Features of the treatment of urethritis in men with drugs of various groups

This is a medical procedure. Its goal is a therapeutic effect on the mucous membrane of the urethra with the help of medications.

Its implementation may be necessary in case of inflammatory processes in the genitourinary tract. Especially associated with the penetration of pathogens of urogenital infections into tissues.

In the vast majority of cases, urethral lavage is performed on men .

In women, this procedure is rarely performed due to the peculiarities of the anatomical structure. Their urethra is wide and short.

Therefore, pathogenic microbial flora practically does not linger there.

Urethral lavage can be performed using different medications:

• potassium permanganate solution ( potassium permanganate ),
• furatsilina,
• miramistina,
• chlorhexidine and other drugs.

A solution of potassium permanganate, entering the urethra, has a bactericidal effect on its mucosa. Helps destroy the pathogenic microflora that has settled there and eliminates the cause of inflammation.

Causes of injury

A urethral burn can be thermal or chemical, depending on the damaging substance. Based on this, symptoms appear and treatment varies.

Chemical

When swimming in dirty open water or having unprotected sex, an infection enters the body, the treatment of which is reduced to treating the affected area with antiseptic drugs. In this case, many patients try to use traditional medicine recipes and untested home methods. Applications of kerosene, alcohol, and silver nitrate to the injured area were observed. Doctors recommend treatment with Chlorhexidone or Miramistin, which, if handled incorrectly, can cause a burn to the urethra. This causes painful symptoms, narrowing of the tubules and scarring occurs, and the general condition of the victim significantly worsens.

A burn with Chlorhexidine or Miramistin may also occur if the patient has an individual intolerance to the active ingredients of the drug.

Thermal

Such injuries are caused by the use of too hot decoctions and medicinal infusions in treatment. Before carrying out treatment using traditional medicine methods, it is necessary to check their temperature.

Important! The death of proteins and destruction of the upper skin occurs at a solution temperature above 52 degrees. The severity of the wound and accompanying symptoms directly depend on the temperature and duration of contact.

Urethral lavage with collargol

Collargol is another silver-based antiseptic. Contains colloidal silver.

Available in the form of tablets, soluble in water. Prepared shortly before use.

Prepare the solution in a pharmacy or clinic shortly before use. This is due to the fact that the prepared solution is unstable. It has a shelf life of no more than 1 month.

Solutions of different concentrations can be prepared from Collargol.

For rinsing the urethra and bladder, 1-2% solutions are used. For gonococcal infection, a solution with a concentration of up to 5% is instilled into the eyes. For syphilis, a 15% solution or ointment is rubbed into the area where chancre is located.

The advantages of silver preparations for urethral lavage lie primarily in their safety.

These funds:

• do not cause significant discomfort
• can be used not once, but as a treatment course
• do not provoke complications

Therefore, in our clinic, this group of antiseptics is most often used to wash the urethra.

Treatment

As first aid measures and subsequent therapy, certain actions must be followed precisely:

1. At the first sensation of pain and burning, stop treatment immediately;
2. Wash the burn of the urethra with cool water (not cold!), for chemical injuries you need a neutralizer (for acids - soda solution, for alkalis - acetic or tartaric acid);
3. Be sure to drink a lot of fluid (at least 2 liters of water) to dilute the concentrated urine so that it does not irritate the injured mucous membrane;
4. Before prescribing a treatment regimen, you will need a specialized examination: urethroscopy, urethrography. This will allow us to determine the nature and extent of the damage;
5. Immediately see a urologist, he must professionally assess the degree of burn to the urethra with Miramistin or Chlorhexidine, to make a diagnosis and determine further actions. If the injury is minor, the doctor will only prescribe observation; for more severe injuries, drug therapy will be required; otherwise, surgery or plastic surgery may be necessary;

Important! If there is a significant burn to the urethra, only a doctor should prescribe what to do. This injury is dangerous and can lead to many complications.

1. Plastic surgery will be needed when complete restoration of the canal and surrounding tissues is required. Typically used for large and deep strictures;
2. To treat the consequences, it is necessary to treat the canal and administer antiseptic, healing drugs, for example, Synthomycin ointment, Levomekol, Cycloferon.

