White discharge from the urethra in men

The secretion of a white secret occurs due to the action of various factors and causes. Consider the main types of urogenital discharge in men, methods of their treatment.

Discharge in men is the periodic or constant appearance of mucus from the urethra. Most often, white discharge appears on the glans penis. They can be associated with both physiological and pathological causes.

The secret appears from the sebaceous glands, the urogenital canal, or from neoplasms in the reproductive organ.

All selections are distinguished by several characteristics:

• Intensity (constant, periodic).
• Color.
• Consistency.
• The presence of an odor.
• Additional symptoms (for example, pain when urinating or discomfort outside the urethra, itching, burning, cramps).

But in any case, when discharge appears, it is better to seek medical help. Comprehensive diagnostics will allow you to establish the causes of an unpleasant condition and select effective methods of treatment.

Epidemiology

According to medical statistics, the frequency of white discharge in men is associated with age-related changes and body characteristics.

• One of the most common causes of a pathological fluid is infection with infections transmitted during sexual intercourse. More than 30 different viruses, bacteria and parasites are transmitted through unprotected sexual contact.
• In second place are discharges due to non-venereal inflammatory processes. Most often it is a candidal infection (thrush), a non-purulent form of urethritis, inflammation of the prostate gland and foreskin, as well as other infections that are activated against the background of a decrease in immune defense.
• In third place in terms of prevalence are discharges of a non-inflammatory nature. They arise due to various injuries, with tumor processes in the organs of the genitourinary system, diseases of the central nervous system. It can be hematorrhea, prostorrhea, spermatorrhea and others.

Based on statistical data, most often the appearance of white discharge of a pathological nature is associated with STDs and the activation of the conditionally pathogenic flora of the body.

Causes White discharge from the urethra in men

Any discharge from the penis can be caused both by physiological reasons, that is, it can act as a variant of the norm or develop due to the action of pathological factors.

1. Physiological discharge (less common than pathological)

• Libidinous urethrorrhea

Occurs on the head of the penis with strong sexual arousal. The source of the secret is the urethral glands. The volume of fluid depends on the physiological characteristics of the body and on how long the man has not had sexual contact. In some cases, physiological urethrorrhea appears against the background of the act of defecation. The composition of the secreted fluid includes a small amount of spermatozoa.

• ejaculate

Sperm is released after the end of intercourse. It is a mixture of secretion of the gonads and spermatozoa.

• Smegma

This is the secret of the glands located in the skin of the foreskin and the head of the penis. It has a white tint and a thick consistency. The amount of smegma is not large, but it can accumulate under the foreskin, creating prerequisites for the development of inflammatory processes. With daily hygiene procedures, the secret is easily washed off.

• Pollutions

Such secretions are involuntary ejaculation (usually at night) in boys during puberty and in men with prolonged sexual abstinence. The frequency of wet dreams ranges from 1-3 per week to 1-2 within 2-3 months.

2. Pathological discharge from the penis

Occur in various diseases, inflammatory processes, infections, oncological pathologies. They may appear after injuries and operations or due to the action of their own opportunistic flora.

The main characteristics of the pathological fluid:

• Volume - scanty, moderate, plentiful.
• Color - white, transparent, cloudy white, milky white, with inclusions of blood, yellow, yellow-green.
• Consistency - thick, liquid.
• The frequency of occurrence - regularly, periodically, in the morning, after urination or ingestion of alcohol / certain foods.

Discharge associated with STDs:

• Mucous - occur against the background of ureplasmosis, mycoplasmosis, chlamydia. Contain a small amount of leukocytes, transparent and viscous.
• Purulent - a sign of a combined sexually transmitted infection (trichomoniasis and chlamydia, gonorrhea and chlamydia, mycoplasmosis and ureaplasmosis) or gonorrhea. The secreted liquid is sticky and thick, white-yellow or yellow-green. It consists of urethral mucus, a large number of leukocytes and exfoliated urethral epithelium.
• Mucopurulent - can be caused by trichomoniasis, chlamydia during an exacerbation, ureaplasmosis. The secreted liquid is white-milky translucent color. Consists of urethral mucus, leukocytes and inflammatory exudate.

Urogenital discharge caused by sexually transmitted diseases very often occurs with severe painful symptoms during urination: pain, itching, pain, burning.

