What are the most effective natural remedies for UTIs. How can you alleviate UTI symptoms at home. Which lifestyle changes can help prevent recurring urinary tract infections. What role does hydration play in UTI treatment and prevention. Are cranberries truly beneficial for urinary health.

Understanding Urinary Tract Infections: Causes and Symptoms

Urinary tract infections (UTIs) are a common health issue, particularly among women. These infections occur when bacteria, typically E. coli, enter and multiply in the urinary system. While both men and women can develop UTIs, women are significantly more susceptible due to their shorter urethra, which allows bacteria easier access to the bladder.

Common symptoms of a UTI include:

• Burning or painful urination
• Frequent urge to urinate
• Cloudy or strong-smelling urine
• Blood or pus in urine

Is prompt treatment necessary for UTIs? Absolutely. If left untreated, a UTI can spread to the kidneys, potentially causing serious complications. While antibiotics are the primary treatment, several natural remedies can complement medical care and provide relief from symptoms.

Hydration: The First Line of Defense Against UTIs

Can simply drinking more water help combat UTIs? Research suggests it can. Increasing your water intake is one of the most effective natural remedies for UTIs. By drinking more water, you encourage frequent urination, which helps flush out harmful bacteria from your urinary tract.

A 2017 study involving 140 premenopausal women with recurring UTIs demonstrated the power of hydration. The group that increased their daily water intake by 1.5 liters experienced a significant reduction in UTI occurrences compared to the control group.

Tips for Staying Hydrated

• Carry a reusable water bottle with you throughout the day
• Set reminders on your phone to drink water regularly
• Consume water-rich foods like cucumbers, watermelon, and zucchini
• Opt for herbal teas as a flavorful hydration alternative

The Cranberry Controversy: Fact or Fiction?

Does cranberry juice really help prevent UTIs? The answer isn’t straightforward. Cranberries contain specific polyphenols that may inhibit E. coli from adhering to the urinary tract walls. However, recent research has cast doubt on the effectiveness of cranberries in UTI prevention.

A 2017 review found limited evidence supporting cranberries’ role in reducing recurrent UTIs. Despite this, many experts still recommend cranberry juice as a preventative measure, given its lack of negative side effects.

Choosing the Right Cranberry Product

If you decide to incorporate cranberries into your UTI prevention strategy, keep these points in mind:

• Opt for unsweetened cranberry juice to avoid bladder irritation from added sugars
• Consider cranberry supplements for a more concentrated dose of beneficial compounds
• Consume cranberry products consistently for potential preventative benefits

Vitamin C: Boosting Immunity and Urinary Health

How does vitamin C contribute to urinary tract health? This essential nutrient plays a dual role in UTI management:

1. It enhances overall immune function, helping your body fight off infections more effectively.
2. Vitamin C may increase urine acidity, creating an inhospitable environment for bacteria.

Furthermore, vitamin C can potentially enhance the effectiveness of certain antibiotics used to treat UTIs. For instance, it works synergistically with methenamine hippurate (MH), an antibiotic that reacts with acidic urine to produce formaldehyde, which is toxic to E. coli and other bacteria.

Incorporating Vitamin C into Your Diet

To boost your vitamin C intake, consider adding these foods to your diet:

• Citrus fruits (oranges, grapefruits, lemons)
• Bell peppers
• Kiwi fruit
• Broccoli
• Strawberries

Mindful Urination Habits: A Simple Yet Effective Strategy

Can changing your bathroom habits help prevent UTIs? Indeed, practicing mindful urination is a simple yet effective natural remedy for UTIs. Holding urine for extended periods allows bacteria to multiply in the bladder, increasing the risk of infection.

Key Urination Habits to Adopt

• Urinate as soon as you feel the need
• Empty your bladder completely when urinating
• Urinate before and after sexual activity
• Practice proper wiping technique (front to back for women)

By incorporating these habits into your daily routine, you can significantly reduce your risk of developing UTIs.

Probiotics: Balancing the Microbiome for Urinary Health

How do probiotics contribute to urinary tract health? While not mentioned in the original text, probiotics are increasingly recognized as a potential natural remedy for UTIs. These beneficial bacteria help maintain a healthy balance of microorganisms in the urinary and vaginal tracts, potentially reducing the risk of infection.

Probiotics, particularly strains like Lactobacillus rhamnosus and Lactobacillus reuteri, may help:

• Inhibit the growth of harmful bacteria
• Strengthen the urinary tract’s natural defenses
• Reduce the recurrence of UTIs in some individuals

Incorporating Probiotics into Your Diet

To increase your probiotic intake, consider adding these foods to your diet:

• Yogurt with live cultures
• Kefir
• Sauerkraut
• Kombucha
• Probiotic supplements (consult with your healthcare provider before starting any new supplement regimen)

Herbal Remedies: Nature’s Approach to UTI Relief

Can herbs provide relief from UTI symptoms? While not a substitute for medical treatment, certain herbs have been traditionally used to support urinary tract health and alleviate UTI symptoms. Here are some herbal remedies that may offer potential benefits:

Uva Ursi (Bearberry)

Uva ursi contains a compound called arbutin, which may have antimicrobial properties. It’s been used in traditional medicine to treat UTIs, but should be used under professional guidance due to potential side effects.

Goldenseal

This herb contains berberine, a compound with potential antibacterial properties. Some studies suggest it may help combat UTI-causing bacteria.

D-Mannose

While not an herb, D-mannose is a type of sugar that may help prevent E. coli from adhering to the urinary tract walls. Some research indicates it could be effective in preventing recurrent UTIs.

Before using any herbal remedies, it’s crucial to consult with a healthcare professional, as they may interact with medications or have contraindications for certain health conditions.

Lifestyle Modifications: Long-Term Strategies for UTI Prevention

Beyond immediate remedies, what lifestyle changes can help prevent UTIs in the long run? Implementing certain habits and modifications to your daily routine can significantly reduce your risk of developing urinary tract infections.

Hygiene Practices

• Wear breathable, cotton underwear
• Avoid tight-fitting pants that can trap moisture
• Change out of wet swimsuits or sweaty workout clothes promptly
• Use unscented, gentle hygiene products to avoid irritation

Dietary Considerations

Certain foods and beverages may irritate the bladder or increase the risk of UTIs. Consider limiting or avoiding:

• Caffeine
• Alcohol
• Spicy foods
• Artificial sweeteners
• Carbonated beverages

Sexual Health Practices

Since sexual activity can introduce bacteria into the urinary tract, adopting these habits can help reduce the risk of UTIs:

• Urinate before and after sexual activity
• Clean genital and anal areas before and after intercourse
• Use lubrication to minimize irritation
• Consider changing birth control methods if you experience recurring UTIs (consult with your healthcare provider)

By incorporating these lifestyle modifications along with the natural remedies discussed earlier, you can create a comprehensive strategy for managing and preventing urinary tract infections.

When to Seek Medical Attention: Recognizing Serious Symptoms

While natural remedies can be effective in managing mild UTI symptoms and preventing recurrences, it’s crucial to know when professional medical care is necessary. Certain symptoms may indicate a more severe infection or complications that require immediate attention.

Red Flags: When to Contact Your Healthcare Provider

• Fever or chills
• Back pain or flank pain
• Nausea or vomiting
• Blood in urine
• Symptoms that persist for more than a few days
• Recurring UTIs (more than two in six months or three in a year)

These symptoms could indicate that the infection has spread to the kidneys or that there may be underlying health issues contributing to recurrent UTIs. In such cases, prompt medical evaluation and treatment are essential to prevent complications and ensure proper care.

Diagnostic Procedures

When you visit your healthcare provider for UTI symptoms, they may perform the following tests:

• Urinalysis to check for bacteria, blood cells, and other signs of infection
• Urine culture to identify the specific bacteria causing the infection
• Imaging tests (such as ultrasound or CT scan) if structural abnormalities are suspected

Treatment Options

Depending on the severity and frequency of your UTIs, your healthcare provider may recommend:

• Antibiotics (short-course or long-term prophylactic)
• Pain relief medications
• Further investigation into underlying causes of recurrent UTIs
• Referral to a urologist for specialized care

Remember, while natural remedies can be beneficial, they should complement, not replace, professional medical advice and treatment. Always consult with your healthcare provider before starting any new treatment regimen, especially if you have chronic or recurrent UTIs.

Emerging Research: New Frontiers in UTI Prevention and Treatment

As medical science advances, researchers continue to explore new strategies for preventing and treating urinary tract infections. These emerging areas of study offer exciting possibilities for future UTI management.

Vaccine Development

Scientists are working on developing vaccines that could prevent UTIs by targeting the most common strains of bacteria responsible for these infections. While still in the experimental stages, this approach could revolutionize UTI prevention, especially for those prone to recurrent infections.

Bacteriophage Therapy

Bacteriophages are viruses that specifically target and destroy bacteria. Research is ongoing to develop bacteriophage therapies that could offer an alternative to antibiotics, potentially addressing concerns about antibiotic resistance.

Nanotechnology

Researchers are exploring the use of nanoparticles to deliver targeted treatments to the urinary tract. This approach could enhance the effectiveness of existing treatments while minimizing side effects.

Microbiome Manipulation

Building on the understanding of the urinary microbiome, scientists are investigating ways to promote beneficial bacteria in the urinary tract to prevent UTIs naturally.

While these areas of research are promising, it’s important to note that many are still in early stages and may take years to become widely available treatments. In the meantime, combining established medical treatments with the natural remedies and preventive strategies discussed earlier remains the most effective approach to managing UTIs.

Empowering Yourself: Building a Comprehensive UTI Management Plan

Managing and preventing urinary tract infections requires a multifaceted approach. By combining medical treatment, natural remedies, lifestyle modifications, and ongoing education, you can develop a comprehensive strategy to maintain urinary tract health.

Key Components of a UTI Management Plan

• Regular check-ups with your healthcare provider
• Adherence to prescribed treatments
• Implementation of natural remedies and preventive measures
• Ongoing education about UTI prevention and new research developments
• Awareness of your body and recognition of early UTI symptoms
• Stress management techniques to support overall immune health

Tracking Your UTI History

Keeping a record of your UTIs can provide valuable insights and help you and your healthcare provider identify patterns or triggers. Consider tracking the following information:

• Date and duration of each UTI
• Symptoms experienced
• Potential triggers (e.g., sexual activity, dehydration)
• Treatments used and their effectiveness
• Any lifestyle changes or remedies implemented

By taking an active role in your urinary health and working closely with your healthcare provider, you can significantly reduce the impact of UTIs on your life and overall well-being. Remember that everyone’s experience with UTIs is unique, and what works best for you may require some trial and error. Stay patient, stay informed, and don’t hesitate to seek support when needed.