In case of severe, deep injuries, even timely drug treatment cannot prevent the development of strictures.

Urethral lavage with protargol

Protargol is a silver proteinate preparation. For topical use, use a 2% solution.

Silver ions can have a bacteriostatic and bactericidal effect. Silver proteinate has a broad spectrum of antimicrobial action.

In addition, the antiseptic has additional advantages:

• envelops the urethral mucosa, protecting it from damage
• does not cause burns to the mucous membrane, unlike aggressive antiseptics based on chlorine or potassium permanganate
• has no contraindications (except for allergies and pregnancy)
• can be used in childhood

Sometimes the product causes itching and a slight burning sensation. It is short-lived and goes away in a few seconds.

How long will recovery take?

If a minor burn occurs with Chlorhexidine or another drug, the recovery process lasts from 1 to 3 weeks, otherwise regeneration can take much longer, up to 2-3 months.

Every second case of unprotected sex leads to contracting a sexually transmitted infection. Everyone seems to know about it now, so why are infections still spreading so widely? Be that as it may, no one is immune from an unpleasant incident. People in this situation want to prevent infection as soon as possible and find out whether chlorhexidine really helps against STDs.

Urethral lavage with potassium permanganate and chlorhexidine

Potassium permanganate and chlorhexidine are inexpensive but dangerous antiseptics. You can wash the urethra with them.

But perhaps for the purpose of preventing sexually transmitted infections. That is, in the first 1-2 hours after sexual intercourse, once.

It is better not to use potassium permanganate and chlorhexidine for medicinal purposes. Because these solutions are very aggressive. They can cause burns and irritation.

The mucous membrane does not have time to recover with regular rinsing. If these solutions are used repeatedly, complications may occur. The most common of them is a chemical burn of the urethra.

Its risk increases significantly when using potassium permanganate:

• in the form of an overly concentrated solution
• with prolonged retention in the urethra or bladder

The likelihood of damage to the mucosa increases with an active inflammatory process. Since in this case she is vulnerable to any influences.

Characteristics of the drug

Chlorhexidine, or a solution of chlorhexidine bigluconate, at a concentration of 0.5% -1% is an effective remedy for emergency protection against pathogenic microflora. The disinfectant is effective in preventing STDs in the first two hours after unsafe sexual intercourse. It is also great for a home first aid kit: it disinfects damaged skin, fights viruses, gram-positive, gram-negative microbes and fungal infections. In addition, Chlorhexidine can be used in complex therapy during various diseases, for example, urethritis.

Those who want to protect themselves in case of sexually transmitted infections often have a question: should I buy Miramistin or Chlorhexidine? What is better for preventing STDs and why is Miramistin 20 times more expensive? From a medical point of view, these drugs belong to the same class of antiseptics, both are quite good at disinfection. However, the active ingredients in them are different, although there is an opinion that they are one and the same.
Miramistin has a wider spectrum of effects, a barely noticeable taste, does not burn the skin and mucous membranes and is used in venereology, urology and other areas. Sexually transmitted diseases are often treated with therapy that includes the use of an antiseptic.

Urethral lavage with Miramistin

Miramistin is one of the most popular drugs for urethral lavage. It is positioned by manufacturers as a means to prevent sexually transmitted infections. It is an antiseptic that can destroy many types of bacteria. It even affects hospital strains of microorganisms that are resistant to many antibiotics.

Has antifungal and antiviral effects. Protects wounds from burns and infection.

At the same time, Miramistin is safe.

It does not cause damage to the cells of the urethral mucosa. The drug has no local irritant effect.

After washing the urethra, a burning sensation may only occur for a few seconds. It goes away quickly. Therefore, we can say that the procedure is generally well tolerated by patients.

Indications and contraindications for use

For more than sixty years, Chlorhexidine has been used in the treatment of diseases, as well as for the treatment of medical instruments, and demonstrates high effectiveness in the prevention of STDs. Indications for use:

Which STDs does it help and does not help against?

