White discharge from the urethra in men

The release of white discharge occurs due to the action of various factors and reasons. Let's consider the main types of urogenital discharge in men, methods of their treatment.

Discharge in men is the periodic or constant appearance of mucus from the urethra. Most often, white discharge appears on the head of the penis. It can be associated with both physiological and pathological causes.

The secretion appears from the sebaceous glands, the urethra, or from neoplasms in the reproductive organ.

All secretions are distinguished by several characteristics:

• Intensity (constant, periodic).
• Color.
• Consistency.
• Presence of odor.
• Additional symptoms (for example, pain when urinating or discomfort outside the urethra, itching, burning, stinging).

But in any case, when discharge appears, it is better to seek medical help. Comprehensive diagnostics will help to establish the causes of the unpleasant condition and select effective treatment methods.

Epidemiology

According to medical statistics, the frequency of white discharge in men is associated with age-related changes and body characteristics.

• One of the most common causes of pathological fluid is infection with sexually transmitted infections. More than 30 different viruses, bacteria and parasites are transmitted during unprotected sexual contact.
• In second place are discharges due to non-venereal inflammatory processes. Most often, this is a candidal infection (thrush), non-purulent form of urethritis, inflammation of the prostate gland and foreskin, as well as other infections that are activated against the background of a decrease in immune protection.
• In third place in terms of prevalence are non-inflammatory discharges. They occur due to various injuries, tumor processes in the genitourinary system, diseases of the central nervous system. This can be hematorrhea, prostatorrhea, spermatorrhea, and others.

Based on statistical data, most often the appearance of white discharge of a pathological nature is associated with STDs and the activation of opportunistic flora of the body.

Causes White discharge from the urethra in men

Any discharge from the genital organ can be caused by physiological reasons, that is, be a normal variant, or develop due to the action of pathological factors.

1. Physiological discharge (less common than pathological discharge)

• Libidinal urethrorrhea

Occurs on the head of the penis during strong sexual arousal. The source of the secretion is the urethral glands. The volume of fluid depends on the physiological characteristics of the body and on how long the man has not had sexual intercourse. In some cases, physiological urethrorrhea appears during the act of defecation. The secreted fluid contains a small amount of spermatozoa.

• Ejaculate

Sperm is released after sexual intercourse. It is a mixture of secretions from the sex glands and spermatozoa.

• Smegma

This is a secretion of glands located in the skin of the foreskin and the head of the penis. It has a white tint and a thick consistency. The amount of smegma is not large, but it can accumulate under the foreskin, creating the prerequisites for the development of inflammatory processes. With daily hygiene procedures, the secretion is easily washed off.

• Pollution

Such discharges are involuntary ejaculation (usually at night) in boys during puberty and in men during prolonged sexual abstinence. The frequency of emissions ranges from 1-3 per week to 1-2 over 2-3 months.

2. Pathological discharge from the penis

They occur with various diseases, inflammatory processes, infections, oncological pathologies. They can appear after injuries and operations or due to the action of one's own opportunistic flora.

Main characteristics of pathological fluid:

• Volume: scanty, moderate, abundant.
• Color: white, transparent, cloudy white, milky white, with blood inclusions, yellow, yellow-green.
• Consistency: thick, liquid.
• Frequency of occurrence – regularly, periodically, in the first half of the day, after urination or consumption of alcohol/certain foods.

Discharge associated with STDs:

• Mucous - occurs against the background of ureaplasmosis, mycoplasmosis, chlamydia. Contains a small number of leukocytes, transparent and viscous.
• Purulent - a sign of a combined venereal infection (trichomoniasis and chlamydia, gonorrhea and chlamydia, mycoplasmosis and ureaplasmosis) or gonorrhea. The secreted fluid is sticky and thick, white-yellow or yellow-green. It consists of urethral mucus, a large number of leukocytes and exfoliated urethral epithelium.
• Mucopurulent - can be caused by trichomoniasis, chlamydia during an exacerbation, ureaplasmosis. The secreted fluid is white-milky translucent. Consists of urethral mucus, leukocytes and inflammatory exudate.

Urogenital discharge caused by sexually transmitted diseases very often occurs with pronounced painful symptoms during urination: stinging, itching, pain, burning.

Discharge due to non-venereal inflammatory processes:

• Non-purulent urethritis is an inflammation of the urethra with mucopurulent discharge. Pain symptoms with this pathology are absent or expressed to an insignificant degree. Discomfort occurs with prolonged abstinence from urination.
• Inflammation of the prostate gland - prostatitis is characterized by mucopurulent fluid. The patient complains of nagging pain in the perineum, impaired potency and urination.
• Balanoposthitis - discharge from inflammation of the foreskin is quite abundant, purulent or purulent-mucous. It occurs with acute pain in the head of the penis, swelling and hyperemia of the foreskin.
• Candidiasis - male thrush is an inflammatory process due to the activation of opportunistic Candida fungi. The painful condition is manifested by pronounced redness of the skin of the penis, itching, burning, and abundant cheesy discharge.

The infectious agent is its own opportunistic flora (streptococcus, Candida fungi, staphylococcus, E. coli), which is activated against the background of a decrease in the protective properties of the immune system.