7 natural remedies for UTI to deal with the worst symptoms

Out of all of life’s many annoyances, UTIs rank pretty high (probably somewhere above “trip to the DMV,” but below “bridal party email thread”). If you have yet to actually experience one, consider yourself lucky: They’re inconvenient, incredibly uncomfortable and sometimes painful reminders that being a lady is super fun.

Urinary tract infections happen when bacteria gets trapped in the bladder, urethra, or any other part of the urinary system. While men do occasionally get them, they’re way more common in women (like, we get them 30 times as often as men do!). And that’s down to anatomy: Because a woman’s urethra is shorter than a man’s, it’s easier for bacteria to enter and make itself at home.

Most UTIs are caused by E. coli, which can enter the urethra post-sex or after improper wiping. The bacteria can take root and replicate, leading to an infection of either the bladder (which is called cystitis) or urethra (called urethritis).

If you experience symptoms such as burning or painful urination, the urge to pee frequently (even when you know you don’t have to), cloudy or strange-smelling urine, or see blood or pus in your urine, you might have a UTI.

Left untreated, a UTI could easily spread to your kidneys and cause lasting damage, which is why you should make an appointment with your doctor stat. They’ll likely do a culture to determine if your symptoms are due to a UTI or some other infection and treat you accordingly. If you have a UTI, your doc will prescribe antibiotics, which (thankfully) get to work surprisingly quickly.

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While you wait for the antibiotics to kick in, there are some easy natural remedies for UTIs that can help alleviate your symptoms and prevent UTIs in the future.

Photo: Stocksy / Natalie Jeffcott

1. Drink more water

You should be drinking plenty of water anyway, but if you aren’t always great about remembering to fill up your water bottle in the middle of the day, it’s important to make an effort to increase your water intake if you’ve been diagnosed with (or suspect you have) a urinary tract infection. The more water you drink, the more you’ll have to pee; the more you pee, the more bacteria will be flushed out of your urethra every time you use the bathroom.

Upping your h30 consumption may also help prevent UTIs in the future, according to a 2017 study of 140 premenopausal women dealing with recurring infections. Study participants were divided into two groups; one group stuck to their usual water-drinking habits over the course of a year, while the other group drank an additional 1.5 liters of water a day (on top of their usual fluid intake). By the end of the study, the group drinking extra water saw a “significant” decrease in the mean number of infections compared to the control.

2. Reach for the (unsweetened) cranberry juice

Cranberries (and cranberry juice) have long been touted as a way to prevent urinary tract infections. That’s because cranberries contain a specific kind of polyphenol (a compound found in plants) that acts on E. coli and other bacteria as an anti-adhesive, making it harder for the harmful microorganisms to stick to urethra walls.

However, it should be noted that research is mixed on the subject—most recently, a 2017 review found that “limited evidence exists for cranberries in reducing the risk of [recurrent UTIs],” and that “evidence for cranberry juice in preventing UTIs was less than previously thought,” although it noted that there aren’t any known downsides to drinking the stuff, either. (And some experts still recommend drinking cranberry juice as a preventative measure.)

If you do want to give cranberry juice a try, skip the cranberry cocktail in the juice aisle of your local grocery store and opt for the unsweetened variety instead. Sugary beverages can irritate your bladder, which will only make you feel worse than you already do. (BTW, you should also hold off on drinking coffee, alcohol and soda while you’re being treated for a UTI.)

3. Pop some vitamin C

In addition to its overall immunity-boosting properties, vitamin C may help reduce the risk of urinary tract infections by making urine more acidic, thereby limiting bacteria growth. The authors of the metastudy mentioned above also say that vitamin C plays quite nicely with methenamine hippurate (MH), an antibiotic commonly used to treat urinary tract infections. MH reacts with acid in the urine to create formaldehyde, which is deadly to E. coli and other bacteria. So basically vitamin C could help your antibiotics work even better.

4. Pee when you need to …

You may pride yourself on your ability to sit through marathon meetings without taking a bathroom break, but don’t sacrifice your bladder just because you don’t want to miss a minute of your boss’s riveting quarterly sales projections. If you habitually hold in your pee, research suggests you could be putting yourself at risk for a UTI. The longer urine sits in your bladder, the more time bacteria that has entered your urethra has to settle in and multiply.

5. …and definitely, definitely pee after sex

Although the jury is still out on whether or not there’s actually a relationship between peeing after intercourse and UTIs, there is some scientific evidence that women who go to the bathroom before and after sex are much less likely to get UTIs than women who do not. (That same study also found that there may be a connection between diaphragm and spermicide use and UTIs.)

6. Apply heat

If you’re dealing with pain in your lower belly thanks to your UTI, a heating pad or hot water bottle may provide temporary relief.

7. Try garlic (extract) or bearberry leaf

A 2009 study of male rats showed a “statistically significant” drop in bacterial growth and inflammation when the rats were given garlic, while the author of a 2010 study found that garlic extract had an antimicrobial effect even on some antibiotic-resistant strains of S. aureus and E. coli. And in a small study of 57 women suffering from recurring UTIs, the group who supplemented with bearberry leaf (a.k.a. uva-ursi) saw a significant decrease in the number of recurring infections compared to the control group over the course of the year-long study.

It should be noted that these studies are small, and some of them were only on rats or in a petri dish—so take these findings with a grain of salt. And as with all herbal supplements, talk to your doctor first to make sure they don’t interact with any other meds you’re taking.

9 steps to clear up urethritis – FC&A Store

Urethritis is an inflammation of the urethra, the tube that carries urine from the bladder to the penis and out of the body. It may be caused by an infection, an irritation, or a minor injury.

Urethritis is generally picked up through sexual contact, but it can also occur as a complication of brachytherapy, a prostate cancer treatment. Its symptoms are similar to prostatitis, but more severe.

Symptoms of urethritis include:

• watery discharge from penis
• a “glued shut” appearance at the opening of the penis
• discharge from the penis that leaves a brownish or yellowish stain on the front of the underwear
• an itchy feeling inside the penis
• discomfort in the penis during urination

See your doctor if you have an infection so he can prescribe antibiotics. Although untreated urethritis may eventually go away on its own, it can leave you with a worse problem — a urethral stricture or blockage. An injury or untreated infection can cause scar tissue to build up in the urethra. A urethral stricture occurs when this scar tissue shrinks, causing the urethra to narrow and sometimes even become shorter. This makes it difficult and painful to urinate or ejaculate. There is no natural remedy for a urethral stricture.

Find out the facts, including how to maximize your odds of being in the “magic one-fifth” of men who will never have prostate troubles, or how to naturally reverse symptoms, and to avoid pain, urinary troubles, and sexual dysfunction that can come with illness or from the wrong treatment! Learn more with Your Prostate Answer Book.

Generally, antibiotics will relieve the symptoms of urethritis within 24 hours. However, to completely wipe out the infection, be sure to finish up all antibiotics no matter how soon you feel better.

Typically, urethritis is caused by an infection you picked up from your mate during sexual intercourse. These infections can be passed back and forth between partners, so it’s a good idea to have your mate treated at the same time you are.

Here are some self-help suggestions to comfort and heal an irritated urethra:

1. Soak in a sitz bath. Although sitz baths sound somewhat mysterious, they’re really not. Sitz is simply a German word for seat. So, a sitz bath basically involves sitting for 15 minutes in a few inches of hot water. Sitz baths are soothing because they help relieve the discomfort of an irritated prostate. They also appear to improve circulation and healing.
2. Don’t squeeze on your penis to see if the discharge is still present. It’s okay to inspect it gently.
3. Clean your genitals and surrounding areas with plain, unscented soap.
4. Say no to sex or use a condom until you’re free of symptoms for two weeks.
5. Drink eight glasses of water a day.
6. Chug some cranberry juice. This will acidify your urine and possibly help prevent future problems. Also, some  drugs work better if your urine is acidic.

In addition, modifying your sexual habits can help prevent future infections:

7. Use the bathroom within 15 minutes after sex. It may help if you drink a glass of water before sex.
8. Use latex condoms.
9. If you use lubricants, make sure you use a water-soluble one, such as K-Y Lubricating Jelly.

If you’re dealing with other urinary issues such as leakage, straining, and interrupted sleep — take a look at the one natural extract that can reduce these symptoms by up to 92% on page 323 of Your Prostate Answer Book!

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5 Home Remedies For UTIs

Looking for home remedies to treat your UTI? You’ve come to the right place!  Read below to learn about urinary tract infection home remedies and get rid of that burning urine feeling for good!  (And stop them from happening in the first place!)

NAFC recently conducted a survey that asked people how they were dealing with urological conditions during the pandemic. A surprising finding was that many of you reported an increase in urinary tract infections. While we don’t know why more frequent UTIs are happening – stress, a decrease in personal grooming, or poor diet choices may all be culprits – we do realize that urinary tract infections can be annoying, painful, and can cause an increase in incontinence or bladder leaks. 

Urinary tract infections are caused by foreign bacteria entering into the urine tract, usually from the bowel, and they can happen to both men and women. In fact, about 60% of women and 12% of men will have at least one UTI in their lifetime.  If you’ve ever had one, you will recognize the symptoms immediately:  burning urine sensations when you pee, cramping, frequent trips to the bathroom, strong-smelling pee that may appear cloudy or dark, and a feeling of not quite being able to empty your bladder are all hallmark symptoms of UTIs. UTI’s are also annoying and frustrating, especially if they happen to you often. And, while the standard treatment for a UTI is pretty commonplace (an antibiotic usually clears it up in a few days), an in-person visit with your doctor to get that diagnosis and antibiotic prescription may not exactly be high on your list of things to do right now.  

(Learn more about UTIs and what causes them here.)

While antibiotics are the fastest and most recommended way to treat urinary tract infections, they sometimes don’t work. You may also be wary of taking an antibiotic due to certain risks that accompany that treatment. Luckily, there are some great home remedies for urine infections you can try to treat the condition. 