As already mentioned, the drug helps with urgent disinfection. After two hours, it is already pointless to treat the genitals and it is worth taking other measures. An antiseptic solution will not save you from all diseases, but it will be a good help in preventing the following diseases:

An antiseptic solution will not save you from all diseases, but it will be a good help

• trichomoniasis;
• gonorrhea;
• chlamydia;
• syphilis;
• herpes;
• pediculosis.

Does Chlorhexidine help against STIs such as HIV? Unfortunately, it is impossible to protect the body by treating the genitals from the human immunodeficiency virus. In order to prevent AIDS, the solution is used to disinfect surfaces and instruments in medical institutions. As for the treatment of other diseases, Chlorhexidine as a douching agent is prescribed to women with ureaplasma and mycoplasma. You can find good reviews about such therapy among those who were cured the first time.

Speaking about whether an antiseptic helps against HIV, we can recall another sexually transmitted virus - HPV. Can human papillomavirus be cured with Chlorhexidine? No, the drug is not effective in treating HPV and will not help against warts or papillomas. However, they can quite successfully disinfect inflamed papillomas so that another infection does not enter the body.

Chlorhexidine also kills syphilis, but it all depends on when to use it. Treponema pallidum dies instantly in the solution, so syphilis can be prevented if the drug is used in the first two hours. With gonorrhea, certain subtleties also arise: Chlorhexidine may not cope with all gonococci due to the large number of secretions from the infectious partner.

Chlorhexidine for urethritis

Chlorhexidine can help with urethritis. The product is used as part of a complex treatment of inflammatory processes in the urinary tract. 2-3 ml of a 0.05% chlorhexidine solution is injected into the urethra 1-2 times a day. The course of treatment is 10 days, procedures are carried out every other day.

Treatment of urethritis with Chlorhexidine: action, contraindications

The drug has antiseptic and bactericidal properties and is used to prevent and treat infections. Chlorhexidine is active against many pathogens, including pathogens of sexually transmitted diseases (Trichomonas, gonococcus, chlamydia, etc.).

The product is also effective against fungal, viral, and protozoal pathogens. This explains its use for uteritis, since this inflammation is most often caused by microbes sensitive to Chlorhexidine. Locally destroying the infection, the drug helps stop the inflammatory process.

Chlorhexidine bigluconate analogues, synonyms and group drugs

During treatment with Chlorhexidine, negative reactions may occur when combined with other drugs:

• not compatible with soap, detergents with anionic group (saponins, lauryl sulfate and sodium carboxymethylcellulose);
• can be combined with drugs based on a cationic group (cetrimonium bromide);
• You cannot combine suppositories with iodine preparations.

Incompatible with detergents containing an anionic group (saponins, sodium lauryl sulfate, sodium carboxymethylcellulose). Concomitant use with iodine is not recommended.

The presence of soap can inactivate chlorhexidine digluconate, so before using the drug, any remaining soap must be thoroughly rinsed off.

Ethanol enhances the effectiveness of the drug.

Chlorhexidine solution acts locally and primarily has a bactericidal effect. It directly affects the cell membrane of microorganisms.

Its positively charged substances react with the negatively charged membranes of bacteria, leading to their destruction.

How to rinse the urinary canal for men

Is it possible to inject Chlorhexidine into the urethra? Yes, washing the urethra is indicated in order to sanitize the affected area, removing the infection from the surface of the mucosa.

The antiseptic is used for urethritis, gonorrhea, trichomoniasis, genital herpes, fungal infections and other urogenital and venereal diseases. For men, the anterior and posterior sections of the urinary tract are treated.

During the treatment period, the procedure is carried out every day, and if necessary, 2 times a day. The following are instructions for rinsing the urethra.

Anterior channel

It is processed first. To rinse the anterior urinary canal, you need a special Zhane urological syringe (with a catheter and rubber tip) or a regular 20 ml one.

First, the patient must expose the head of the penis and treat it with an antiseptic and stretch it a little. Then the Chlorhexidine solution is slowly injected from a syringe attached to the outlet.

The tip is removed and after 5-10 minutes the drug is allowed to flow out of the urethra on its own. If necessary, the procedure is repeated 2-3 times.

Posterior

After treating the front part, wash the back part using a syringe with a rubber tip and a volume of 130-150 ml. The procedure is carried out only in a medical facility. To cleanse the posterior urethra with Chlorhexidine, a man lies on his back, slightly raises his pelvis and bends his knees. The doctor exposes the head of the penis and injects the solution into the bladder from the back.

