018

Doctor Rabinyuk Sergey Anatolyevich

I would like to express my gratitude to the doctor of the Altermed clinic Sergey Anatolyevich Rabinyuk for his professionalism and kindness. She turned to the clinic for help at the time of exacerbation of pyelonephritis. After 2 weeks, I had a trip to the north planned, which, due to illness, turned out to be a big question. Dr. Rabinyuk S.A. prescribed a course of treatment, put me on my feet, and I did not have to refuse the trip, for which I express my gratitude to him. And also many thanks to the staff of the treatment room of the clinic on Oleko Dundicha street.

Olga Mikheeva

Kupchino Branch

09/01/2018

Doctor Rabinyuk Sergey Anatolyevich

Many thanks to the doctor, attentive, thoughtful, does not try to “spread” for additional expenses, everything is essentially a problem, he really helped.

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Kupchino Branch

07/14/2018

Doctor Rabinyuk Sergey Anatolyevich

Visited this clinic for the first time. I was very worried about the quality of treatment, but, as it turned out, in vain. Came with acute pyelonephritis to Sergei Anatolyevich. Appropriate treatment was chosen. And also, a course of droppers that saved me from hospitalization! The doctor is very attentive and calm. No extra prescription drugs. Thank you, Sergey Anatolievich!

07/14/2018

Doctor Rabinyuk Sergey Anatolyevich

Many thanks to Sergey Anatolyevich! Excellent specialist, doctor from God! At the reception, he carefully examined, listened to. He prescribed a course of treatment, from the first day it became much better. The condition was as before, perfect. Quiet, calm. I want to say a huge thank you!

Denis

Kupchino Branch

09. 02.2018

Doctor Rylchikov Ivan Vladimirovich

Congratulations on the upcoming holidays to all the personnel of the Altermed division on Prosveshcheniya avenue, in particular Ivan Vladimirovich Rylchikov, the personnel of the treatment room, administrators. In this unit, I encountered a friendly and correct attitude of people who know and love their job. Good luck and happiness in the coming year, good health, great mood. THANK YOU!

What can you say? A DOCTOR with a capital letter, who knows his business at 5+, did not regret that he made an appointment with him. You can write a lot, but his deeds usually speak for the doctor, and the patient’s condition, at the moment there is a clear improvement in well-being. I am sure that subsequent visits will solve the problem.
This, in principle, is not a criticism, but a wish, I am completely satisfied with the quality of service in Altermed, friendly staff, a doctor who knows his business perfectly, improving well-being, this is all great, of course, but the prices of course for some categories of people are either simply not affordable, or they really force strain your budget, why not, for example, make discounts for pensioners? After all, our pensions, alas, do not allow us to relax. Of course, you also have a discount card, but, alas, it cannot be a significant help to the poor, especially since in addition to paying for doctor’s appointments and procedures, you also have to buy medicines.

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Very attentive and sympathetic doctor Pogunov Anton Sergeevich.
Professional in his field! Thank you very much!

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10/24/2017

Doctor Lebedev Alexander Andreevich

I want to express my gratitude to the doctor Lebedev Alexander Andreevich, a very professional approach to business, very helpful, a pro in his field. I really liked the branch, everything is at the highest level. I am also satisfied with the administration and the girls at the reception, they explained everything – they showed everything, smart girls. I will recommend this branch to all my friends.

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06/20/2017

Doctor Rylchikov Ivan Vladimirovich

The result of the treatment exceeded my wildest expectations )) Thanks to Ivan Vladimirovich.

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03/09/2017

Doctor Rylchikov Ivan Vladimirovich

Many thanks to a true professional – Rylchikov Ivan Vladimirovich. I have been a patient with him for many years. Efficiency 100%. Low bow to the REAL doctor!

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02/24/2017

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A real professional in his field and not only !!! Doesn’t add anything extra. The result of the treatment pleases!!! Now only once a year for verification. I advise!!!

Kirill

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01/23/2017

Doctor Rabinyuk Sergey Anatolyevich

Thank you very much Dr. Rabinyuk! Prescribed proper treatment, explained the causes of the disease. He also told what manipulations are worth doing and which are not. Thanks a lot! Good luck and prosperity!