BELOW ARE SOME OF THE BEST NATURAL HOME REMEDIES FOR UTIS YOU CAN TRY Right From Home.

• DRINK LOTS OF WATER.

  Drinking lots of water, and emptying your bladder when you need to, will help you flush harmful bacteria from your system. You may be hesitant to drink water due to the burning sensation you may have when peeing, but trust us on this – getting in your recommended 8 glasses a day will do you a world of good. You can also incorporate water-based foods – watermelon, oranges, lettuce, soups and broths are all great examples of foods that have high water content. Be sure to drink water throughout the day – if you wait until you’re thirsty, you’re already dehydrated. (Try our tips for drinking more water here.)

• TRY DRINKING SOME UNSWEETENED CRANBERRY JUICE.

  While the research is a bit unclear, cranberries have been used as a prevention of UTI for generations. Studies have shown that cranberries actually make it harder for the bacteria that cause UTIs to stick to the urinary tract walls. So, while not really a remedy, if you frequently get UTIs, it might be worth drinking a couple of glasses of unsweetened cranberry juice, or snacking on the actual fruit (whole or dried). (Note:  the “unsweetened” is key here – consuming juices with added sugars may only make your urinary tract infection worse.)

• DON’T “HOLD IT”.

  We all get busy, but holding off going to the bathroom gives any bacteria that may already be in your bladder the chance to grow and multiply, potentially resulting in infection (or keeping one that you already have alive and well). Drink lots of water and when you have to go, go. Another good prevention measure – be sure to pee after you’ve had sexual intercourse to wash away any harmful bacteria and prevent it from spreading.

• TRY TAKING A PROBIOTIC.

  Introducing a probiotic to your system may help to replenish the naturally occurring, healthy bacteria that live in the gut.  It is thought that probiotics may prevent harmful bacteria from attaching to the urinary tract cells, and may also lower the urine Ph, making it less hospitable to harmful bacteria. And, if you have taken an antibiotic to treat a UTI, taking a probiotic is a great way to build up the healthy bacteria that may have been killed during your course of treatment. Probiotics are found in supplement form (often a capsule), or they occur naturally in some types of food, including certain yogurts, kombucha, or kefir.

• EAT GARLIC.

  It turns out that garlic doesn’t just ward off vampires. A recent study showed that garlic extract may be effective in reducing the bacteria that cause UTIs.

• ADD VITAMIN C TO YOUR DIET.

  Not only does vitamin C help strengthen your immune system, but it may also acidify your urine, which limits the growth of some bacteria and may prevent urinary tract infections from occurring. Just be careful of eating too many acidic foods when you have a UTI, as they can potentially irritate your bladder, which may only make your UTI symptoms worse.

• AVOID BLADDER IRRITATING FOODS WHEN YOU HAVE A UTI.

  Certain foods are known bladder irritants – citrus or very acidic foods, artificial sweeteners, caffeine, alcohol – these can all irritate the bladder, leading to bladder leaks. And, if you currently have a UTI, they may affect you even more. Try to watch out for these common bladder irritants to prevent further irritation to your bladder and UTI.

• WIPE FROM FRONT TO BACK.

  This one is more about prevention. Because many UTIs develop from the spread of bacteria from the rectum, it’s important to pay attention to how you wipe both after a bowel movement and after urinating.   Always wipe from front to back to avoid spreading bacteria to the urethra, and on to the urinary tract.

HOW TO EASE THE PAIN OF A UTI

If you’re experiencing pain due to a urinary tract infection, the following may help ease it until you’re able to treat and get rid of the UTI:

• WEAR LOOSE CLOTHING.

  Your goal here is to prevent moisture from accumulating in the pelvic region, which could make your infection worse. Wearing loose clothing, preferably made from cotton or other natural materials will help keep moisture at bay and will help you feel more comfortable.

• APPLY HEAT.

  Use a heating pad, a warm washcloth, or a hot water bottle to apply heat to your bladder or pelvic area if you’re feeling pain or discomfort there from your UTI. You may also wish to take a warm bath to help relieve any pain and to help your muscles relax.

   

• TAKE AN OTC PAIN RELIEVER

  Over-the-counter pain medications can temporarily relieve pain caused by a UTI. Use caution here, and always speak with a doctor first, as some UTIs can turn into kidney infections. In these cases, patients should avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs), which could make the infection worse.

WHEN TO SEE A DOCTOR FOR YOUR UTI

If your symptoms persist beyond a few days with no sign of improvement, or if your infection keeps recurring, it’s best to see a doctor. While many home remedies may ease symptoms if they persist your doctor will be able to determine the cause and prescribe a course of antibiotics that should help take care of your UTI right away and prevent it from leading to a worsening condition or infection.

Have you tried any of the above natural remedies for UTIs, or other home treatments to treat your urinary tract infection? Tell us about them in the comments below!

PS: If you suffer from chronic UTIs, this article is a must-read!

Herbal Treatment for Urethritis | Natural Remedies

Herbal Treatment For Urethritis

Herbal Treatment for Urethritis

Urethritis Herbal Treatment work wonderfully well on urinary tract infections. Herbal supplement can be used together with herbal treatment with antibiotics and for cases where no infection is found. It can be very helpful in building up the constitution, therefore reducing the risk of recurrence. Herbal supplement for Urethritis Herbal Treatment simple method that can reduce the chances of re-infection. Herbal treatment for urethritis boosts the immunity to fight infection and aid natural recovery. Urethritis Herbal Treatment is very useful in herbal supplement for cases of urethritis with marked urgency to pass urine. Herbal treatment for urethritis helps reduce inflammation of the urethra and manage symptoms of urethritis wonderfully.

Herbal Treatment for Urethritis often sees these patients many years after the initial infection, when they come for treatment of chronic disease. Patients commonly report that they have never been well since the original urethritis and herbal treatment. In my experience, careful Urethritis Herbal Treatment is very effective in treating these patients and can fully eradicate the disease. Our herbal method is safe and useful for Urethritis patient. It’s made with natural ingredients and it’s totally free from harmful chemical.

Natural Remedies for Urethritis

You can use Herbal Treatment as Natural Remedies for Urethritis here:

If you are interested in trying Natural Remedies for Urethritis or supplements to see if they help your symptoms, discuss them with your health care provider first. Some herbs and supplements can interact with medications or cause health problems in some people. While Natural Remedies for Urethritis are certainly effective at battling an infection but many people prefer a more natural solution. They are also helpful in preventing the infection from spreading to other parts of the reproductive system. Natural Remedies for Urethritis may be safe way to enhance the integrity and functioning of your body’s various systems.

Benefits of Herbal Treatment

Benefits of Herbal Treatment for Urethritis include are:

• Its helps flush bacteria out of the urethra
• It reduces your chances of future infections.
• It can help relieve symptoms in some cases and can help prevent future infections.
• Its avoid passing the infection to your partner.
• It helps your body ease infection risk.
• It can treat serious infection is the underlying cause.

Why do you think you should go for dietary herbal supplement?

You should go for dietary herbal supplement because:

• Made of natural ingredients
• Packaged safely in air tight jars
• Superior quality
• Offer great value for money

Ingredients used

Here is a list of ingredients used in this dietary herbal supplement for your reference:

• Serpentine 75 mg
• Arillus Myristicae 60 mg
• Elephant Creeper 30 mg
• Nutmeg 30 mg
• Saffron 19 mg

Disease Information

What is Urethritis?

Urethritis is an infection/inflammation swelling or irritation of the lining of the urethra. It is caused by a variety of bacteria, viruses, and protozoa the urethra is a narrow tube that carries urine from the bladder, to outside the body Urethritis may affect men and women of all ages; however, it is usually observed in women of reproductive age group and young men common signs and symptoms connected with Urethritis include painful urination and urethral discharge the condition is diagnosed by a few tests that include urine analysis, culture, and examination of urethral discharge under a microscope with correct diagnosis and treatment, almost all the patients recover with no long-term complications.

When men develop Urethritis, the gonorrheal organism is a very common cause. Though this organism may infect the urethra in women, the vagina, uterus, ovaries, cervix and fallopian tubes are more likely to be infected. Trichomonas, a type of microscopic parasite, also causes urethritis in men.

Medications will aim to treat the cause of the urethritis and to stop the spread of infection. Treatment options for urethritis generally include either antibiotics or antiviral medications. It’s imperative that you follow your treatment as prescribed to cure urethritis and lower your risk of complications. Urethritis Herbal Treatment was undertaken with herbal and Herbal Treatment for Urethritis with great success.

Causes of Urethritis

Following are some of the root causes of Urethritis that are responsible for its onset:

•     History of sexually transmitted diseases
•     Bacterial infection
•     Viral infection
•     Gonorrhea
•     Chlamydia
•     Injury
•     Sensitivity to the chemicals used in spermicides or contraceptive jellies, creams, or foams
•     Having many sexual partners
•     High-risk sexual behavior (such as anal sex without a condom)

Symptoms of Urethritis

Some of the most common symptoms of Urethritis include:

•     Burning pain while urinating (dysuria)
•     Frequent or urgent urination
•     Itching, tenderness, or swelling in the penis or groin area
•     Abdominal pain
•     Pelvic pain
•     Vaginal discharge
•     Blood in the urine or semen
•     Discharge from penis
•     Fever (rare)
•     Pain with intercourse or ejaculation

Tips & Tricks

Here we have some old school tips compiled for you to take advantage from. We will keep updating them as soon as we come up with something new through experiment. In the meanwhile read and follow these:

•     Try practicing safe sex by using hygienic and new condoms only
•     Try to avoid sexual activity for some days and don’t over exert yourself
•     Don’t use any tampons during the course of the illness
•     Treat any infection that you might have
•     Consult your doctor to check if you have any sort of bacterial or viral infection and get yourself treated

Disclaimer:

• All these tips will keep you motivated and make you feel good about yourself while you are still undergoing the Urethritis management routine with our Herbal Alternative Medicine.
• These tips and tricks are by no means a replacement of our herbal pills or any other prescribed medication.

UF Health, University of Florida Health

Definition

Urethritis is inflammation (swelling and irritation) of the urethra. The urethra is the tube that carries urine from the body.