Discharge due to non-venereal inflammatory processes:

• The non-purulent form of urethritis is an inflammation of the urethra with mucopurulent discharge. Pain symptoms in this pathology are absent or expressed to a slight extent. Discomfort occurs with prolonged abstinence from urination.
• Inflammation of the prostate gland - prostatitis is characterized by mucopurulent fluid. The patient complains of nagging pain in the perineum, impaired potency and urination.
• Balanoposthitis - discharge during inflammation of the foreskin is quite abundant, purulent or purulent-mucous. They occur with sharp pains in the head of the penis, swelling and hyperemia of the foreskin.
• Candidiasis - male thrush is an inflammatory process due to the activation of opportunistic fungi candida. The painful condition is manifested by severe reddening of the skin of the penis, itching, burning, and abundant curdled discharge.

The infectious pathogen represents its own opportunistic flora (streptococcus, Candida fungi, staphylococcus, E. Coli), which is activated against the background of a decrease in the protective properties of the immune system.

Allocations of a non-inflammatory nature are extremely rare. Their appearance is associated with injuries, diseases of the central nervous system, tumor processes in the organs of the reproductive system.

• Hematorrhea - fluid from the urethra with blood impurities. Most often it appears due to mechanical trauma to the urethra or penis, as well as in malignant tumors of the prostate, penis, polyps. Another possible cause of an unpleasant symptom is sand in case of urolithiasis or the discharge of stones. [1]
• Spermatorrhea is the discharge of sperm from the urethra without orgasm, outside of masturbation and sexual intercourse. It occurs due to a violation of the tone of the muscular membrane of the vas deferens in diseases of the central nervous system and inflammatory processes in the body. [2]
• Prostatorrhea is the leakage of prostate secretion from the urethra. Occurs when the tone of the smooth muscle fibers of the excretory duct of the prostate is disturbed against the background of adenoma or its chronic inflammation, with a neurogenic bladder. [3]

The nature and methods of treatment depend on the causes of the appearance of white discharge in men. It is almost impossible to establish the factors that caused the pathological process only by the appearance of the secreted fluid. For these purposes, a complex of laboratory studies is carried out.

Risk factors

The risk of pathological discharge in men is associated with such factors:

• Violation of the hygiene of intimate organs.
• Chronic diseases that reduce the protective properties of the immune system.
• Trauma and mechanical damage to the penis.
• Anatomical features (phimosis, elongated foreskin).
• Infectious and inflammatory processes in the male reproductive system.
• STDs and STIs.
• Venous causes (hemorrhoids, varicose veins, varicocele).
• Frequent change of sexual partners and lack of barrier methods of contraception.

In most cases, risk factors are manageable. It is enough to take appropriate measures and adjust your lifestyle.

Pathogenesis

The mechanism of the appearance of white urogenital discharge in men can be associated with many causes and factors. The pathogenesis of pathological secretion is based on the action of infectious and non-infectious agents.

Infectious are represented by specific (trichomonas, chlamydia, mycoplasmas, mycobacterium tuberculosis) and nonspecific flora (fungi, viruses, bacteria). Non-infectious agents include injuries, chronic diseases of the body, physiological processes, features of the anatomical structure of the penis.

Symptoms White discharge from the urethra in men

If a man notices white discharge in himself, then this may be a variant of the norm or indicate pathological processes in the body. The latter include inflammation of the genitourinary system, sexually transmitted diseases.

Consider the most common cases when white discharge in men is a symptom of the disease:

• Gonorrhea is caused by the bacteria gonococcus, which is transmitted through sexual contact. With this pathology, a yellow-white liquid with an unpleasant odor appears on the glans penis. When urinating, pain, burning, cramps occur. The patient is febrile and has severe pain in the groin. [4]
• Chlamydia - occurs due to the parasitism of chlamydia (bacteria of the intracellular type). The disease is characterized by mild and vague symptoms. One of the signs of the disorder is white discharge on the head of the penis. [5]
• Trichomoniasis is a sexually transmitted infection. When infected, severe disorders in the work of the genitourinary system develop. A man complains of whites of a thick consistency with a specific smell. Also, with this disease, there is a strong irritation of the urethra when trying to empty the bladder. [6]
• Candidiasis is a painful condition with an inflammatory process of a non-specific nature. Most often it develops against the background of a sharp decrease in immunity. Pathological secretions have a curdled texture, a thick consistency and a sour smell, appear on the head of the penis. Candidiasis is accompanied by severe itching and burning, painful sensations during urination. [7]
• Ureaplasmosis, mycoplasmosis are sexually transmitted diseases that are transmitted sexually. In addition to white discharge, pain appears in the groin area, severe itching and burning at the end of urination. [8]

To make an accurate diagnosis and determine the cause, unpleasant and painful symptoms, you should be examined by a doctor and take tests.

