Why does a man's urethra bleed?

Male urethral bleeding may be related to factors such as urethritis, urethral stones, prostatitis, urethral injury, and urinary system tumors. Urethral bleeding usually manifests as blood flowing out of the urethral opening during urination, which may be accompanied by symptoms such as frequent urination, urgency, and painful urination. It is recommended to seek medical treatment promptly and follow the doctor's instructions for treatment after determining the cause.

1. Urethritis

Urethritis is an inflammatory reaction of the urethral mucosa and may be caused by bacterial infection. Patients may experience symptoms such as increased urethral secretion and burning sensation during urination. During treatment, you can use drugs such as levofloxacin hydrochloride tablets, cefixime dispersible tablets, and azithromycin capsules as directed by your doctor. Pay attention to the cleanliness of the perineum every day and avoid unclean sex.

2. Urethral stones

Urethral stones are solid deposits of minerals in the urine that form in the urinary tract. When the stone moves, it may scratch the urethral mucosa and cause bleeding, which is often accompanied by interruption of urination and lower abdominal cramping. Treatment may include extracorporeal shock wave lithotripsy or transurethral lithotomy. You should increase your water intake and reduce your intake of high-oxalate foods.

3. Prostatitis

Prostatitis is inflammation of the prostate tissue and can be caused by bacterial infection or congestion. Patients may experience symptoms such as perineal swelling and pain and difficulty urinating. Tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules, celecoxib capsules and other drugs can be used during treatment. Avoiding prolonged sitting and excessive alcohol consumption can help relieve symptoms.

4. Urethral injury

Urethral injury may result from trauma, iatrogenic manipulation, or foreign body insertion. Symptoms such as bleeding from the urethral opening and pain during urination may occur after injury. Mild injuries can be treated conservatively with an indwelling urinary catheter, while severe injuries require surgical repair. External impact on the urethra area should be avoided on a daily basis.

5. Urinary system tumors

Urinary system tumors such as bladder cancer and prostate cancer may invade the urethra and cause bleeding. Patients may experience symptoms such as painless hematuria and difficulty urinating. Confirmation requires cystoscopy and pathological biopsy. Treatment options include surgical resection, radiation therapy, and chemotherapy. Regular physical examinations can help detect lesions early.

When urethral bleeding occurs, strenuous exercise should be avoided and the daily water intake should be kept above 2000 ml. The diet should be light and spicy foods should be limited. Observe urination and blood color changes, and record the duration and accompanying manifestations of symptoms. Do not use hemostatic drugs by yourself. You should go to the urology department in time to complete routine urine examinations, urinary tract ultrasound and other examinations. During treatment, sexual life should be suspended, pay attention to rest, and avoid overexertion.