Alternative Names

Urethral syndrome; NGU; Non-gonococcal urethritis

Causes

Both bacteria and viruses may cause urethritis. Some of the bacteria that cause this condition include E coli, chlamydia, and gonorrhea. These bacteria also cause urinary tract infections and some sexually transmitted diseases. Viral causes are herpes simplex virus and cytomegalovirus.

Other causes include:

• Injury
• Sensitivity to the chemicals used in spermicides, contraceptive jellies, or foams

Sometimes the cause is unknown.

Risks for urethritis include:

• Being a female
• Being male, ages 20 to 35
• Having many sexual partners
• High-risk sexual behavior (such as men having penetrating anal sex without a condom)
• History of sexually transmitted diseases

Symptoms

In men:

In women:

• Abdominal pain
• Burning pain while urinating
• Fever and chills
• Frequent or urgent urination
• Pelvic pain
• Pain with intercourse
• Vaginal discharge

Exams and Tests

The health care provider will examine you. In men, the exam will include the abdomen, bladder area, penis, and scrotum. The physical exam may show:

• Discharge from the penis
• Tender and enlarged lymph nodes in the groin area
• Tender and swollen penis

A digital rectal exam will also be performed.

Women will have abdominal and pelvic exams. The provider will check for:

• Discharge from the urethra
• Tenderness of the lower abdomen
• Tenderness of the urethra

Your provider may look into your bladder using a tube with a camera on the end. This is called cystoscopy.

The following tests may be done:

Treatment

The goals of treatment are to:

• Get rid of the cause of infection
• Improve symptoms
• Prevent the spread of infection

If you have a bacterial infection, you will be given antibiotics.

You may take both pain relievers for general body pain and products for localized urinary tract pain, plus antibiotics.

People with urethritis who are being treated should avoid sex, or use condoms during sex. Your sexual partner must also be treated if the condition is caused by an infection.

Urethritis caused by trauma or chemical irritants is treated by avoiding the source of injury or irritation.

Urethritis that does not clear up after antibiotic treatment and lasts for at least 6 weeks is called chronic urethritis. Different antibiotics may be used to treat this problem.

Outlook (Prognosis)

With the correct diagnosis and treatment, urethritis most often clears up without further problems.

However, urethritis can lead to long-term damage to the urethra and scar tissue called urethral stricture. It can also cause damage to other urinary organs in both men and women. In women, the infection could lead to fertility problems if it spreads to the pelvis.

Possible Complications

Men with urethritis are at risk for the following:

After a severe infection, the urethra may become scarred and then narrowed.

Women with urethritis are at risk for the following:

When to Contact a Medical Professional

Call your provider if you have symptoms of urethritis.

Prevention

Things you can do to help avoid urethritis include:

• Keep the area around the opening of the urethra clean.
• Follow safer sex practices. Have one sexual partner only (monogamy) and use condoms.

Images

References

Babu TM, Urban MA, Augenbraun MH. Urethritis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 107.

Swygard H, Cohen MS. Approach to the patient with a sexually transmitted infection. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 269.

Chemical Urethritis (Child)

Your childhas urethritis. This happens when the urethra becomes inflamed. The urethra is the tube that drains urine out of the body.

Depending on your child’s age, it can be hard to figure out what is bothering them. You may need to ask the same question in different ways to figure it out. Often the symptoms may seem like a bladder infection or UTI. Symptoms may include:

• Pain or burning in the urethra, when urinating or not. (In a girl, the urethra is the opening above the vagina. In a boy, the urethra is the opening on the tip of the penis.)

• Pain in a girl’s vagina or a boy’s penis

• Feeling the need to urinate often

• Not wanting to urinate, which can cause your child to urinate on himself or herself

• Not wanting to drink because he or she will have to urinate

• Lower belly (abdominal) pressure or pain

Urethritis has both infectious and non-infectious causes. In children, the condition is often from chemical irritation, not an infection. Your child was not found to have an infection.

• Often, chemicals such as soap, bubble baths, or skin lotions that get inside the urethra cause the irritation. Symptoms often go away within 3 days after the last exposure.

• Injury (can be accidental)

• Allergic reaction

• A urinary tract infection (UTI) can cause similar symptoms.

Home care

Follow these guidelines to help care for your child at home:

• Washing the genitals gently with a washcloth and soapy water should not cause a problem. Be careful so that soap does not get inside the urethra. Don’t rub too hard or too much. This can irritate it more.

• If you believe bubble bath was the cause of urethritis, don’t do any bubble baths. You can still try baths, but don’t have your child soak in the tub with soap or shampoo in the water. Save this until the end.

• Stop any new lotions or soaps until the urethritis clears up.

• Soaking in warm water without soap for about 10 minutes can help ease pain. Repeat as needed.

• Use white cotton underwear only.

• Drink more liquids during the day. Urine should look light yellow, not dark.

• You can give acetaminophen or ibuprofen for pain, fussiness, or discomfort. Don’t use ibuprofen in infants younger than 6 months old. If your child has chronic liver or kidney disease or has ever had a stomach ulcer or gastrointestinal bleeding, or he or she is taking blood thinner medicines, talk with your healthcare provider before using these medicines.

• If your child was given antibiotics for an infection, give them until they are used up or the healthcare provider tells you to stop. It’s important to finish the antibiotics even if your child feels better. This is to make sure the infection has cleared. 

Follow-up care

Follow up with your child’s healthcare provider, or as advised. If a culture specimen was taken, you may call as directed for the result.

When to get medical advice

Call your child’s healthcare provider right away if any of these occur:

• Symptoms don’t go away after 3 days

• Fever (see “Fever and children,” below)

• Unable to urinate

• More redness or rash in the genital area

• Discharge from the penis or vagina

Homeopathic Medicines for Urethritis – homeopathy urethral inflammation

Inflammation of the urethra is known as urethritis. The urethra is a tube through which urine is carried from the urinary bladder outside the body. Urethritis is mainly caused by a bacterial infection that finds a chance to enter urethra through its opening. Homeopathic medicines for urethritis boost the immunity to fight infection and aid natural recovery.   

Common bacteria that can cause urethritis include E.coli (Escherichia coli), Neisseria gonorrhoeae and Chlamydia trachomatis. Apart from this urethritis can be caused by HSV (herpes simplex virus) and trichomonas. Gonorrhea and chlamydia infection from urethra may extend up from the urethra and can lead to PID (pelvic inflammatory disease) in females and epididymitis in males.

Homeopathic Medicines for Urethritis

Homeopathy offers excellent treatment for urethritis. It helps reduce inflammation of the urethra and manage symptoms of urethritis wonderfully. Natural medicines for urethritis treatment are selected as per the prominent symptoms of the case. The top remedies for urethritis are Cantharis, Apis Mellifica, Lycopodium, Merc Sol, Petroselinum, Terbinthina, Sepia, Pulsatilla, Cannabis Sativa, Clematis and Sarsaparilla.

1. Cantharis – For Pain/Burning in Urethra during Urination

Cantharis is a top grade medicine for treating urethritis with pain/burning in the urethra while urination. The pain and burning may even continue after passing urine. Urine may also not pass completely. Sometimes urine pass drop by drop. In some cases, cutting pains are felt in the urethra. The frequency of urination is also increased. The urging is most felt while standing or walking. An urgency to pass urine may also be marked. Sometimes blood may pass in the urine.

2. Apis Mellifica – For Burning, Stinging Pain in Urethra

Apis Mellifica is beneficial for urethritis with burning, stinging pain in the urethra. These symptoms appear during and after urination. Sometimes smarting, scalding is felt in the urethra. Constricted sensation appears in the urethra. Itching in urethra may attend. The desire to pass urine may be constant. Urine is scanty and may be dark.

3. Lycopodium – For Frequent Urination

Lycopodium is prepared from spores of plant Lycopodium Clavatum of the natural order Lycopodiaceae. Lycopodium is helpful for cases of urethritis with frequent urination. Frequent desire to urinate is marked at night time mostly where Lycopodium is indicated. Urine may have an offensive/pungent odor and may contain purulent sediment. Soreness or burning in urethra may be experienced on urinating. Itching is also felt in urethra both during and after urinating. Dull, pressing pain in the lower abdomen may also be felt.

4. Merc Sol – For Urethritis with Sudden Urgency to Pass Urine

Merc Sol is very useful medicine for cases of urethritis with marked urgency to pass urine. Persons needing Merc Sol have a sudden irresistible urge for urination and they have to hurry to pass urine. They also complain of frequent urination day and night. Burning in urethra on beginning to urinate is also intense. Marked itching in the urethra is also complained of. Greenish discharge may pass from the urethra in males where Merc Sol is indicated.

5. Petroselinum – For Marked Urgency to Pass Urine

Petroselinum is prepared from a plant Petroselinum Sativum or Parsley, of the natural order Umbelliferae. Petroselinum is another medicine for marked urgency to pass urine in urethritis cases. The frequency of urination increases, and there is a burning and tingling in the urethra during urination. In some cases creeping, biting, crawling sensation or itching in the urethra is felt. Drawing and lancinating pain in urethra appear in few cases. In males discharge of milky fluid or yellow discharge from urethra may be noted.

6. Terbinthina – For Urethritis when Blood Passes in Urine

Terbinthina is a prominently indicated medicine for urethritis when blood passes in urine. Urine is scanty and has a fetid odor. Along with this painful urination is there. Burning in the urethra is also felt when urinating. Frequent urination arises at night time.

7. Sepia – For Urethritis in Females with Painful Intercourse

Sepia is an excellent medicine for urethritis in females to manage complaint of painful intercourse. The pain is very intense in females needing Sepia. Along with this slimy, yellow or greenish vaginal discharge may also be present. This is accompanied by itching in the vagina. The discharge is offensive and most worse after urinating. There is also an increase in frequency and urgency to urinate. Burning and cutting pains in the urethra are felt when urinating. Bearing down in the pelvis is another characteristic feature attending the above symptoms. Sepia is also a top grade medicine indicated for treating PID (pelvic inflammatory disease) in case the urethral infection extends to pelvic organs.

8. Pulsatilla – For Vaginal Discharges Females

Pulsatilla is prepared from plant Pulsatilla Nigricans or Wind Flower of the natural order Ranunculaceae. Pulsatilla is a prominent medicine to help manage complaint of vaginal discharges in case of urethritis in females. The discharges are like thick mucus, milk colored, and creamy. The discharges are acrid with itching and burning sensation. They tend to get worse on lying down. Other accompanying features include burning in urethral orifice during and after urination; frequent urination and blood in urine.