The first signs of the pathological process depend on the cause of the appearance of white discharge. If the painful condition is accompanied by an unpleasant odor, pain in the groin, burning and cutting, then this may indicate the presence of inflammatory or sexually transmitted diseases.

Most often, men are diagnosed with trichomoniasis, balanopositis, urethritis, prostatitis, chlamydia, ureaplasmosis. Painful symptoms can be caused by cystitis or pyelonephritis.

In addition to the appearance of white discharge, common signs of the development of pathology include:

• Difficulty urinating.
• Pain syndrome.
• Sensation of incomplete emptying of the bladder.
• Bad smell.
• Itching and burning in the urethra.
• Erectile dysfunction.
• Pus and blood spots in the urine or on the head of the penis.

If there is difficulty with urination, frequent urination, and a feeling of incomplete emptying of the bladder, then this may be an inflammation of the prostate gland. An unpleasant odor indicates the multiplication of pathogenic microorganisms on the mucosa of the penis. Pain, itching and burning are symptoms of any other diseases of the genitourinary system.

White discharge in men on the glans penis, under the foreskin in men

The foreskin is the skin that covers the head of the penis. White discharge under the foreskin occurs with balanitis and balanoposthitis. The painful condition is complemented by itching, swelling and redness in the area of the glans penis. Very often, children face this problem when the head of the penis is tightly closed by the foreskin.

The main causes of the disorder:

• Infection that develops under the skin of the foreskin (fungal, bacterial).
• Inflammatory process due to urinary retention or smegma.
• Infections from the urethra (gonorrhea, trichomoniasis, syphilis).
• Endocrine pathologies.
• Allergic reactions.
• Poor hygiene of the genitals.

Also, white discharge in men on the glans penis can occur when infected with fungi of the genus Candida. In its symptoms, candidiasis is similar to sexually transmitted diseases.

Yeast-like fungi are activated in the presence of such factors:

• Weakened immune system.
• Hypovitaminosis.
• Prolonged stress, climatic factors.
• Endocrine pathologies.
• HIV infections.
• Hormonal disorders.
• Non-compliance with the rules of personal hygiene.

Candidal urethritis is manifested by white discharge in the foreskin with an unpleasant odor, burning and itching, redness in the affected area, pain during intercourse and urination. Many patients face a problem when retracting and retracting the head of the penis.

Regardless of the cause of origin, the disease state requires complex diagnosis and treatment. The patient is prescribed a bacteriological study to detect the pathogen. If necessary, an ultrasound of the genitourinary system is performed.

Treatment depends on the identified causes. With balanitis, balanoposthitis and candidiasis, antibacterial drugs are taken, and baths with disinfectants are also carried out. If phimosis (narrowing of the foreskin) became the cause of the disorder, then a surgical operation is indicated - circumcision.

White discharge from the urethra in men

The urethra in men is a channel for the excretion of urine and sperm. Discharge from the urethra involves the natural release of biological fluid, so they are physiological in nature. But under the influence of certain factors, the released liquid changes its color, smell, consistency and frequency of appearance. Most often, the pathological condition indicates inflammatory processes in the genitourinary system.

Normally, the secret of the preputial glands (located under the foreskin and on the head of the penis) comes out of the urethra and discharge from the urethra:

1. Fresh smegma.
2. Ejaculate.
3. Secret of the prostate.
4. Urine.

White discharge from the urethra in men occurs for several reasons. First of all, it can be a fungal infection, that is, candidiasis. It is manifested by such symptoms:

• The head of the penis is covered with a whitish coating.
• Pain, itching and burning in the penis and perineum.
• The discharge has an unpleasant sour smell.
• There are red spots on the inner surface of the foreskin and head.
• During sexual intercourse, pain and discomfort occur.

Also, possible causes of white discharge include chlamydia, ureplasmosis, mycoplasmosis, inflammatory processes in the prostate. The latter have the following characteristics:

• Difficulty, frequent or intermittent urination.
• Burning in urethra and perineum.
• Decreased libido, erectile dysfunction.

Unpleasant discharge occurs with inflammation of the genital organs, urethritis, STDs, injuries and narrowing of the urethra, allergic reactions. Nonspecific fluid from the urethra can signal a tumor process, trauma, condition after surgery and medical procedures.