Daria

Kupchino Branch

01/15/2017

Doctor Rabinyuk Sergey Anatolyevich

I was very pleased with the work of Dr. Sergey Anatolyevich Rabinyuk. A wonderful young specialist, he knows how to hear the patient at a subtle level, not just from words, but also from a person’s emotions. An excellent doctor, I liked it very much, she only did ultrasound, but she received an excellent consultation! I have seen many doctors, and not all of them want to leave a positive review.

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Kupchino Branch

01/14/2017

Doctor Rabinyuk Sergey Anatolyevich

From the bottom of my heart and from the bottom of my heart I thank the whole team of the Altermed Clinics Group, doctor Rabinyuk S. A. for sensitivity, understanding and professionalism in the approach and treatment of my disease. I wish the entire team professional success in their hard work. Thanks a lot to everyone! And Happy New Year everyone.

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12/27/2016

Doctor Rabinyuk Sergey Anatolyevich

Just thank you

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11/29/2016

Doctor Rabinyuk Sergey Anatolyevich

Was at the clinic at Engels. The doctor is adequate, aware of modern drugs, which, for example, pleased me. He prescribed tests and, based on the results, suggested treatment and painted prevention. Problem solved, thanks doctor

Alexander Mezentsev

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11/14/2016

Doctor Lebedev Alexander Andreevich

Many thanks to Alexander Andreevich Lebedev. As you know, all diseases are from the nerves. But some out of love. It was with such an intimate sore that he went to the clinic on Zvezdnaya. I liked the approach, namely accuracy, clarity of explanations and tact, which is important in such work. And, of course, I was pleased with the end result.

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Zvezdnaya Branch

11/11/2016

Doctor Rylchikov Ivan Vladimirovich

Many thanks to Dr. Ivan Vladimirovich. After visiting his procedures, I began to feel much better.

Bashirov Fikret Sultanovich.

02.11.2016

Doctor Rylchikov Ivan Vladimirovich

Thank you very much Ivan Vladimirovich. Now I feel much better, to be honest, I did not expect. I will definitely come to you in a year. You are really a great doctor. Sincerely, Fikret Sultanovich is 52 years old.

Fikret Sultanovich

02. 11.2016

Doctor Rylchikov Ivan Vladimirovich

Many thanks to Ivan Vladimirovich, I was very pleased that all the tests were taken at the first appointment, and after a few days everything was explained in an accessible way and treatment was recommended.
Thank you.
I advise.

Fedor

Branch Pr. Enlightenment

11/01/2016

Doctor Pogunov Anton Sergeevich

I want to express my gratitude to Pogunov Anton Sergeevich Professional and just a good person! Health to you and grateful patients! THANK YOU very much

Sherzod

Branch Leninsky Prospekt

10/11/2016

Doctor Rylchikov Ivan Vladimirovich

Ivan Vladimirovich!! Big thanks to you! Perhaps, for the first time, everything was so detailed and, most importantly, clearly explained to me, and not just a bunch of tests were prescribed. Still, there are exceptions in private medicine..
The most attentive and sensitive doctor! Thank you!!

Michael

09/06/2016

Doctor Rylchikov Ivan Vladimirovich

Attentive and professional doctor. Sensitive and responsive person. Thank you!

Rostislav Anatolievich

Branch Pr. Enlightenment

03/16/2016

Doctor Pogunov Anton Sergeevich

Hello, I want to say thank you to Anton Sergeyevich Pogunov – a professional in his field, the prescribed treatment gave a result, he gave comprehensive answers to all the questions I asked, during the course of treatment, explained everything, always politely and with understanding. Thank you, Anton Sergeyevich!
Thanks also to the nurses, during the procedures, they are always polite and courteous!
PS:Unfortunately, there was a minus during the course of treatment, the dispatch service either recorded in the wrong department, or did not inform the clinic about the request to reschedule the appointment.

Ivan

Branch Leninsky pr.

10/31/2015

Doctor Rylchikov Ivan Vladimirovich

Thank you for the correct diagnosis and prescription.

IGBAL

Branch Ave. Enlightenment

07.10.2015

Doctor Lebedev Alexander Andreevich

Doctor Lebedev A.A. (urologist): listened carefully, examined, made a primary diagnosis. Helped out a lot, because. constantly on the nerves, wandering on expeditions. Thank you very much!!!

Igor

Branch Zvezdnaya

09/30/2015

Doctor Rylchikov Ivan Vladimirovich

I was lucky enough to get to Ivan Vladimirovich with several very unpleasant sores. The doctor quickly picked up the treatment. There was no need to re-treat. Completely healthy. Many thanks to Ivan Vladimirovich. I recommend to everyone.