9. Cannabis Sativa – For Discharge from Urethra in Males

Cannabis Sativa is well-indicated for urethritis with discharge from the urethra in males. The discharge from urethra may be purulent, thick, watery mucus, clear transparent mucus or yellow mucus. The penis is swollen and painful. The entire urethra is inflamed, pain begins in the orifice of the urethra and extends backward. This is accompanied by burning, smarting or stitching in the urethra.

10. Clematis – For Urethritis in Males with Painful Ejaculation

Clematis is prepared from the leaves and stems of a plant Clematis Erecta of the natural order Ranunculaceae. Clematis helps to manage complaint of painful ejaculation in males suffering from urethritis. The pains are mainly of burning nature. The urethra is painful to touch, most worse at night. Burning in urethra appears on beginning to urinate and continues even after urinating. Discharge of thick pus from urethra may be noted too. Clematis also works well in cases of epididymitis in males if the urethral infection spreads.

11. Sarsaparilla – For cases where Blood Appears in Semen

Sarsaparilla is prepared from dried rhizome of plant Sarsaparilla Officinalis or Wild Licorice of the natural order Smilaceae. Sarsaparilla is useful to manage cases of urethritis where blood appears in semen. Other symptoms arising in cases requiring Sarsaparilla include scanty urine, a thin feeble stream of urine and severe pain at the conclusion of urination.

Symptoms of Urethritis

Pain or burning while urinating is the main symptom of urethritis. In some cases, pain may also be present when not urinating. Other symptoms of urethritis include increased frequency of urination, an urgency to urinate, discharge from penis or vagina, pain during intercourse in females, painful ejaculation, swelling/tenderness of penis, passing blood in semen or urine.

Urethritis | Medical center “President-Med”

Urethritis is an inflammatory disease that affects the urethra. The disease can be acute or chronic. Distinguish between infectious and non-infectious nature of the pathology of the urethra.

Sexually mature men are at risk of developing urethritis, although the pathology is often diagnosed in women. The disease progresses due to the infection of the genitourinary system with pathogenic microorganisms.Some types of urethritis are sexually transmitted, we are talking about an infectious group of urethritis: Trichomonas, gonorrheal, etc.

Nonspecific variations in inflammation are caused by pneumococci, chlamydia, enterococci and other microorganisms. Non-infectious urethritis can develop as a result of an injury or an allergic reaction.

Often, the infection enters the body due to a violation of hygiene or hypovitaminosis, hypothermia, and also during promiscuous sexual intercourse.In addition, a decrease in immunity and the progression of urolithiasis contributes to the development of urethritis.

Symptoms of urethritis

It is necessary to consult a doctor for painful urination. Moreover, it is not worth delaying the visit, since it is easiest to prevent the total spread of inflammation in the initial stages of the development of urethritis. The fact that the disease is progressing is evidenced by the presence of purulent discharge in the urine.

Signs of urethral inflammation:

• Adhesion of the urethra.
• A burning sensation and any other discomfort along the urethra.
• Mucous discharge in urine.
• Itching of the genitals.
• Blood in semen or urine.
• Redness in the area of ​​the urethral opening.
• Strong smell of urine.

Sometimes urethritis is asymptomatic, it can only be detected with the help of special tests. In this case, even an increase in temperature to subfebrile values ​​is not observed.It happens that after treatment, patients are diagnosed with recurrent inflammation of the urethra. In such a situation, it is imperative to identify the causative agent of the pathology and only then select therapy, the previous treatment regimens may already be ineffective.

Diagnosis and treatment of urethritis

Urethritis does not go away on its own, it requires competent therapy. The easiest way to treat non-infectious inflammation of the urethra, however, without properly selected medications, the disease can spill over into a nonspecific form, while the activity of opportunistic bacteria is activated.

If unpleasant symptoms appear, an urgent need to consult a urologist, women in addition to a gynecologist. The specialist will prescribe a number of examinations and diagnostic measures that will help determine the type of infection and identify the sensitivity of pathogenic microorganisms to the components of medicinal preparations. A general urine test and a blood test for STIs are mandatory, and a smear is taken from the urethra.

After studying all the diagnostic results, the doctor will prescribe an effective treatment for each patient individually, taking into account the characteristics of the body.With inflammation of the urethra with a pathology of a bacterial nature, antibiotics are prescribed. Additionally, pharmacological agents are prescribed that restore the intestinal microflora, otherwise dysbiosis cannot be avoided. Antihistamines and anti-inflammatory drugs may also be prescribed. To activate the body’s defenses, doctors recommend drinking vitamin complexes and immunostimulants to patients if there is no allergic reaction to the components of medicines.

Physiotherapy or liquid antiseptics into the urethra are sometimes prescribed to treat urethritis.Doctors also recommend that patients change their diet, preference should be given to healthy food.

After the end of treatment, the examination should be repeated to exclude the likelihood of relapses and complications.

For the diagnosis and treatment of urethritis, contact the medical centers President-Med

Artist: Mamunts Tsovinar Alekseevna

Chief Physician President-Med Vidnoye

Higher Medical, Perm State Medical Institute, Faculty of General Medicine, specialty-general medicine

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90,000 Urethral bougienage in Samara, prices in the clinic

The urethra is dilated using a special proven urethral bougienage technique that has been used for many years.Its main goal is to restore the natural functioning of the urethra and improve the patency of the ureters (a hollow tubular organ designed to drain urine).

If a pathological narrowing of the urinary canal occurs, this will negatively affect both the natural excretion of urine and the quality of ejaculation. Inflammatory processes and an increase in problems in the genital area occur due to stagnant processes. This can be avoided if the urethra is dilated in a timely manner.

Cost of services …

Bougie of the urethra

The procedure is used in the treatment of the female half of humanity, also suffering from problems associated with narrowing of the urinary tract. It could develop as a result of injuries and injuries, infections and inflammation, as well as burns from taking chemical drugs. If there is a doctor’s indications, the procedure is also used in the treatment of children.

The operation is performed using a urological bougie or dilator, such a special instrument, somewhat similar to a catheter. It is flexible in appearance, made of synthetic or metallic materials. Used in its manufacture and stainless steel or brass plated with chrome or nickel.

Before starting the procedure, the patient takes a horizontal position. The external genitals are disinfected with antiseptics and local anesthesia is performed.The duration of the operation is up to several hours, depending on what goals are set and what degree of structure. Before being introduced into the operated organ, the bougie is treated with an antiseptic agent and the entire surface is covered with a medical gel.

Bougie for women

Due to the special anatomical structure of the urethral canal in women, the procedure is much easier than in the case of men. The process takes place when using a steel bougie, moving forward with a thickened oval end.In diameter, the bougie introduced first is slightly wider than the diameter of the narrowed area. As soon as it is removed, a dilator is immediately introduced along the diameter of an even larger diameter. The number of repeated procedures depends on the patient’s clinical indications and is determined on an individual basis.

Bougie for men

The procedure for men is more difficult to carry out, because their urethra is curved and several times longer than a woman’s. Here you need to use a flexible bougie, and it must be introduced until the required length is reached.In the process, clockwise rotations are carefully performed, they are advanced forward with a thickened end. The average number of procedures performed on male patients varies between 5-15. They can be accompanied by discomfort, which is eliminated by applying local anesthesia.

Ayurvedic treatment for urethritis: drugs and recommendations

Urethritis is a bacterial infection and leads to inflammation of the urinary tract. Symptoms associated with urethritis are increased urination and difficulty urinating (painful and burning urination).

About urethritis

Urethritis is an inflammation of the urethra. The urethra is the tube that carries urine from the bladder to the outside. Urethritis leads to increased urge to urinate and pain when urinating. The disease is mainly caused by bacterial infections. Urethritis affects people of all age groups. However, it has been found that women are more prone to these infections than men.

Symptoms of urethritis

In men:

• Pain and burning when urinating.
• Blood in urine or semen.
• Discharge from the penis.
• Itching or burning around the opening of the penis.

In women:

• Frequent urge to urinate.
• Difficulty urinating.
• Abdominal pain.
• Fever and chills.
• Vaginal discharge.

Causes of urethritis

Urethritis develops due to bacterial infections that enter the urinary tract through the urethra.

• Pathogens such as bacteria and viruses that cause urethritis include:
• E. coli and other bacteria that are present in stool.
• Neisseria gonorrhoeae causes a sexually transmitted gonococcus.
• Chlamydia trachomatis causes chlamydia, which is also a sexually transmitted infection.
• Herpes simplex virus can also cause urethritis.

Cause of urethritis in Ayurveda

According to Ayurveda, urinary excretion is a function of apan vayu.Thus, violation of apan vayu leads to problems with urination.

There is a similar disease called Mootrakruchhra, which has different types that have been classified in Ayurveda:

• Vataj mootrakruchhra, which occurs due to imbalance of vata dosha and results in severe pelvic pain and difficulty urinating.
• Pittaj mootrakruchhra is due to an imbalance in pitta dosha and causes frequent, burning sensations when urinating.
• Kaphaj mootrakruchhra occurs due to imbalance of kapha dosha and leads to inflammation in the pelvic region, causing clouding in the urine.
• The sanipathic mootrakruchhra is the result of an imbalance in all three doshas.

To deal with the problem of urethritis, Ayurveda focuses on removing blockages in the urinary tract and eliminating infections from the body. There are various herbs in Ayurveda that have antimicrobial activity and maintain a healthy urinary system.

Ayurvedic remedies for urethritis

Himalaya Herblas offers the best combination of effective herbal remedies for the treatment of urethritis.These products are made from the highest quality herbs and strictly follow the principles of Ayurveda. All preparations are 100% pure, natural and vegetarian. They are free of chemicals, additives and preservatives. They are safe to use as they have no side effects.

Dynamics of quality of life after urethral stricture surgery in men | Amirbekov

Introduction

In recent years, significant advances have been made, both in the treatment and diagnosis of patients with urethral strictures (SU).New reconstructive plastic surgeries have been widely introduced into clinical practice, allowing to restore the patency of the urethra in men with its narrowing and obliteration in any departments and of various lengths [1-6].