To determine the causes of the disorder, complex diagnostics are shown. To identify injuries, deformities and inflammatory processes, a visual examination of the penis and perineum is performed. The urologist palpates the inguinal lymph nodes and performs a digital examination of the prostate.

It is mandatory to conduct a microscopic examination of secretions: smears for culture and microscopy, PCR. Patients give a general analysis of blood and urine, blood for sugar. Ultrasound of the kidneys, prostate and bladder, urography and CT are also performed. Based on the results of the diagnosis, a treatment plan is drawn up.

White discharge in men's underpants

Quite often, men have white discharge on their underwear. They are the norm for a healthy person. But in some cases, they indicate health problems, in particular with the genitourinary system.

If the discharge does not have a pronounced odor and does not cause discomfort, then this can be considered the norm. This is observed in such cases:

• With sexual arousal. During the day, a man may experience an ebb / flow of sexual arousal. Because of this, a whitish liquid of non-viscous consistency is released, which remains on the laundry.
• After a night's rest, these are morning wet dreams that occur both in adolescence and in adulthood.
• Spots on underwear can occur when prostate secretions leak from the urethra. This happens at the moment of strong tension of the muscles of the peritoneum.

If there are more and more divorces on underpants, they change the smell, color or texture, then this may be due to such pathological processes:

• Urethritis - with the development of the inflammatory process, the urethra tries to protect itself from pathogens. This is manifested by the production of an increased amount of mucus.
• Sexually transmitted diseases - in addition to leucorrhoea, are accompanied by a complex of additional pathological symptoms and a deterioration in general well-being.
• Oncological neoplasms - symptoms depend on the location of the tumor, its type and other characteristics.

In any case, the appearance of uncharacteristic discharge is a direct indication for contacting a urologist. After a comprehensive examination, the doctor will determine the cause of the violation and give prescriptions for treatment.

White discharge in the morning for men

The main reason men have white marks on their underwear after a night's sleep is wet dreams. Involuntary ejaculation occurs in boys during puberty and in adult men with prolonged sexual abstinence. This is normal and does not require medical attention.

Another possible cause of discharge from the penis is a morning erection. The liquid has a transparent white color and a slimy consistency. It is produced by the urogenital glands and indicates the normal functioning of the body.

If the discharge occurs in a large volume, accompanied by itching, burning, pain, odor, deterioration in general well-being and other pathological symptoms, then you should immediately contact a urologist. The doctor will conduct an examination, prescribe diagnostic procedures and draw up a treatment plan.

Clear white discharge in men

There are many reasons for the appearance of a transparent white discharge from the urethra in men. Consider the most common cases of this symptom:

• Protatorrhoea - fluid appears with intense tension of the abdominal wall. Most often this happens in the process of defecation, with too frequent constipation or prostate adenoma. In this situation, compression increases inside the abdominal wall and because of this, a small amount of transparent white fluid appears, sometimes with mucous streaks.
• Pollution - in this case, the appearance of exudate is associated with hormonal fluctuations. This is observed in boys during puberty and with a long absence of intimacy in men.
• Urethrorrhea - excretion of mucus from the glands of the urethra. Mucus is formed during sexual arousal and improves the passage of seminal fluid.

If the discharge changes its structure, darkens, acquires an unpleasant odor, or proceeds with additional symptoms, then you should contact a urologist.

White-yellow discharge in men

The main reason for the appearance of a discharge from the penis of this nature is urogenital diseases. Yellow color indicates that there is an increased number of leukocytes in the secretions.

Possible reasons for the violation:

