Treatment of Urethritis

The treatment of urethritis is focused on the specific cause of each individual patient’s urethritis. That is why it is important for a man to see his doctor so that he may be evaluated for a cause of urethritis. Sexual partners should also be tested and treated if necessary. All patients diagnosed with urethritis should be counseled on sexual hygiene and be encouraged to lead a generally healthy lifestyle. The possible management of urethritis is briefly discussed under the following headings:

  • Antibiotics
  • Urethritis is commonly caused by a bacterial infection which can be cured with a course of antibiotics. There are a few different types of antibiotics that may be prescribed for urethritis depending on the organism involved. These are often given as a once-off dose. When antibiotics are prescribed, the entire course should be completed, even when symptoms have disappeared. Sometimes the doctor may write a prescription for antibiotics for the patient’s sexual partner even if she was not present in the consultation. If the patient is treated but his partner is not he may get recurrent episodes of urethritis. Ceftriaxone and Ciprofloxacin are the preferred antibiotic when gonococcal infection is suspected or confirmed. When non-gonacoccal urethritis is present the preferred antibiotics are a single dose of Azithromycin and a course of doxycycline. Some bacteria may be resistant to certain antibiotics. Sometimes two or more different bacteria are the cause of urethritis in one patient. It is quite common to treat patients with antibiotics before their test results are available. Patients with gonococcus infection are often also infected with chlamidia, therefor the doctor may often prescribe more than one different type of antibiotic to cover more than one or two different types of bacteria.

  • Hygiene
  • Proper hygiene of the genital and perineal area should be encouraged. Proper washing of the penis under the foreskin in uncircumcised males is essential in diminishing spread of urethritis and other sexually transmitted diseases.

    Sex should be avoided for at least one week

    Sex should be avoided for at least one week

  • Adjust sexual behavior
  • Sexual intercourse (including oral sex) should be avoided while the patient is being treated for urethritis. Sex should be avoided for at least one week from starting treatment. The patient should be counseled to practice safe sex practices. He should be made aware of the risks factors involved in contracting urethritis and other sexually transmitted diseases during intercourse. Part of adjustment in sexual behavior should include being faithful to only one partner at a time and to use condoms whenever vaginal penetration occurs. If penile trauma is suspected as being a cause of urethritis, penile trauma may be avoided by through less frequently masturbating or masturbating less vigorously.

  • Symptomatic Treatment
  • Anti-inflammatory drugs and pain medication may help to relieve pain and inflammation of urethritis while the underlying cause is being treated. Submerging the perineal area in warm or cool water may help relieve pain and irritation. Soap, shampoo or bubble bath should not be added to this water as this may sometimes cause more irritation.


    Natural Remedies: Carrot juice and Cranberry

  • Natural Remedies

    • Drink plenty of water
    • Drinking plenty of fresh, clean water will help to dilute urine. This may help in treating the symptoms of urethritis as well as helping to prevent recurrent infections.

    • Carrot juice
    • Carrot juice is known as a natural remedy to treat urethritis. A man with urethritis is always advised to be examined by a medical professional, but carrot juice blend may be a good addition to any medical treatment and may also help in preventing recurrent urethritis. Carrots with celery and/or apple pieces blended into a juice make a good natural combination for treating urethritis. Urethritis which does not have an infectious cause is more likely to respond to this treatment.

    • Cranberry
    • Unsweetened cranberry juice or vitamins containing cranberry extract are known to prevent recurrent episodes of urethritis. Cranberry juice modifies the pH of urine which may help to resolve urethritis and prevent it. Cranberry juice or cranberry extract also contains certain substances which prevent bacteria from sticking to the urethra.

Urethritis should be treated as soon as possible to prevent complications. It is very important that sexual partners are also tested and treated. Urethritis is a treatable disorder and men are encouraged to seek medical help if they suspect they may have urethritis.