However, until now, a number of unresolved issues remain, especially those affecting the rehabilitation of patients with stricture disease after successful surgical operations, in particular, such a question as the restoration of erectile function [7-11].

In stricture disease, erectile dysfunction in men is primarily associated with damage to the penile vessels responsible for erectile function, which sharply worsens the patient’s quality of life, aggravated by the lack of independent urination and the presence of a cystostomy [12-14].

Another mechanism for the development of erectile dysfunction in this category of patients is possible, when the violation of the hemodynamics of the penis is caused by the occurrence of cavernous fibrosis and spongiofibrosis, which is most typical for inflammatory strictures of the urethra [15, 16].

The causes of erectile dysfunction (ED) can also be endocrine disorders, where testosterone plays the main role [17-20].

It should be emphasized that testosterone plays an important role in the functioning of various organs and systems of the male body, and its deficiency can have a serious impact on both the course of the wound process during surgery of various urological and non-urological diseases, thereby determining the quality of life of patients in the long-term postoperative period [21 , 22].

In our opinion, in addition to assessing urination and erectile function after a successful surgery for SU, it is important to determine the mental health of patients.

Based on the above, the aim of the study was to study the prevalence of anxiety and depression against the background of LUTS and erectile dysfunction in men with stricture disease before surgery for SU and after its successful implementation in dynamics.

Materials and Methods

The study is based on a clinical-statistical analysis of 70 men aged 20-74 who were treated for urethral strictures.The etiological factor in the formation of SU was trauma – 51 (72.8%), inflammation – 16 (22.9%) and an idopathic factor – 3 (4.3%). During hospitalization, 51.4% of patients retained spontaneous urination, and in 48.6%, urine was diverted through a cystostomy. 36 patients who urinated on their own had the following LUTS: mild – 3 cases (8.3%), moderate – 17 (47.3%) and expressed in 16 cases (44.4%).

When studying sexual and erectile dysfunction in patients before surgery, it was found that 46 men (65.7%) out of 70 had sexual dysfunction and erectile dysfunction, the occurrence of which patients associated with the presence of SU.

Indicators of testosteronemia in patients before surgery were verified in 20% as hypogonadal and in 80% as normogonadal status.

All 70 people were operated on, primary surgery was performed in 35 cases, and repeated surgery in 35 cases.

The dynamics of the quality of life in previously treated patients was determined 3 and 6 months after surgery in terms of uroflowmetry, manifestations of LUTS, sexual disorders and erectile dysfunction, changes

psychoemotional status according to the NDEB scales of anxiety and depression 1, 2.The data obtained were compared with those obtained before the SU surgery.

Statistical processing of the research results was carried out using the mean values ​​and root-mean-square errors and a nonparametric criterion of statistics (Chi-square) for comparing small samples. To determine the statistical differences in quantitative indicators, the Student’s t-test and the Mann-Whitney test were used using the generally accepted significance levels: p <0.05; p <0.01 and p <0.001.

Results and Discussions

It is known that any surgical intervention is accompanied by wound complications.Based on this, we assessed the risks of wound complications in operated patients, taking into account their age, etiology of the disease, the frequency of operations and the type of intervention itself.

It turned out that the risk of developing wound complications in hypogonadal men over 40 years old is 4 times higher than in eugonadal men. The same risk occurs in patients under 40 years of age with testosterone deficiency and the number of complications arising in them is 4 times higher than in eugonadal patients.

The risks of wound complications also depend on the etiology of SU.It was found that wound complications in hypogonadal men with traumatic SS are 4.9 times higher than in normogonadal patients. The likelihood of developing wound complications during primary operations in hypogonadal status is 3.7 times higher than in men with normogonadal status.

Wound complications and their relationship with the type of surgery were established in patients who underwent urethral resection. Moreover, these risks are 4.7 times higher in hypogonadism than in normogonadal patients.

Nevertheless, all operated patients were discharged from the clinic with restored urination in a natural way.

Thus, hypothesteronemia significantly increases the risks of postoperative wound complications, which, according to our data, is influenced by the age of patients, the etiology of SU, the type of surgical treatment and its frequency.

Evaluation of the effectiveness of the performed surgery for SU according to the clinical recommendations of the ROU and EAU is carried out within 3 and 6 months from the date of its implementation.

Tables 1, 2 show the indicators of the standard scales of the questionnaires, which were used to assess the above parameters.

Table 1 . Results of surgical treatment of SU after 3 months

Table 1 . Results of US surgical treatment after 3 months

Indicators Indicators	Resection of the urethra Urethral resection (n = 52)	Augmentation urethroplasty with buccal graft Augmentation urethroplasty by buccal graft
		one-stage one-stage (n = 3)	two-stage two-stage (n = 15)
Uroflowmetry Uroflowmetry	≈13.9 ml / s	≈11.5 ml / s	≈ 12.8 ml / s
IPSS Questionnaire IPSS Questionnaires – no symptoms – no symptoms – light – lightweight – moderate – moderate – severe symptoms – severe symptoms	6 (11.5%) 30 (57.7%) 16 (30.8%) –	2 (66.7%) 1 (33.3%) – –	3 (20%) 7 (46.7%) 5 (33.3%) –
Assessment of quality of life (Qol scale) due to urinary disorders Quality of life assessment (Qol scale) due to urinary disorders – good – good – satisfactory – satisfactory – bad – bad	17 (32.7%) 24 (46.1%) 11 (21.1%)	1 (33.3%) 2 (66.7%) –	8 (53.3%) 4 (26.7%) 3 (20%)
Ultrasound of the bladder (residual urine volume> 50 ml) Bladder Ultrasound (residual urine volume> 50 ml)	5 (9.6%)	1 (33.3%)	3 (20%)
Ascending urethrocystography with detection of urethral stenosis Antegrade urethrocystography with stenosis of the urethra	3 (5.8%)	1 (33.3%)	4 (26.7%)
The need to perform repeated operations The need to perform repeated operations	–	–	–

Table 2. Results of surgical treatment of SU after 6 months

Table 2 . The results of US surgical treatment after 6 months

It has been established that the urination rate in operated patients does not depend on the type of SS surgery and corresponds to the standard values. Evaluation of this indicator in dynamics by 6 months indicates its increase, which is associated with the completion of inflammation processes in the urethra and the absence of clinical manifestations of recurrence of the disease.

From the point of view of evidence-based medicine, the effectiveness and positive result of any reconstructive surgery is determined by a number of parameters. Surgical treatment of SU should also be assessed from this point of view. In our opinion, the most important criteria for a favorable outcome of surgical treatment of SU should be considered:

1. Elimination or minimization of AUTS;
2. restoration of sexual function in men;
3. maximum relief of anxiety and depression in a patient due to the presence of the disease.

Such a complex clinical and statistical analysis of the ratio of these indicators to each other was carried out by us on 30 patients who did not have any complications after SS surgery.

In Tables 3-5, the indicators of the standard scales of the questionnaires, which were used to assess the above parameters, are presented.

Table 3. Survey data of patients using questionnaires before surgery

Table 3. Partient survey data on the questionnaires before surgery

Note.Here and in tables 4-5: IPSS – international system for the total assessment of symptoms of diseases of the prostate; Qol – assessment of the quality of life due to urinary disorders; AIOMS – a questionnaire for the integral assessment of male sexuality; IIEF-5 – International Index of Erectile Function; HADS 1, 2 – hospital anxiety and depression scale.

Note. Here and in tables 4-5: IPSS – is the international system for the overall assessment of symptoms of prostate disease; Qol – quality of life assessment due to urinary disorders; AIOMS – questionnaire of the integral assessment of male sexuality; IIEF-5 – international index of erectile function; HADS 1, 2 – hospital anxiety and depression.

• spontaneous urination (no cystostomy)
• independent urination (absence of cystostomy)

Table 4. Data from a survey of men by questionnaires 3 months after surgery

Table 4. Men’s survey data on the questionnaires 3 months after surgery

Table 5. Data from a survey of men by questionnaires 6 months after surgery

Table 5. Data from a survey of men by questionnaires 6 months after surgery

As can be seen from Tables 3-5, over 6 months there has been a persistent decrease in the average value of indicators on the IPSS and Qol scales. Thus, the mean IPSS score decreased from 18.67 to 5.73 after 3 months (p <0.01) and to 4.53 6 months after surgery (p <0.01). The mean Qol score decreases similarly from 5.37 to 1.87 after 3 months (p <0.01) and to 1.6 after 6 months since the operation (p> 0.1).

In contrast to the positive dynamics on the IPSS scale, the increase in points on the IIEF-5 scale was extremely weak. The average value of this indicator increases slightly from 12.47 (before surgery) to 12.67 3 months after the operation and up to 13.57 after 6 months. The differences are statistically insignificant (p> 0.1).

Significant positive dynamics of effectively performed surgical treatment of SU was achieved in the assessment of anxiety and depressive disorders.Thus, the average score of the HADS 1 (anxiety) scale, which was 8.3 before surgery, decreased to 7.2 (p> 0.1) after 3 months and 5.23 after 6 months after surgery (p <0.01 ). The average HADS score 2 (depression) decreased from 8.03 (before surgery) to 7.57 three months after surgery (p> 0.1) and to 5.47 – 6 months after surgery (p <0.01) ...

Thus, effective SS surgery leads to a significant and pronounced reduction in LUTS, but is not accompanied by a significant decrease in the severity of ED, even after 6 months in the absence of treatment, which in real clinical practice requires an in-depth examination of the reasons for its preservation and the choice of a treatment method, which can lead to relief of symptoms of anxiety and depression in patients and stabilization of their social status.

Conclusion

The success of surgical treatment of SU is associated with a rapid and reliable reduction of LUTS during 6 months of postoperative monitoring. However, the significant positive dynamics of LUTS is not accompanied by a significant decrease in the severity of ED. Postoperative regression of anxiety / depression is clearly associated exclusively with involution of LUTS, but not ED. Hypotestosteronemia inhibits the decline in levels of anxiety and depression compared to normogonadal men.

56.6% of patients with SBU have symptoms of anxiety and depression before surgery, in 46.7% of cases – anxiety and in 43.3% – depression.Violations of the mental status regress within 6 months after successful surgical treatment, but persist in 23.3% of men in the form of anxiety symptoms and in 10% in the form of depression.