How is instillation carried out?

The procedure involves a slow drip of the drug through a long rubber catheter connected to a syringe.

Before rinsing the urethra with Chlorhexidine, you need to urinate and treat the head of the penis with a disinfecting solution, for example, the same Chlorhexidine.

For instillation, the tip of the catheter is lubricated with glycerin and inserted into the urethra, and drip administration of the drug begins.

Then the patient lies for 15-20 minutes, squeezing the opening of the urethra so that Chlorhexidine does not leak out. After instillation, you should not urinate for at least 40 minutes.

Urethral lavage for women

It is much easier to administer chlorhexidine into a woman's urethra, since it is short, unlike a man's. To wash the urethra yourself, use a pharmaceutical bottle with an antiseptic. Its tip is usually narrowed; it is placed near the urinary opening and a little solution is carefully introduced. Then you need to clamp the urethra for 5-15 minutes so that the medicine does not flow out.

Encephalopathy

for patients with encephalopathy 11/17/2019 by admin

When the walls of the urethra become inflamed, these are signs of urethritis. How to treat? Urethral lavage with chlorhexidine is required. In addition, the doctor prescribes effective traditional medicine.

The doctor most often suggests rinsing the urethral canal with medicine. It removes phlegm and treats mucous membranes. The medicine works as effectively as possible. Having properly prepared for the procedure, following the recommendations, this can be done at home.

Contraindications

Chlorhexidine cannot always be injected into the urethra for men and women. There are a number of contraindications when washing the urethra is prohibited:

• rash on the skin and mucous membranes;
• allergic diseases;
• sharp burning and pain upon first injection.

Urethritis is a disease that requires complex therapy, and it cannot be cured with Chlorhexidine alone.

After a thorough diagnosis, the doctor selects an antibiotic appropriate to the pathogen and symptomatic anti-inflammatory drugs.

Treatment can take a long time, especially if the disease has become chronic. Therefore, try to pay attention to reliable prevention of any genitourinary infections.

Let's move on to practice

As you can see, the question of whether it is possible to douche with Chlorhexidine is decided individually. This drug is water-based. It effectively copes with mushrooms. It should be noted that by using a solution of this antiseptic, vaginal candidiasis, which occurs as a result of inflammation of the bladder, can be very effectively cured. Do not forget to check with your doctor about how to douche with Chlorhexidine correctly, because the scheme may differ in each specific case.

What drugs are allowed to be used during instillation?

In order to effectively heal the mucous membrane, doctors use special medications in their treatment that have a quickly healing effect and also instantly relieve irritation. Antiseptics are often used, and oil-based solutions are used much less frequently.

When the disease has penetrated deep into the layers of the bladder, antibiotics are no longer able to have a therapeutic effect; in this case, Dimexide is prescribed, which relieves pain and promotes rapid healing of the affected mucosa.

For the chronic type of cystitis, Furacilin, Dioxidin, Hydrocortisone, Collargol, Potassium permanganate, as well as the well-known Protargol are prescribed.

Brief characteristics of Protargol

Protargol is a medicine that contains silver, due to which the product has good healing properties. Protargol is used for therapeutic treatment in urology, and is suitable for both adults and children.

The active substances in this product form a kind of protective film on the damaged shell. As a result, the vessels narrow and inflammation decreases. Silver ions do not allow the infection to pass further and destroy it completely. The use of Protargol does not cause addiction or side effects.

Collargol

This drug is also created on the basis of silver ions and has a high antiseptic effect. Collargol contains 70% silver and about 30% albumin, which connects silver molecules to each other. The drug perfectly heals, disinfects and relieves inflammation. Collargol is used for instillation of the urethra.

Properties of Dioxidine

The drug is considered a synthetic agent and has a bactericidal effect. When treating wounds with Dioxidin, the patient does not experience any pain. Damaged areas are well cleaned, and therefore rapid tissue restoration occurs.

Dioxidin has proven in numerous studies that it can destroy various types of microbes: salmonella, Vibrio cholerae, meningococci. This remedy has proven to be excellent for cystitis. Dioxidin is often used for instillation; it can only be used by adults.

