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Mycotious (candidiasis) urethritis
Last reviewed: 23.04.2024
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[What causes candidal urethritis?
The most commonly candida urethritis occurs in patients with endocrine disorders ( diabetes mellitus ), or on the background of long ongoing antibiotic therapy. In patients without endocrine disorders, mycotic urethritis as a result of antibiotic therapy is relatively rare. In women, candidal urethritis can be the result of a total lesion of the genital organs with a fungal infection, which is considered one of the most common mycoses in women. In men, mycotic urethritis are isolated.
Infection occurs through sexual intercourse. Among the causative agents of candidiasis are yeast-like fungi of the genus Candida, which currently number more than 150 species. C. Albicans cause the disease in 80–90% of cases, C. Tropicalis in 1–5%, and C. Grabrata in 10%. In the discharge from the urethra find a large number of strands of pseudomycelium in thick dense mucus. Other types of Candida rarely cause damage to the vagina and vulva. Women with these diseases, as well as their sexual partners, often develop lesions of the urethra caused by Candida or Gardnerella vaginalis.
Symptoms of Candida Urethritis
Candida urethritis usually begins subacute, during its torpid. The incubation period lasts an average of 10-20 days. The subjective symptoms of candidal urethritis have no characteristic signs. Sometimes the appearance of discharge is preceded by paresthesia in the form of a slight itching or burning. Symptoms of candidal urethritis are usually scanty or watery discharge from the urethra of a pale pink color, but they can be thick, slimy, with long threads visible to the naked eye, quickly settling to the bottom of the vessel. Lesions of accessory sex glands in mycotic urethritis are rare, but balanoposthitis occurs very often.
For candidal urethritis is characterized by the formation of whitish plaque in the form of cheesy spots on the mucous membrane of the urethra. The mucous membrane is edematous, sharply hyperemic.
Candida urethritis may be complicated prostatitis, epididymitis, cystitis, particularly in mixed infections caused by fungi and pathogens.
Diagnosis of Candida Urethritis
Diagnosis of candidal urethritis is not difficult. Candida albicans is detected both on the affected skin and in the discharge from the urethra. With direct microscopy of native and stained preparations, a large number of strands of pseudomycelium are found in thick, dense mucus.
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Treatment of Candida Urethritis
The obtained data on the activity of fluconazole allow us to continue its use as a means of choice for the treatment of most forms of candidal infection. Therefore, the main drug for the treatment of candidal lesions of the urinary tract and vagina in women is considered flucanazole in a dose of 150 mg once or 200 mg per day, then 100 mg per day for 4 days.
In women in 10-15% of cases, candidal vaginosis is combined with bacterial, then a parallel prescription of antibacterial therapy is necessary.
Treatment of candidal urethritis is the application of local procedures: the installation of the urethra with 1% aqueous solution of clotrimazole, Miramistina. For external treatment of candidiasis of the skin of the head and the foreskin of the penis apply clotrimazole in the form of a 1% cream. In the case of a combination of candidal infection with trichomonasis, metronidazole or other anti-trihomonadic agents are additionally recommended. Treated candidal urethritis should have both partners.