The aggregate assessment of LUTS, ED and anxiety / depression in the mid-term and long-term after surgical treatment of SU should be considered as a trifecta of the results of SBU surgery.

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Table of Contents

Often, the internal organs of the urinary system are subject to various pathological processes. Doctors often diagnose bladder diseases in women, men and children, which are caused by various adverse factors. The causes of pathological processes can be completely different, ranging from hypothermia to malignant formation.It is worth taking seriously the diseases of the bladder and urinary system organs. A minor deviation without treatment threatens with severe complications and a chronic form of the disease. Often there is simultaneous damage to the bladder and kidneys, which complicates treatment. The most common diseases of the bladder are cystitis, neurosis, urolithiasis, polyps, leukoplakia, and tumor pathologies. Each of these diseases requires timely detection and special treatment.

Diseases in the bladder

• Diverticul. Pathology is characterized by a saccular depression in the wall of an internal organ, which is connected to the cavity by a canal. The size of this formation can be different. In most cases, a single diverticulum is diagnosed, and multiple diverticulosis is very rare. As a rule, diverticula are localized on the side or behind the surface of the organ. Pathology is observed as a result of abnormal development of an internal organ during intrauterine development. If the disease is acquired in nature, then it can be caused by a prostate adenoma in a man or a stricture of the urethra.In the presence of a diverticulum, a portioned urine output is observed, in which the bladder is emptied first, and then the diverticulum
• Cystitis in women and men. Due to the special structure of the urethra, the female body is more prone to cystitis. This disease is quite common among females, but cystitis is often diagnosed in men. The pathology is characterized by an inflammatory process in the bladder due to the penetration of infection. Often, harmful organisms enter the internal organ through the intestines or genitals.Cystitis is typical for people who are inactive. In this case, urine stagnation occurs, which serves as a favorable environment for bacteria to multiply. The female body is more likely to suffer from this disease due to the special structure of the urethra
• Cystalgia. Neurosis of the bladder or cystalgia injures the female organs of the genitourinary system. Many facts can influence the onset of the disease. Often the cause of cystalgia is hormonal imbalance, malfunctioning of the nervous system, or the presence of infections in the body.Doctors have noticed that the disease is more often diagnosed in women who are characterized by emotional instability. Often, cystalgia occurs in females who are afraid of sexual intercourse, frigid or interrupt sexual intercourse. In most cases, pathology occurs against the background of an unstable mental state. These problems with the bladder have nothing to do with the pathologies of the genitourinary system, the disease is rather psychological in nature and needs the help of several specialists
• Urolithiasis. Metabolic disorders and dehydration of the body can provoke the formation of stones and sand in the bladder. Urolithiasis is a disease in which stones and sand form in the bladder. Pathology is characteristic of people of any age and occurs even in newborns. Different stones may arise, some of them are very dangerous (oxalate stones). Urolithiasis occurs with impaired metabolism, dehydration, and lack of sunlight. Often, pathology is observed in patients who have chronic diseases of the gastrointestinal tract
• Tumors of an internal organ. Physicians do not know the nature and causes of neoplastic diseases in the internal organ. It has been established that bladder tumors often occur in people who are often in contact with aniline dyes. Tumors are either benign or malignant. Distinguish between tumor diseases located in the epithelial layer or those that are created from connective fibers
• Cancer in the bladder. In most cases, doctors diagnose transitional cell carcinoma in an internal organ.Only in rare cases does the patient have squamous cell carcinoma or adenocarcinoma. Cancer diseases are the consequences of papillomas. In most cases, the pathology overtakes people who smoke and work with aniline dyes. Bladder cancer affects the male half of the population more. Often, the disease occurs in people who have chronic diseases of the urinary system or congenital anomalies of the pelvic organs
• Leukoplakia. The disease is characterized by a change in the mucous membrane of the internal organ, as a result of which the epithelial cells become keratinized and stiffened.Leukoplakia occurs in the chronic form of cystitis, in the case of urolithiasis and as a result of mechanical or chemical action on the mucous membrane of the bladder
• Bladder atony (urinary incontinence). With atony of the bladder, involuntary urination is observed. When the nerve endings that send impulses from the spinal cord to the bladder are injured, then atony is diagnosed. In such cases, a person has spontaneous urination, while the urine does not come out completely and the bladder remains full.The source of the disease is spinal injury
• Polyps in the internal organ. Polyps are called growths that form on the mucous membrane of an internal organ. Gradually, polyps grow and reach significant sizes. In most cases, the pathology does not pose a danger and does not manifest itself, therefore, treatment is not prescribed. If there is a significant increase in the build-up, cystoscopy is recommended to restore the normal outflow of urine
• Other diseases. Bladder diseases in men and women are not always directly related to pathological processes in the internal organ. In some cases, diseases are caused by abnormal kidney function, urinary tract disorders, or diseases in the genitals, as a result of which the bladder is affected. Such diseases are often observed:
  • Cystocele, in which the vagina descends, and with it the bladder
  • Estrophy is marked by intrauterine disturbance during organ formation
  • Cyst originating in the urinary duct
  • Sclerosis, in which the neck of the bladder is affected and scars occur, the disease occurs due to inflammation of the bladder
  • Hyperactivity is characterized by frequent trips to the toilet
  • Tuberculous disease
  • Hernia, as a result of which the walls of the bladder pass through the hernial orifice
  • Ulcer arising mainly at the top of the organ
  • Endometriosis is marked by the penetration of endometrial cells into the mucous membrane of the organ

Often, kidney disease leads to problems with the bladder and provokes the above diseases.Due to pathological processes in the paired organ, urine stagnation occurs, which leads to inflammation of the bladder and urinary tract. In case of kidney and bladder diseases, you should immediately consult a specialist.

Symptoms and signs in men and women

Depending on the disease and its stage, the patient has different symptoms with varying intensity. In some cases, there are no signs of the disease in the bladder at all and the pathology proceeds in a latent form.The most characteristic signs of an internal organ disease are pain in the lower abdomen. The following main symptoms are also observed:

• Frequent urination
• Painful urine excretion
• Urine incontinence
• Night Urination
• Discoloration of urine
• Blood impurities in urine
• Turbidity of urine

With neurosis, spontaneous urination occurs, which leads to a shock state of the patient.

Additional signs may be added to the main symptoms, depending on the disease. So, with endometriosis, there is a painful sensation in the abdomen. If there are viruses in the bladder or a cold has occurred, then the patient feels pain during urine excretion and a constantly filled bladder. With urolithiasis, there is back pain and spotting when urinating. When sclerosis of the internal organ occurs, persistent cystitis is noted, which are difficult to cure, and cutting pains when urine is excreted.In the event of a ruptured bladder, severe pain occurs that cannot be tolerated, and a person may experience shock.

Which doctor treats bladder?

If you experience unpleasant symptoms, first of all, you should contact a therapist. After familiarization with the symptoms and examination, the doctor will refer a patient with an internal organ disease to a urologist. Many women with cystitis and other diseases of the urinary system are shown a consultation with a gynecologist.This specialist will determine if the reproductive tract is damaged. If the pathological process has spread to the kidneys, then you should contact a nephrologist who is a kidney specialist.

Diagnostics

CT scan. In case of suspicion of cancer, computed tomography is performed.

To identify the pathological process, complex diagnostics are assigned, which includes laboratory and instrumental studies.To identify the infection or virus that became the root cause of the pathology, a general urine test is performed. The patient undergoes an ultrasound examination of the organs located in the small pelvis. If there is a discharge of blood during urination, then the patient is sent for excretory urography. Cytological examination of urine and cystoscopy are performed. In case of suspicion of cancer, tests for tumor markers and computed tomography are prescribed. After passing all the studies and making a diagnosis, the specialist prescribes the necessary treatment for the bladder.

Treatment for women and men

In most cases, medication and a special diet are indicated. Taking into account the characteristics of the disease, the degree of damage and symptoms, individual therapy is selected. First of all, the elimination of the infectious focus of the disease is carried out. It is recommended to treat the bladder with antibacterial drugs that affect the root cause of the disease. Signs of bladder disease are eliminated with the help of antispasmodics and herbal medicine.At home, it is recommended to take diuretics that restore the normal outflow of urine.

If a malignant tumor is detected, complications have arisen, rupture of an internal organ and other difficulties, then surgical intervention is indicated. Doctors perform the operation in several ways, depending on the severity of the lesion. Surgery is indicated for the formation of large stones that cannot be dissolved or removed naturally.

Treatment of urolithiasis at MEDSI St. Petersburg

• Expert consultation – 2 970p
• CT of the urinary system (kidneys, ureters, bladder) – 3 900p
• Internal optical urethrotomy (hospitalization 1 day) – 42 554p
• Endoprosthetics of the urethra (hospitalization 1 day) – 42 554p
• Contact lithotripsy (hospitalization 1 day) – 43 792p
• Percutaneous nephrolithotripsy – crushing and removal of large kidney stones (hospitalization up to 3 days) – 69 554p
• Percutaneous mini-nephrolithotripsy – a minimally invasive method of crushing kidney stones up to 2 cm of any density (hospitalization for 2 days) – 58 214p

Prostate adenoma – Medical Center Family

Prostate adenoma is an enlargement of this male organ resulting from the proliferation of prostate tissue.In this case, we are talking about the diagnosis of benign hyperplasia. Indeed, it is not worth talking about the benign quality of the process, although it is natural for men (the rudiments of adenoma can be noted as early as 30-40 years of age). This only indicates that the prostate is not affected by an oncological tumor.

Clinical manifestations

Symptoms of adenoma largely depend on the stage of the process:

• At the first, compensated stage , urination disorders occur.In men, intermittent or difficult urination is found, and frequent urges are noted. The bladder is emptied completely. Hypertrophy of the bladder muscles begins.
• At the subcompensated, second stage , a feeling of insufficient emptying appears, since as the hyperplasia spreads, the bladder and urethra are compressed, due to which urine cannot be completely excreted. This is a common cause of stones and urinary tract infections.
• In the third stage, which is called the stage of paradoxical ischuria (also – decompensated) , the residual urine stretches the bladder. She constantly and gradually stands out, her incontinence develops. Renal failure occurs as a result of impaired urine flow.