08/31/2015

Doctor Rylchikov Ivan Vladimirovich

I have been seeing a doctor for right-sided pyeloctasia and chronic pyelonephritis for the fourth year already. During therapy, there was not a single attack and exacerbation. I know that in my case only surgery will help, but so far nothing bothers me, I prefer therapy. After the operation, a difficult rehabilitation is ahead, so I’m delaying it as much as I can. Ivan Vladimirovich is very helpful.

Anna Vasilievna

08/23/2015

DoctorKonovalov Dmitry Vladimirovich

I would like to thank Dmitry Vladimirovich Konovalov for his good attitude, for wonderful hands, for kindness. Not only a good specialist in his field, but also just a wonderful person. Thank you very much.

Branch Ave. Enlightenment

08/11/2015

Doctor Pogunov Anton Sergeevich

I want to note the quality of service in the clinic, cleanliness and order, friendly staff!
I express my gratitude for the professionalism to the urologist Pogunov Anton Sergeevich! This is a specialist who provides the necessary information in an accessible and complete manner, uses an individual approach to achieve the best result for the patient and receives this result. Thank you!

Dislikes:

Not found

Ilya

Zvezdnaya Branch

06/17/2015

Doctor Konovalov Dmitry Vladimirovich

I express my deep gratitude to the wonderful specialist, Urologist IVAN VLADIMIROVICH RYLCHIKOV.
I am satisfied with the visit to the clinic, the doctor is excellent, he does his work for 5+.
Ivan Vladimirovich, health and success to you.

Alexander

Branch Ave. Enlightenment

06/17/2015

Doctor Lebedev Alexander Andreevich

I would like to express my sincere gratitude to Alexander Andreevich Lebedev for his high professionalism in his work, which certainly brings exceptionally positive results, as well as for his ability, even in such a delicate area as urology, to find the right approach to the patient and support him during the period of solving the problem.

Vyacheslav

Branch Zvezdnaya

06/17/2015

Doctor Lebedev Alexander Andreevich

I turned to this specialist with the problem of phimosis, performed the operation, and after only almost a year I say THANK YOU!
everything is fine and tidy)

Dmitry

Branch Zvezdnaya

05/01/2015

Doctor Rylchikov Ivan Vladimirovich

Hello! I want to say a big thank you to the urologist Rylchikov Ivan Vladimirovich for the correct diagnosis and the appointment of a successful treatment. And also to the nurses of the treatment room for their attentiveness and professionalism.

Wonderful clinic, polite and friendly staff, reasonable prices.

Advice for those who are just thinking about whether or not to go to a urologist? Of course, go! It’s up to you to go to this clinic or another, but the sooner you go, the easier it will be to treat inflammation, incipient prostatitis, etc. I understood this, and now I will go to the urologist regularly, although before that the last time I visited a urologist was more than 10 years ago.

Thanks again to all Altermed employees.

Sincerely, Alexander (37 years old)

Alexander

Branch Pr. Enlightenment

03.12.2012

Doctor Lebedev Alexander Andreevich

He was treated at the clinic on the star with Dr. Lebedev!
Very friendly and polite staff. Reasonable prices. Good and thoughtful organization of work with clients. Modern equipment, EVERYWHERE is very clean. The treatment helped, I was very pleased.

Pavel

Branch Zvezdnaya

05/18/2012

Doctor Rabinyuk Sergey Anatolyevich

Thank you very much, doctor urologist Sergey Anatolyevich Rabinyuk, very polite, cultured, competent, these are the key words that can characterize him!!! Not trying to breed for money, this is very important in our time. Thank you very much, I’m very happy!!!

Ayaz

Branch Kupchino

Doctor Rabinyuk Sergey Anatolyevich

From the bottom of my heart I would like to thank the urologist Rabinyuk Sergey Anatolyevich. In February 2020, by intuition, I signed up for this doctor and I don’t regret it at all! I knew right away that he was a professional. He identified all the problems, prescribed treatment (he didn’t prescribe anything superfluous), said which pills / injections are not required, but would not interfere. And cystitis, as it was not! Finally, I started to live a normal life and stopped looking for latrines everywhere, sorry for the details, but I write as it is. Therefore, if you are concerned about cystitis, then I sincerely advise you to make an appointment with Sergey Anatolyevich! I will definitely not go to another doctor)

Maria Belyankova

Kupchino Branch

Doctor Rabinyuk Sergey Anatolyevich

Thank you for recording just such a wonderful specialist in his field. I’m lucky! Since Sergey Anatolyevich treats his patients, any other doctor should. I am very glad! Score 10!

