Why is there pus and blood in the urethra due to enlarged foreskin?

Swelling of the foreskin and pus and blood in the urethra may be caused by urethritis, prostatitis, gonorrhea, non-gonococcal urethritis, urethral injury, etc., and require intervention through antibacterial treatment, local care, drug flushing, etc.

1. Urethritis

Urethritis can cause congestion and edema of the urethral mucosa, and inflammatory secretions mix with blood to form purulent hematuria. Commonly caused by holding in urine, poor perineal hygiene and other triggers, it manifests as frequent urination, urgency and burning pain in the urethra. Anti-infective drugs such as amoxicillin and clavulanate potassium tablets, cefixime dispersible tablets, and levofloxacin tablets need to be used as directed by the doctor.

2. Prostatitis

Bacterial prostatitis may cause abnormal urethral secretions through lymphatic spread, and bloody pus may appear in the acute stage. It is mostly related to factors such as prolonged sitting and drinking, and is often accompanied by perineal swelling and pain. Treatment requires tamsulosin hydrochloride sustained-release capsules and Qianlieshutong capsules combined with hyperthermia. In severe cases, intravenous infusion of ceftriaxone sodium is required.

3. Gonorrhea

Urethral suppuration caused by Neisseria gonorrhoeae infection can damage mucosal blood vessels and produce blood-purulent secretions. It is mainly transmitted through sexual contact, with an acute onset and large amount of secretions. After diagnosis, cefotaxime sodium for injection and azithromycin dispersible tablets for oral administration should be administered intramuscularly, and sexual partners should be treated simultaneously.

4. Nongonococcal urethritis

Mycoplasma or chlamydia infection may cause a small amount of pus and blood secretion from the urethra and has a long incubation period. Urethral tingling and crusting of morning discharge are common. It is recommended to use doxycycline enteric-coated capsules and clarithromycin tablets combined with topical povidone-iodine solution for flushing.

5. Urethral injury

Operations such as catheterization and cystoscopy may cause mechanical damage to the urethra, leading to secondary infection and blood pus. It is necessary to suspend the use of the device, use azlocillin sodium for injection to prevent infection, and perform urethral dilation if necessary.

If such symptoms occur, you need to seek medical attention immediately to determine the cause. Sexual intercourse is prohibited during treatment. Wash the foreskin with warm water every day and keep it dry. Avoid spicy food and alcohol, and underwear needs to be disinfected at high temperature every day. If the symptoms are not relieved within 48 hours or fever occurs, a follow-up visit should be made in time to adjust the treatment plan. Do not stop taking the medicine without permission before it is cured to prevent it from turning into a chronic infection.