A neglected prostate adenoma can become a serious threat to the health or even life of a man. Sometimes the patient needs urgent urological care, the absence of which is fatal.

The reasons for the proliferation of the prostate

It is still impossible to name the exact reasons for the development of adenoma. There are strong assumptions that hormonal changes occurring in a man’s body with age are to blame. In particular, it is believed that a decrease in the content of androgens (the main sex hormones of men) can lead to the proliferation of glandular tissue.

Diagnosis of prostatic hyperplasia

With pathological symptoms, they turn to a urologist.He conducts an examination, a digital examination of the prostate (for this, a rectal examination is carried out). Laboratory tests are performed (PSA test, blood biochemistry for creatinine and urea). Ultrasound of the prostate is of great importance in the diagnosis.

Treatment of BPH

The leading role in the fight against BPH is played by drug therapy. It may include:

• 5-alpha reductase inhibitors. Aimed at preventing excessive proliferation of glandular cells by preventing the formation of the hormone responsible for this.Moreover, these drugs are effective in shrinking the prostate.
• Alpha blockers. Relieve tension of smooth muscles of the prostate gland, dilatation of the urethra.
• Phytopreparations. Are adjuvants in drug therapy.
• In some clinical cases, surgery is indicated.

In any treatment, a personal approach to each patient is important. This is the basis of its effectiveness. Highly qualified urologists have extensive experience in treating patients with prostate adenoma.They will develop the optimal treatment regimen and, if necessary, will correct it in order to achieve the most positive dynamics. This allows patients to live a fulfilling and active life.

Article “Treatment of urethral stricture”

How relevant is the problem of urethral stricture?

Urethral stricture or narrowing of the urethra is one of the most common urological diseases. According to statistics, up to 1% of the male population suffer from urethral stricture.In women, urethral stricture is much less common and is a complication of injuries, some operations and radiation therapy for cancer.

Every year in large metropolitan areas, as a result of car accidents or injuries at work, more than 150 people receive fractures of the pelvic bones, which are accompanied by the development of urethral stricture and, of course, require surgical treatment.

In addition to injuries, frequent causes of urethral strictures are medical interventions on the urethra, such as transurethral resection, various methods of endoscopic removal of urinary stones, minimally invasive therapeutic interventions for prostate neoplasms (HIFU, brachytherapy, etc.)).

Even a traumatic installation of a urethral catheter or its prolonged presence in the urethra can lead to the development of urethral stricture, especially in patients with coronary heart disease.

Other common causes of urethral strictures are inflammatory diseases of the urethra, among which lichen sclerosing (Lichen Sclerosus, Balanitis xerotica obliterans) predominates today.

Gonorrhea and other sexually transmitted infections and associated urethritis complicated by urethral stricture are rare today.They are generally well and timely treated with antibiotics. Thus, urethral stricture is the second most common cause of urinary difficulty in men after prostate adenoma.

Urethral stricture: symptoms

Urethral stricture is manifested by a weakening of the urine stream, a feeling of incomplete emptying of the bladder and difficulty urinating.

Sometimes it is completely impossible to empty the bladder, and urinary retention develops.In this case, trying to drain urine with a catheter is risky, you can damage the urethra, which will complicate the course of stricture disease.

If the patient knows about the existence of a stricture of the urethra, in case of urinary retention, it is necessary to consult a urologist, who will install a special drainage in the bladder – an epicystostomy, through which urine will be excreted before the operation to restore the patency of the urethra.

Urethral stricture: diagnosis

Examination for urethral stricture begins with a detailed conversation with the patient, analysis of his complaints and history of the development of the disease.The specific part of the examination includes several procedures.

These include:

1. Determination of urine flow rate, or uroflowmetry. Below in Fig. 1 you can see a typical picture of the urinary rate curve in a patient with urethral stricture. It is called a “flat curve”. Normally, the maximum urine flow rate (Qmax) should be above 15 ml / sec. In the presented picture, Qmax = 5.1 ml / sec. At Qmax ≤ 5 ml / sec, the probability of complete cessation of urination within the next month exceeds 50%.

2. X-ray examination of the urethra, or urethrography. Its essence lies in the fact that an X-ray contrast agent is introduced into the urethra, which makes it possible to determine the very fact of the presence of a urethral stricture, its location in a certain section of the male urethra (hanging or penile, bulbose, membranous, prostatic), the length or length of the stricture. In fig. 2 shows the urethrogram of a short urethral bulbose stricture (indicated by an arrow).

The occurrence of such strictures can be associated with blunt trauma to the perineum (impact, fall), the introduction of various instruments into the urethra (urethrocystoscope, catheter, etc.), less often as a consequence of infections, such as gonorrhea.

Such strictures usually occur as a result of traumatic instrumental manipulations on the urethra (urethroscopy, cystoscopy, catheterization), chemical burns of the urethra (administration of antiseptic solutions of inappropriate concentration), as well as as a result of inflammatory processes such as lichen sclerosus.

3. Quite often, for a visual assessment of the stricture and the urethra as a whole, an optical examination of the urethra and bladder or urethrocystoscopy is required. This procedure is usually performed using a flexible optical instrument, a urethrocystoscope, and, if done correctly, causes little or no discomfort. In fig. 4 shows an image of the urethral stricture obtained by urethrocystoscopy. The information obtained during urethrocystoscopy makes it possible to better plan surgical treatment and determine its type and volume.

To diagnose the degree of damage to the surrounding urethra and the spongy body that supplies it with blood (the degree of spongiofibrosis), such research methods as magnetic resonance imaging (MRI), computed tomography (CT), ultrasound examination (US) of the urethra are used. These diagnostic methods are of an auxiliary nature, but sometimes they make it possible to predict the effectiveness of a particular method of surgical treatment.

Why is it important to get rid of urethral stricture?

If urination occurs with difficulty and the outflow of urine is disturbed, then an infection begins to multiply in the urinary system, as a result of which, in the first place, the kidneys suffer.

The most formidable complication of urethral stricture is renal failure, that is, the inability of the kidneys to work, which can threaten the patient’s life.

Urethral stricture can lead to the formation of stones in the urinary system, contribute to the deterioration of the function of the bladder. With a severe course of stricture disease of the urethra, the latter completely loses its patency and independent urination becomes impossible.

If the patency of the urethra is not restored, urine removal in such a situation can be carried out only through a catheter inserted into the bladder through a puncture in the lower abdomen (epicystostomy).It must be remembered that a person has one urethra. If it tapers, then there is no paired organ to replace it. A non-working urethra is a big problem for the functions of the entire urinary system.

How is urethral stricture treated?

If urethral stricture is detected, then an experienced specialist who owns the entire modern arsenal of methods for treating urethral stricture should be engaged in its treatment, since often the final choice of the most effective technique occurs directly during the operation.

A modern reconstructive urological surgeon should receive appropriate education and training in leading centers for reconstructive urology from renowned specialists. It must constantly improve its qualifications and participate in international congresses and symposia on this topic.

Most importantly, he must have sufficient practical experience to maintain his surgical skills and, according to the general opinion of experts in the field of reconstructive urology, perform at least 30 – 40 reconstructive plastic surgeries on the urethra per year.

As a rule, no more than 5% of urologists, even in the most developed countries of the world, fully meet these requirements. After the examination, a qualified specialist, based on its results, will offer the patient the optimal method of surgical treatment.

In case of short, no more than 1 – 1.5 cm long strictures of the bulbous urethra, the method of choice is endoscopic surgery, which is called internal optical urethrotomy (VOU). The essence of this operation is that the place of narrowing of the urethra under the control of the eye is dissected using an endoscopic urethrotome knife.Thus, the lumen of the urethra increases and urination is restored. It is important to note that the effectiveness of the first performed urethrotomy can reach 60-70%, provided that it is performed according to indications. A second urethrotomy for recurrent urethral stricture will be effective in no more than 20-30% of cases. The third is almost never effective.

If the urethral stricture is located in the hanging (penile) or membranous parts of the urethra, and also has a greater length than 1 – 1.5 cm, the patient will be shown a reconstructive surgery of plastic urethral stricture, which can be performed by several methods.With strictures of the bulbose and membranous urethra, the techniques of anastomotic plasty are widely used (according to Holtsov, according to Webster), when the affected narrowed area of ​​the urethra is completely excised, and the healthy and unchanged edges of the urethra are sutured together. The effectiveness of such operations in experienced hands exceeds 90%.

With the location of the urethral stricture in the hanging (penile) section, as well as with a stricture length of more than 3-4 cm, the so-called augmentation urethroplasty is performed, when the urethral lumen expands by inserting healthy tissue from other parts of the body into it.Such tissues can be the mucous membrane of the oral cavity (cheek, tongue) in the form of a free patch or the skin of the foreskin of the penis in the form of a free patch or a blood-supplied flap on the nutritional pedicle.

In such operations, the urethral lumen is dissected and displaced tissue is inserted into the dissection area, which leads to the expansion of the urethra to its normal size. The efficiency of urethral augmentation plasty is in the range of 75 – 85%.

With complete closure (obliteration) of the lumen of the urethra when the stricture is located in the hanging (penile) section or when the length of the obliteration zone is more than 3-4 cm, methods of complete replacement of the urethra with a newly created one from other tissues (usually the oral mucosa) are used.Such operations are performed in at least 2 stages. At the first stage, the affected segment of the urethra is completely excised and a flap of the oral mucosa is implanted at its site, which takes root on well-supplied tissues. At least 6 months later, the second stage of the operation is performed – the formation of the urethral tube. If, after the 1st stage, the oral mucosa is badly engrafted, it is repeated. The effectiveness of these techniques for urethral repair varies from 65 to 85%.

What determines the effectiveness of treatment of urethral stricture

The effectiveness of surgical treatment of urethral stricture certainly depends primarily on the qualifications of the operating specialist.An important factor is the availability of a well-equipped operating room (high-quality operating table, special foot rests, head light and much more). It is important to have at your disposal a full range of necessary surgical instruments, sutures, special catheters and much more. In the presence of urethral stricture, we recommend that you immediately take a responsible approach to the choice of a clinic about an operating surgeon, because the first operation is the most effective. Reoperations are much more difficult and have a lower success rate.

The EMC Urology Clinic has all the necessary equipment for reconstructive surgeries on the urethra and other organs of the genitourinary system.