Zvezdan

Zvezdnaya branch

Doctor Lebedev Alexander Andreevich

I want to express my deep gratitude to the doctor Lebedev Alexander Andreevich. Came from hr. prostatitis, the doctor listened to prescribed procedures and course of treatment. Everything was done very professionally and within the competence. All questions were answered. I recommend this doctor to all men who have encountered prostatitis for the first time. Thanks again Alexander Andreevich!

Dmitry

Zvezdnaya Branch

Doctor Rabinyuk Sergey Anatolyevich

Sergey Anatolyevich is just a great doctor, smart, attentive, a professional in his field, I was at his appointment on the morning of 03/21/21, I was sure that I had a serious problem, but Sergey Anatolyevich reassured me and gave competent recommendations
I recommend this specialist to everyone !

Pavel L.

Kupchino Branch

Doctor Rylchikov Ivan Vladimirovich

This is the 3rd clinic in Prosveshcheniya that we have visited. Prior to this, my husband was completely tortured, they prescribed unnecessary procedures. The clinic was treated by a urologist Rylchikov Ivan Vladimirovich. Thank you doctor!!! Thoroughly explained everything, canceled part of the treatment. Advised how to come to good results and apply for IVF. I highly recommend this doctor.

Nina

Branch Pr. Enlightenment

See all reviews

Urethritis

Urethritis in men and women: causes, symptoms and signs, effective methods of diagnosis and treatment

Urethritis is an inflammation of the urethra (urethra). Urethritis can occur in both women and men. Most often, infection of the urethra (urethra) occurs during sexual contact. Urethritis can occur against the background of various sexually transmitted diseases, and is often the main manifestation of a sexual infection. The main symptoms of urethritis are pain or burning when urinating and discharge from the urethra (urethra).
Treatment of urethritis is carried out depending on the cause of the disease and includes antibiotics, hygiene measures.

What is urethritis?

Urethritis is an inflammation of the urethra. Most often, due to the anatomical features of the structure of the urethra, urethritis occurs in women (the urethra in women is wider and shorter, as a result of which it is easier to become infected).
In urethritis, the walls of the urethra and its glands become inflamed. In the lumen of the urethra, purulent or bloody discharge accumulates, which are released drop by drop when pressing on the urethra or during urination.

What are the causes of urethritis?

As mentioned above, urethritis is an inflammation of the urethra, which occurs as a result of its infection with various microbes. Depending on the cause of urethritis (causative microbe), specific and nonspecific urethritis are isolated.
The cause of specific urethritis is certain sexually transmitted infections (STDs): gonorrhea, herpes, chlamydia, urogenital mycoplasmosis, trichomoniasis. These forms of urethritis are called specific, since they occur with some characteristic features for each case and require special treatment.
Nonspecific urethritis is usually caused by streptococci, staphylococci, E. coli and other bacteria. Regardless of the causative agent of the disease, nonspecific urethritis always proceeds in the same way and is treated according to a certain scheme.

Risk factors that contribute to the development of urethritis

Due to the fact that the urethra is located in close proximity to the anus, which serves as a constant source of microbes (causative agents of nonspecific urethritis), infection in the urethra is observed quite often, but infection alone is not enough to develop urethritis. Generally, in healthy people, immune defenses in the urethra block infection and prevent urethritis from developing. There are a number of factors that can reduce the immune defense of the whole body or immunity at the level of the urethra. It is these factors, in combination with infection, that contribute to the development of urethritis. As a rule, urethritis occurs against the background of:

• Genital injuries (most often during intercourse)
• Hypothermia of the human body (especially the perineal and genital areas)
• Sexual promiscuity (a large number of sexual partners increases the risk of contracting a sexual infection)
• Improper diet, chronic overwork, stress, lack of vitamins (reduce the body’s immune defenses)

Symptoms and signs of urethritis

The first signs and symptoms of urethritis appear several hours or days after infection of the urethra with microbes. Symptoms of urethritis in men and women have their own characteristics.