From prostatitis to urethritis

Although much less common, sometimes urethroprostatitis begins with inflammation of the prostate. As already noted, bacteria can penetrate from the prostate into the urethra through the excretory ducts connecting the gland to the urethra.

There is another way for microorganisms to penetrate from the urethra into the prostate - through the lymphatic vessels. Thanks to it, urethroprostatitis can develop in patients with anterior urethritis, while the posterior part of the urethra remains unaffected by infection.

If you are in an interesting position

Thrush is a very common occurrence for expectant mothers. Therefore, quite often doctors are asked whether it is possible to douche with Chlorhexidine during pregnancy. There are two aspects worth noting here.

• On the one hand, gynecologists are often against using the douching procedure itself during this difficult period. The fact is that at such a time the danger of air entering through the cervical canal increases. Although the probability is small, it cannot be ruled out.
• On the other hand, it is necessary to take into account the properties of the drug itself. Any chemical that is theoretically delivered to the fetus carries some risk to it.

In addition, no one can completely exclude the possibility of developing an allergic reaction. Therefore, no self-medication, especially during pregnancy.

What is the effectiveness of rinsing?

Washing the urinary canal is used for urethritis. This infectious disease is characterized by inflammation of the walls of the canal, itching, burning in it and causes disruption in the process of urination. Flushing the urethra with anti-inflammatory, antibacterial drugs or folk remedies helps:

• mechanical removal of mucus from the damaged layer of the mucous membrane;
• increasing the therapeutic effect of medications on the mucous membrane;
• eliminating itching and burning in the urinary canal;
• mitigation of urological discomfort.

Return to contents

About medicines

Chlorhexidine is injected into the male urethra for disinfection; it is an antiseptic. The liquid is colorless and does not smell of anything. Sold in pharmacies in bottles, each of which:

• Most of it is chlorhexidine bigluconate;
• The smaller one is distilled water.

It happens that the patient has an individual intolerance to the medicine. Then the urethra will get burned. The patient will temporarily have difficulty distinguishing tastes. The medicine must be used in a certain concentration, otherwise the liquid will burn the mucous membranes, discolor the skin and the patient will feel a burning sensation.

The skin where the medicine is exposed will be irritated. For example, if you use this liquid for a long time to disinfect the oral cavity, the tooth enamel will change its color and stones will begin to be deposited at the roots.

Chlorhexidine is used to treat medical instruments. Wash with a solution of chlorhexidine:

• Wounds that have festered;
• Burn sites;
• Rinse mucous membranes;
• Wash areas affected by bacteria and infections.

If some kind of operation is performed on the penis, then before starting, the urethra is washed with chlorhexidine. The solution can be used to irrigate the skin and mucous membranes, rinse, and make applications.

How is instillation performed?

For urethritis, instillation is often used to heal faster. The medicine is slowly administered drop by drop through a rubber catheter. You can wash the urethra and penis head with disinfectant honey. solution. Glycerin is applied to the tip of the catheter and it is injected into the sphincter located externally if the posterior urethral wall is affected.

When the anterior one is sick, for example, the prostate is cold - prostatitis, the medication must be injected up to the valve of the device located outside. The catheter is gradually withdrawn, and the solution continues to drip and enters the urinary canal. In addition to the described method, instillation can be done using a syringe with a rubber tip.

How to do it correctly at home?

It is not difficult for women to do urethral douching at home, since their urinary tract is short. Due to the presence of narrowings in the canal and its length, lavage in the male half is a complex process. To perform home washing correctly you need:

• gradually move the rubber catheter lubricated with Vaseline forward;
• rotate the catheter as it advances;
• take deep breaths to relax muscles and facilitate advancement;
• deepen the flushing agent until the first drops of urine appear.

In cases of prostate adenoma or urethral stricture, a metal catheter is used to treat urethritis by irrigation. When using it, rotational movements that contribute to damage and injury to the walls of the urethra are prohibited.

Disinfecting the back area

Urethral lavage in sick men is also done from behind, but the cleaning procedure begins from the front wall. A syringe with a rubber tip of 130 to 150 ml is required. The procedure is performed only in a clinic office, in a hospital, and is performed by an experienced doctor.

