What's the matter with white discharge from male urethra?

White discharge from the male urethra may be caused by non-gonococcal urethritis, prostatitis, gonorrhea, urethral stones or physiological discharge, and can be improved through drug treatment, lifestyle adjustment, etc.

1. Nongonococcal urethritis

Nongonococcal urethritis is usually caused by Chlamydia trachomatis or Mycoplasma infection and manifests as a white, thin discharge from the urethra orifice, which may be accompanied by frequent urination and painful urination. Treatment requires the use of azithromycin tablets, doxycycline hydrochloride tablets, or levofloxacin tablets as directed by your doctor, and avoid sexual intercourse until recovery.

2. Prostatitis

Chronic prostatitis may cause white discharge from the urethral opening in the morning, often accompanied by perineal swelling and pain. It may be related to factors such as prolonged sitting and drinking. You can use Qianlieshutong capsules, tamsulosin hydrochloride sustained-release capsules and other drugs as directed by your doctor, along with warm water sitz baths to relieve symptoms.

3. Gonorrhea

Gonorrhea caused by Neisseria gonorrhoeae infection will cause purulent discharge from the urethra, which may turn white in the later stages. Drugs such as ceftriaxone sodium for injection or azithromycin dispersible tablets need to be used for treatment, and sexual partners need to be examined and treated simultaneously.

4. Urethral stones

The friction of urethral stones on the mucous membrane may lead to increased secretions, which appear as white mucus. It may be accompanied by symptoms such as interruption of urination and hematuria. It can be treated with urethroscopic lithotomy or extracorporeal shock wave lithotripsy. You need to drink plenty of fluids after surgery to prevent recurrence.

5. Physiological secretions

The transparent mucus secreted by the bulbourethral gland during sexual excitement may appear white after drying, which is normal. Just keep the area clean, no special treatment is required. However, if it persists or is accompanied by an odor, you need to seek medical treatment to rule out pathological factors.

It is recommended to clean the perineum and change underwear every day, and avoid spicy food and alcohol intake. If the secretion lasts for more than 3 days or is accompanied by fever, low back pain and other symptoms, you should see a urology department immediately. Sexual intercourse is prohibited during treatment, and spouses or sexual partners should be checked simultaneously. Moderately increasing drinking water can help flush the urethra, but it is not advisable to drink too much coffee or strong tea.