Peculiarities of symptoms of urethritis in men

The main symptoms of acute urethritis in men are:

• Burning (itching) when urinating. Due to the anatomical features of the urethra in men, the burning sensation in urethritis in men is more pronounced than in women
• Pain when urinating
• Discharge from the urethra (purulent or bloody). As a rule, discharge with urethritis occurs in the morning. Most often, with urethritis, abundant discharge of a blue-green or yellowish color with an unpleasant odor is observed.
• Adhesion of the external opening of the urethra (mainly in the morning)

Acute urethritis is dangerous because sometimes (in mild cases) it occurs without obvious symptoms.
Often, with urethritis in men, the infection spreads to neighboring organs with the occurrence of prostatitis, pyelonephritis, cystitis.

Features of symptoms of urethritis in women

The main symptoms and signs of urethritis in women include:

• Discharge from the urethra (the nature of the discharge depends on the causative agent of urethritis, most often there is a greenish or white-yellow or bloody discharge with an unpleasant odor)
• Pain in the lower abdomen. As a rule, pain in urethritis in women is localized in the lower abdomen. Pain with urethritis in women, constant low intensity
• Burning (itching) in the urethra, redness of the outlet of the urethra.

Most often, the symptoms of urethritis in women appear hours or days after sexual intercourse.
In view of the anatomical features of the structure of the urethra in women already described above, their urethritis is often associated with cystitis. Read more about the symptoms and treatment of cystitis in the Cystitis section.

General symptoms of urethritis

In acute urethritis, both men and women do not have an increase in body temperature, a decrease in appetite, weakness.

If left untreated, urethritis can become chronic. The main reasons that lead to severe urethritis include:

• Mistreatment of acute urethritis
• Spread of infection to neighboring organs. In acute urethritis, very often the infection in men spreads to the prostate gland (prostatitis), the penis. In women, as a rule, an infection with urethritis can go to the glands in the labia (Bartholin’s glands)
• Weakening of immunity (chronic infections, stress, overwork)

Candidal urethritis

Candidal urethritis occurs as a result of infection of the urethra with yeast fungi against the background of thrush.
Symptoms and signs of candidal urethritis are usually not very pronounced (itching or burning in the urethra, scanty cheesy white discharge from the urethra), discomfort felt in the lower abdomen and deep in the perineum.
Treatment of candidal urethritis is reduced to the use of antifungal drugs (ketoconazole, miconazole, etc.).

Diagnosis of acute urethritis

As a rule, 1 examination is enough for a patient to make a diagnosis of urethritis. To determine urethritis in a patient, a sample is taken, and then the sowing of discharge from the urethra. As a result of this examination, the cause of urethritis is identified, and the correct treatment is prescribed. Diagnosis and treatment of urethritis are carried out by urologists, gynecologists and andrologists.

Chronic urethritis

With inadequate or untimely treatment, urethritis can become chronic (chronic urethritis). As a rule, chronic urethritis is characterized by the same signs and symptoms, but less pronounced than acute urethritis (see above).
Chronic urethritis can last for quite a long time (several months, years) and can lead to narrowing and deformation of the urethra (urethral structure). In the presence of stricture (narrowing) of the urethra in chronic urethritis, most doctors will offer to perform bougienage (expansion) of the urethra with a special probe. This procedure is painless and can replace a complex operation to restore the patency of the urethra.

Treatment of urethritis in men and women

If you have symptoms and signs of urethritis, you should consult a doctor, self-treatment of urethritis is unacceptable.
First of all, with urethritis, it is necessary to follow a diet (spicy and salty foods, as well as alcohol, smoking, are excluded from the diet). In addition, with urethritis, patients should drink plenty of fluids (juices, cranberry juice).
Various drugs for the treatment of urethritis in men and women are used in the form of tablets and injections (shots). The main principles of treatment of patients with urethritis include:

• Antibiotic therapy (removal of the cause of the disease)
• Topical treatment of urethritis
• Improving the immunity of the human body

Medicines for urethritis

The main direction in the treatment of urethritis in men and women is the use of antibiotics. The appointment of antibiotics by a doctor is carried out taking into account the causative agent of urethritis. The dose of drugs for urethritis is selected by the doctor individually.
If ​​the cause of urethritis in men and women is gonorrhea (or chlamydia), then Doxycycline + Deoxyribonuclease (25 mg for 6 days) is prescribed.