• Urethritis (specific form) - yellow mucus signals an inflammatory process in the body. It develops due to damage to the urethra. The main pathogens are opportunistic pathogens (fungi, cocci bacteria). Also, the causes of the disorder include chemical burns and mechanical damage to the urethra. In some cases, the disease is a complication of gonorrhea or chlamydia.
• Inflammation of the prostate gland - most often men over 50 years old experience prostatitis. This disease is characterized by discharge of a white-yellow and yellow-green hue. The inflammatory process is manifested by pain in the groin area, pain during urination, increased weakness. It develops against the background of chronic diseases of the urogenital area, venereal diseases, with soft tissue injuries of the pelvic organs, due to irregular sexual activity and hypothermia.
• Prostatorrhea - this disease occurs when the tone of the prostate decreases. Causes itching in the urethra and a white-yellow discharge. Often, prostorrhea is combined with spermatorrhea, when seminal fluid is spontaneously released from the urethra.
• Gonorrhea is a sexually transmitted disease that is manifested by thick discharge of white-yellow, yellow-green color with an unpleasant putrefactive odor. Causes pain when urinating, itching and burning. With the disease, the body temperature rises and swelling of the head of the penis develops.
• Gonorrheal epididymitis is an inflammatory process in the area of the testicles. It proceeds with elevated body temperature, swelling of the scrotum and yellowish exudate. Pain in the groin increases significantly during movement. Without timely treatment, it leads to bilateral damage to the testicles and infertility.
• Trichomoniasis - manifested by purulent discharge, burning and cutting during urination, frequent urination, pain in the lower abdomen and in the perineum. May be latent.

In addition to the above reasons, white-yellow exudate from the penis is observed during oncological processes in the urethra and urinary system.

To detect the cause of the disease state, microscopic examination, bacterial culture, and PCR are indicated. Treatment depends on the results of the diagnosis.

White curd discharge in men

The appearance of an exudate of a curdled consistency indicates damage to the mucous membranes by microscopic fungi of the genus Candida. Candidiasis in men has several forms that differ in the localization of the pathological process:

• Candidal urethritis is an inflammatory process in the urethra. Fungal infection can develop due to the action of other pathogenic factors.
• Candidal balanoposthitis is a lesion of the mucous membrane of the head of the penis and its foreskin.
• Candidiasis postitis - inflammation of the mucous membrane of the foreskin.
• Candidal balanitis is a fungal infection of the mucous head of the penis.

The risk group for the development of candidiasis includes men with endocrine diseases, obesity, after prolonged antibiotic therapy, with hormonal disorders. Thrush often occurs in people with the human immunodeficiency virus, after chemotherapy treatment for cancer.

White curdled discharge is the main symptom of the disease. Also, thrush is characterized by a white coating on the head of the penis, pain and burning during urination, itching of the mucosa of the external genital organs.

To confirm the diagnosis, a microscopic examination of a smear of the affected area is performed. Patients take general and biochemical blood tests, immunogram. Treatment consists of systemic and topical antifungal medications, drugs to restore immune defenses, and vitamin therapy for general health improvement. Particular attention is paid to the observance of intimate hygiene.

Cloudy white discharge in men

Male discharges differ in their color and transparency. These characteristics depend on the intensity of the inflammatory process, its stage and etiology. The appearance of a cloudy white exudate indicates that it contains a large amount of mucus and various cells.

One of the reasons for the appearance of a cloudy discharge is the sticky sponges of the urethra due to a small amount of discharge. This is also observed with fluid deficiency, that is, when the body is dehydrated.

If this symptom persists for a long time, the exudate increases in intensity or is accompanied by additional pathological symptoms, then this is a reason for an immediate appeal to a urologist. After a comprehensive diagnosis, the doctor will determine the cause of the unpleasant condition and prescribe the appropriate treatment.

White thick discharge in men

One of the possible causes of white, thick discharge in men is gonorrhea. The causative agent of a sexually transmitted disease is the gonococcus Neisseria gonorrhoeae. The infection affects not only the urethra, but also the rectum, eyes, and throat. Infection occurs sexually. Household infection is unlikely, since gonococcus dies quickly outside the human body.

Signs of gonorrhea in men:

• Thick discharge from the urethra, white or white-yellow.
• Pain during urination.
• Itching and burning in the genital area and in the urethra.
• Frequent urge to urinate.
• Swelling of the foreskin and glans penis.
• Increased body temperature.
• Pain during bowel movements.

To diagnose the cause of the appearance of a thick exudate, as well as to confirm gonorrhea, a comprehensive examination is carried out. A man must pass a swab from the urethra, urine tests of blood. If necessary, ultrasound of the genitourinary system is performed. Differential diagnosis is also shown.

If, after all the tests and examinations, it is established that the cause of the unpleasant symptoms is the Neisseria gonorrhoeae gonococcus, then the venereologist is involved in the treatment. The patient is prescribed a course of antibiotic therapy and local procedures. As a preventive measure, barrier methods of contraception and routine examinations by a urologist are shown.

White discharge from the nipples of the breast in men

If a man has white exudate from the nipples, then gynecomastia can be suspected. This disease is characterized not only by the appearance of secretions, but also by an increase in the size of the mammary glands. At the same time, pathology, as a rule, does not threaten health, but negatively affects its mental component.