The patient is placed on his back. He slightly raises his pelvis, bending his knees. The doctor will stretch the penis, use a syringe with a rubber tip to press it into the anus, and inject a flushing medication there. The valve will open and the medicinal composition will enter the bladder, with the posterior wall of the urethra. Later, when you have a bowel movement, rinse your urinary organ naturally.

Positive and negative aspects of the procedure

The introduction of medications into the bladder has a number of advantages, due to which this procedure is very popular in the treatment of diseases of the reproductive and urinary system. Of all the positive aspects of the operation, the following can be highlighted:

1. High concentration of drugs . It has a local effect on the problem and does not affect the entire body. Therefore, it is possible to use concentrated medicine without serious consequences for the body.
2. Long lasting effect . Since the patient’s bladder is emptied before instillation, the medicine can fully reveal its properties, thereby helping to quickly heal the mucous membrane.
3. Deep passage of medicine . Due to the special administration, the drug is able to reach the deep layers of the walls of the bladder. Thus, this operation allows you to treat even chronic diseases.

Bladder catheterization in men - procedure technique

Catheterization is a medical procedure that involves inserting a hollow tube into the urethra.

The special tube is called a “catheter” and is where the procedure gets its name. It is performed to drain the bladder cavity.

Catheterization is necessary for therapeutic and sometimes diagnostic purposes. The catheter helps remove urine from the bladder and rinse the cavity. Also, using a tube, you can introduce various medicinal substances into the bladder cavity.

Features of the procedure for men

In men, catheterization is performed to remove urine and rinse the bladder. A catheter can be made from a variety of materials, but it is a hollow tube with one or two holes at the end. The catheter cavity is slightly expanded.

The urethral tube was first used in medicine back in 1929.

In men, it is more difficult to carry out the described procedure than in women due to the longer urethra (22-25 cm). Also, a man’s urinary canal has two physiological narrowings, which makes inserting the tube quite difficult.

Initially, soft tubes are used for catheterization (less pain). If the doctor is unable to insert a soft catheter, then a hard catheter is used (can only be inserted by a doctor).

Important! In general, the use of a metal catheter in modern medicine is quite infrequent, since it is a painful method that can severely injure the canal.

But in rare cases, it is necessary to insert just such a tube. The situation should be discussed with your doctor and find out who will perform the procedure.

To properly insert a metal catheter, a man needs a doctor with extensive experience in this field.

Indications for procedures (regardless of gender):

• Urinary retention in acute or chronic form. The delay may be associated with various pathologies:
  urethral tumor,
• BPH,
• bladder paralysis,
• damage to the spinal cord, structures of the urethra and others;
• For the purpose of rinsing for inflammatory diseases of the bladder;
• When do you need to get vesicular urine for analysis?

Contraindications for catheterization

In this list, each doctor notes infectious urethritis, spasm of the urinary sphincter. Also, catheterization is not performed in the absence of urine (anuria).

For what reasons do complications occur?

• Incomplete examination;
• Ignoring the rules of asepsis;
• Incorrect insertion of the catheter. This is especially true when introducing a metal tube;
• Use of force during the procedure.

If catheterization is done incorrectly, this leads to infection of the urinary system and the development of certain diseases.

The walls of the urethra can also be damaged (most often observed in men).

Complications of the first group can also occur in women and usually occur in an equal distribution between the sexes.

Required Tools

• two soft sterile catheters, different in diameter,
• two gauze pads and cotton balls,
• glycerol,
• tray,
• tweezers,
• syringe Janet,
• diaper,
• latex gloves,
• containers for urine.

Rubber catheters are an elastic tube up to 30 cm long (for men, for women 12-15 cm long).

The outer end of the tube is cut off or has a funnel-shaped extension. The metal tube is curved and has a rounded inner end.

Algorithm for the procedure in men

It is very important to follow the correct algorithm for bladder catheterization in men.

The external opening of the urethra is washed with a cotton ball. The ball must be moistened in an antiseptic solution. Then this area is wiped with a dry sterile ball. The catheter that will be inserted must be lubricated with glycerin or petroleum jelly.

