What causes pus from a man's glans?

Pus discharge from the male glans may be caused by gonorrhea, non-gonococcal urethritis, balanitis, urinary tract infection, prostatitis and other diseases. This symptom is usually related to factors such as pathogen infection, poor local hygiene, and decreased immunity. It is manifested by symptoms such as increased urethral secretions, painful urination, and local redness and swelling.

1. Gonorrhea

Gonorrhea is caused by gonococcal infection and is mainly spread through sexual contact. Typical symptoms are yellow purulent discharge, burning pain on urination, and may be accompanied by swollen inguinal lymph nodes. The diagnosis needs to be confirmed through secretion smear or nucleic acid test. Drugs such as ceftriaxone sodium for injection, azithromycin tablets, and doxycycline hydrochloride tablets can be used for treatment. Sexual partners must also be treated together.

2. Nongonococcal urethritis

Mainly caused by chlamydia or mycoplasma infection, the secretion is often white and thin, accompanied by itching in the urethra. It can be identified through urine routine and pathogen culture. Commonly used drugs include minocycline hydrochloride capsules, roxithromycin dispersible tablets, levofloxacin tablets, etc. Sexual intercourse should be avoided during treatment.

3. Balanitis

It is mostly caused by candida or bacterial infection and is common in people with excessive foreskin. It manifests as glans erythema, white cheese-like discharge and itching. The local area needs to be kept clean and dry. Clotrimazole cream and compound ketoconazole ointment can be used externally. In severe cases, fluconazole capsules can be taken orally. The author recommends circumcision for recurrent cases.

4. Urinary tract infection

Ascending infection by bacteria such as Escherichia coli can cause purulent discharge from the urethra, often accompanied by frequent urination and urgency. The causative bacteria can be identified through urine culture. Treatment options include fosfomycin trometamol powder, levofloxacin hydrochloride capsules, cefixime granules and other drugs. At the same time, the amount of drinking water needs to be increased.

5. Prostatitis

Acute bacterial prostatitis may cause white dripping from the urethra, accompanied by perineal swelling, pain, and fever. Digital rectal examination and prostatic fluid examination can assist in diagnosis. It is necessary to use tamsulosin hydrochloride sustained-release capsules and Qianlieshutong capsules together with antibiotic treatment to avoid prolonged sitting and alcohol stimulation.

If symptoms of pus from the glans appear, sexual intercourse should be stopped immediately, the perineum should be washed with warm water every day, and pure cotton breathable underwear should be chosen. You need to avoid spicy and irritating foods in your diet, and consume more vegetables and fruits rich in vitamin C, such as broccoli, kiwi fruit, etc. to enhance your immunity. All drug treatments must be carried out under the guidance of a doctor, and do not self-medicate. If accompanied by fever, hematuria or waist pain, emergency treatment is required to rule out serious infection of the urinary system.