Most often, gynecomastia develops during the period of hormonal changes in the body, as well as in men after 45 years. In the latter case, the pathology is associated with a decrease in testosterone levels and an increase in female estrogen. [9]

According to research, there are many causes of gynecomastia, but they can all be divided into three groups:

1. Hormonal disorders. Normally, the male body contains a small amount of estrogen. But tumor neoplasms, liver cirrhosis and other pathological processes lead to increased production of female sex hormones.
2. Decreased testosterone levels. This is observed in congenital hormonal pathologies, kidney diseases, malignant processes in the body.
3. Medications. Taking certain groups of medications leads to an active increase in the mammary glands. For example, the diuretic drug Veroshpiron, as well as the antipsychotic Haloperidol, provoke hormonal disorders and increased estrogen synthesis.

Gynecomastia is divided into true (formed by glandular tissue), false (formed by adipose tissue) and mixed. Each form has several stages, which are manifested by an increase in pathological symptoms.

To identify the cause of the appearance of white discharge from the nipples in a man, a comprehensive diagnosis is carried out. First of all, a study on hormones, mammography, biopsy and ultrasound of the mammary glands (to exclude tumor neoplasms) is shown. Treatment depends on the results of the diagnosis. It can be conservative therapy or surgery.

Diagnostics White discharge from the urethra in men

To determine the causes of the disease state and draw up a treatment plan, a comprehensive diagnosis is carried out. The survey consists of:

• General inspection.
• Collection of anamnesis.
• Clinical analysis of urine.
• General blood analysis.
• Bacteriological culture (smear from the urethra).
• Analysis for the presence of glucose in the blood.
• PCR diagnostics.
• Ultrasound of the prostate, bladder and kidneys.
• CT scan.
• Urography.
• Sowing a smear to determine resistance to antibacterial drugs.

An integrated diagnostic approach allows you to establish the causes and factors of the disorder, as well as develop methods for their elimination and prevention.

Analyzes

There are many non-physiological reasons for the appearance of white discharge in men. The urologist is engaged in the search for the cause for each specific case. To do this, the patient is examined, complaints are assessed and anamnesis is taken. After that, the doctor gives a direction for tests:

1. Blood test - carried out to identify infectious pathogens and their antibodies. Allows you to diagnose hepatitis, syphilis, HIV.
2. Urinalysis - reveals inflammatory processes in the urinary organs. It is used in the diagnosis of candidiasis, gonorrhea.
3. Semen analysis - allows you to determine the presence of chlamydia, ureaplasmas, mycoplasmas, neisseria and other pathogens.
4. Analysis of the secretion of the prostate gland - for the collection of material, a prostate massage is performed. According to the results of the study, yeast fungi, gardnerella and other bacteria can be identified.
5. Analysis of scrapings of epithelial cells - diagnoses ureaplasmosis, genital herpes, trichomoniasis and other diseases.
6. Smear analysis - in terms of its information content, it is similar to scraping, but it allows you to identify chlamydia.

If there is a suspicion that the pathological exudate is associated with inflammatory and other hidden processes in the body, then a urethral smear is indicated. In order for the study to be as reliable as possible, it is necessary to properly prepare for it.

To do this, three days before the analysis, local therapy with the use of antibacterial, antifungal and antiseptic drugs is stopped. Within 3 hours before the study, you need to refrain from urinating and external toilet of the genital organs.

Urethral swab results:

• Elevated leukocytes - urethritis (chronic, acute).
• Elevated erythrocytes - neoplasms, injuries, the release of stones or sand in urolithiasis, a severe inflammatory process.
• Lipid grains - prostorrhea.
• Elevated eosinophils - urethritis of allergic etiology.
• Spermatozoa - spermatorrhea.
• A large number of epithelial cells - urethritis, urethral leukoplakia.
• Mucus without red blood cells - urethrorrhea.

Normally, there should be no pathogens or latent infections. In the smear, leukocytes (up to 4 per field of view), as well as single rods and cocci of the bacterial flora, can be detected. Based on laboratory diagnostics, the doctor makes recommendations for further examinations or prescribes treatment.

Instrumental diagnostics

Another component of a comprehensive examination of the male body for the cause of white discharge from the penis is instrumental diagnostics. Most often, patients undergo such examinations:

1. Ultrasound diagnostics of the pelvic organs

This instrumental method is used to identify various diseases and pathologies. Determines seals in organs and tissues. The procedure does not take much time and does not require a recovery period.