With his left hand, the doctor takes the penis just below the head. Using the index finger and thumb of the left hand, the doctor spreads the lips of the external opening of the urethra.

The catheter is smoothly inserted into the urethra. In this case, you need to place it between the fourth and fifth fingers of your right hand, and carefully hold the second end with tweezers.

When removing the tube from the bladder, you must clamp its free end. This prevents the urethra from being irrigated with bladder contents.

With the correct technique of catheterization of the bladder in men, pain is weak or completely absent.

We wash the anterior part of the canal

How to rinse? To perform the procedure, we will need a 20 ml syringe or a special one used in urology - Zhane. It has a rubber tip and a catheter.

The patient will expose the head of the penis and treat the entrance to the urethra with a weak, germ-killing solution. The procedure will help avoid infection.

The head of the penis is slightly stretched, the tip of a rubber syringe is attached to it, and with little pressure, 3 to 5 ml of a disinfectant composition is injected into the urethra. Now the tip is removed and they wait for the composition to flow out of the urethral canal. If required, flushing the urethra is done 2 or 3 times.

From urethritis to prostatitis

Among the factors causing prostatitis, urethritis plays a major role. In approximately 90% of cases, inflammation of the prostate gland develops as a result of infection entering through the urethra. If urethritis is not treated, the inflammation sooner or later rises through the urethra and covers the prostate. But before the infection spreads to the prostate gland, it needs to penetrate the urethra. This happens in the following cases:

During sexual intercourse

This is how 90–95% of all urethritis occurs. And not only gonorrhea (such as trichomoniasis, gonorrhea), but also other diseases of the genitourinary organs - ureaplasmosis, chlamydia, candidiasis, genital herpes.

Penetration of pathogenic bacteria into the urethra

This can happen in different ways. Due to the introduction of microbes through lymphatic or blood vessels from higher organs. For example, from an infected prostate, an inflamed nasopharynx, carious teeth. It is possible for the urethra to become infected at the same time by two or more pathogens. In this case, a mixed infection occurs.

Bacterial infections that cause urethritis and prostatitis can be either ascending, in which pathogens travel up the urethra, or descending, in which infection occurs through urine, lymphatics, or blood vessels. The prostate has excretory ducts that open into the urethra. Through them, the secretion produced by the gland enters the urinary canal during ejaculation. These ducts make it relatively easy for bacteria to travel from the prostate to the urethra and vice versa.

Injury or irritation of the urethra

Injury or irritation of the urethra by passing stones or medications. The latter occurs when swab or urine samples are taken, catheterization, irrigation, or drugs are injected directly into the urethra.

If traumatic urethritis has developed, this does not mean that it will remain non-infectious. Untreated urethral trauma usually causes a bacterial infection. Conditionally pathogenic microorganisms (staphylococci) are activated during traumatic inflammation, resulting in the development of a secondary infection.

Decreased immunity, consumption of irritating foods and alcohol contribute to the development of urethroprostatitis. Urological diseases can also be provoked by hypothermia and poor personal hygiene.

Therapeutic instillations into the urethra

It happens that urethritis becomes chronic and often worsens. Urinary disorders and their pain begin to significantly reduce the patient’s quality of life.

Antibiotics work, but the next relapse again forces the patient to change the drug or combine them. This leads to an increase in the cost of the treatment itself and makes its long-term results questionable. Since with such tactics there is a high probability of developing a microbial flora in your genitourinary tract that is resistant to almost everything. In such a situation, a doctor can come to your aid and suggest a simple but effective method.

Preparing the working solution

In fact, there is no ready answer here either. In some cases, treatment uses a solution to irrigate the internal cavity of the vagina. The same product is used for external washing of the genital organs, as well as rinsing the mouth for stomatitis.

However, doctors have different opinions about how to douche with Chlorhexidine in gynecology. Many argue that additional dilution of the drug with water is not recommended. It comes to the pharmacy in the form of a 20% solution in a volume of 500 ml. However, everything is individual, so before starting treatment, be sure to discuss the acceptable concentration with your doctor. If the dose is too high, then in addition to thrush, you can develop bacterial vaginosis.