The main indications for pelvic ultrasound in men:

• Pain in the groin and when urinating.
• Pathological secretions.
• Frequent urination or inability to urinate.
• Discomfort and pain in the lower abdomen.
• Impurities of pus, blood and other inclusions in urine.

Ultrasound includes a comprehensive analysis of such organs: prostate, seminal vesicles, bladder, adjacent structures and lymph nodes. To study the condition of the seminal ducts and vesicles, a transrectal and abdominal examination is performed. Ultrasound allows you to assess the condition of the tissues and lymph nodes adjacent to the bladder and prostate.

Ultrasound is effective in diagnosing acute/chronic prostatitis, urolithiasis (stones, sand), vesiculitis, oncological processes, circulatory problems, cystitis, cysts, and vascular pathologies.

2. ureteroscopy

It is used to identify and clarify the features of mucosal lesions. Endoscopy is performed under anesthesia. To improve the visualization of the urethra, saline is injected into the bladder or, as the ureteroscope advances, the organ is filled with gas.

In addition to urethritis, this instrumental method helps to identify cysts, foreign bodies, tumor neoplasms, degenerative processes of the mucosa, and much more. Ureteroscopy has no contraindications, but only the advanced form of the inflammatory process limits its use.

Differential diagnosis

White discharge in men can be associated with many causes and factors. To determine what exactly caused an unpleasant symptom, differential diagnosis is used.

First of all, differentiation is carried out with other specific urogenital infections caused by pathogenic and opportunistic microorganisms, viruses.

Symptoms	Gonococcal Infection	Chlamydial infection	Urogenital Trichomoniasis	Urogenital candidiasis
Discharge from the genital tract	Mucopurulent, cloudy white or odorless purulent	Mucous turbidity Or mucopurulent odorless	Grey-yellow, white frothy with an unpleasant odor	White, curdled, Thick, with a sour smell
Hyperemia of the mucous membranes of the urinary tract	Head of penis, urethral canal	Mainly mucous membranes of the urethra	Penile tissue, urethral mucosa	Foreskin and glans penis
Itching/burning in the vulva	Often	Seldom	Often	Often
Urination disorder	Often	Often	Often	Seldom
Sexual disorder	Often	Often	Often	Often
Microscopy	Gram-negative diplococci with typical imorphological, tinctorial properties.	Not held	Presence of T. Vaginalis	MushroomsCandida with a predominance Mycelium and budding Yeast cells

When making a differential diagnosis, the results of laboratory and instrumental studies are taken into account.

Treatment White discharge from the urethra in men

Before proceeding to eliminate the cause of the appearance of white discharge in men, it is necessary to undergo a comprehensive diagnosis. After the doctor identifies the nosology and establishes the type of pathogen, a therapy plan is drawn up .

Prevention

The main prevention from many diseases, including those that cause pathological discharge from the urethra, is a healthy lifestyle.

Preventive advice:

• Scheduled examinations at the urologist.
• The use of barrier contraception to prevent infection with sexually transmitted diseases and other sexually transmitted diseases.
• Maintaining the defenses of the immune system.
• Prevention of hypothermia of the pelvic organs to maintain local immunity.
• Compliance with personal hygiene of the genital organs.
• Balanced diet. Refusal of fatty and spicy foods, carcinogens, artificial additives and everything that creates an additional burden on the kidneys and bladder.
• Exclusion of excessive physical exertion and stressful situations.
• Refusal to use underwear made of synthetics.
• Refusal to drink alcohol and smoking.

Also, preventive measures include maintaining the body's water balance and timely treatment of any diseases.

Forecast

The prognosis for recovery depends on the causes that caused pathological discharge. With timely diagnosis and proper treatment, the prognosis is favorable. If the unpleasant symptom is left unattended, then this leads to the pathological progression of the underlying disease.

For example, if the appearance of exudate is caused by a yeast-like fungus Candida, then the lack of treatment leads to the appearance of erosions and sores on the mucous membrane of the penis, problems arise in intimate life, pain. Damaged mucous membranes increase the risk of sexually transmitted diseases.

White discharge in men caused by infectious lesions of the genitourinary system, left without proper treatment, threatens the development of prostatitis, inflammation of the testicles, balanitis, vesiculitis, narrowing of the lumen of the urethra.