Non-inflammatory discharges are extremely rare. Their appearance is associated with injuries, diseases of the central nervous system, tumor processes in the organs of the reproductive system.

• Hematorrhea is a fluid from the urethra with blood impurities. Most often it appears due to mechanical trauma to the urethra or penis, as well as with malignant tumors of the prostate, penis, polyps. Another possible cause of the unpleasant symptom is sand in urolithiasis or the passage of stones. [ 1 ]
• Spermatorrhea is the release of sperm from the urethra without orgasm, outside of masturbation and sexual intercourse. It occurs due to a violation of the tone of the muscular membrane of the vas deferens in diseases of the central nervous system and inflammatory processes in the body. [ 2 ]
• Prostatorrhea is the leakage of prostate secretion from the urethra. It occurs when the tone of the smooth muscle fibers of the prostate excretory duct is impaired due to adenoma or its chronic inflammation, or with a neurogenic bladder. [ 3 ]

The nature and methods of treatment of white discharge in men depend on the causes of their appearance. It is almost impossible to establish the factors that caused the pathological process only by the appearance of the discharged fluid. For these purposes, a set of laboratory studies is carried out.

Risk factors

The risk of pathological discharge in men is associated with the following factors:

• Violation of hygiene of intimate organs.
• Chronic diseases that reduce the protective properties of the immune system.
• Trauma and mechanical damage to the penis.
• Anatomical features (phimosis, elongated foreskin).
• Infectious and inflammatory processes in the male reproductive system.
• STDs and STIs.
• Venous causes (hemorrhoids, varicose veins, varicocele).
• Frequent change of sexual partners and lack of barrier methods of contraception.

In most cases, risk factors are removable. It is enough to take appropriate measures and adjust your lifestyle.

Pathogenesis

The mechanism of the appearance of white urogenital discharge in men can be associated with many reasons and factors. The pathogenesis of pathological secretion is based on the action of infectious and non-infectious agents.

Infectious agents are represented by specific (Trichomonas, Chlamydia, Mycoplasma, Mycobacterium tuberculosis) and non-specific flora (fungi, viruses, bacteria). Non-infectious agents include trauma, chronic diseases of the body, physiological processes, and features of the anatomical structure of the genital organ.

Symptoms White discharge from the urethra in men

If a man notices white discharge, this may be a normal variant or indicate pathological processes in the body. The latter include inflammation of the genitourinary system, venereal diseases.

Let's look at the most common cases when white discharge in men is a symptom of a disease:

• Gonorrhea – the causative agent of the infection is gonococcus bacteria, which are transmitted through sexual intercourse. With this pathology, a yellow-white liquid with an unpleasant odor appears on the head of the penis. When urinating, pain, burning, and stinging occur. The patient has a feverish condition and severe pain in the groin. [ 4 ]
• Chlamydia – occurs due to the parasitism of chlamydia (intracellular bacteria). The disease is characterized by weakly expressed and blurred symptoms. One of the signs of the disorder is white discharge on the head of the penis. [ 5 ]
• Trichomoniasis is a sexually transmitted infection. When infected, severe disorders in the genitourinary system develop. The man complains of thick white discharge with a specific odor. Also, with this disease, severe irritation of the urethra is observed when trying to empty the bladder. [ 6 ]
• Candidiasis is a painful condition with an inflammatory process of a non-specific nature. Most often it develops against the background of a sharp decrease in immunity. Pathological discharge has a cheesy texture, thick consistency and sour smell, appears on the head of the penis. Candidiasis is accompanied by severe itching and burning, painful sensations when urinating. [ 7 ]
• Ureaplasmosis, mycoplasmosis are sexually transmitted diseases that are transmitted sexually. In addition to white discharge, there is pain in the groin area, severe itching and burning when finishing urination. [ 8 ]

To make an accurate diagnosis and determine the cause of unpleasant and painful symptoms, you should undergo an examination by a doctor and take tests.

The first signs of the pathological process depend on the cause of the white discharge. If the painful condition is accompanied by an unpleasant odor, pain in the groin, burning and stinging, then this may indicate the presence of inflammatory or venereal diseases.

Most often, men are diagnosed with trichomoniasis, balanopositis, urethritis, prostatitis, chlamydia, ureaplasmosis. Painful symptoms can be caused by cystitis or pyelonephritis.

In addition to the appearance of white discharge, general signs of the development of pathology include:

• Difficulty urinating.
• Pain syndrome.
• A feeling of incomplete emptying of the bladder.
• Unpleasant smell.
• Itching and burning in the urethra.
• Erectile dysfunction.
• Pus and blood in the urine or on the head of the penis.

If there are difficulties with urination, frequent urge to go to the toilet and a feeling of incomplete emptying of the bladder, then this may be inflammation of the prostate gland. An unpleasant odor indicates the proliferation of pathogenic microorganisms on the mucous membrane of the penis. Pain, itching and burning are symptoms of any other diseases of the genitourinary system.

White discharge in men on the head of the penis, under the foreskin in men

The foreskin is the skin that covers the head of the penis. White discharge under the foreskin occurs with balanitis and balanoposthitis. The painful condition is accompanied by itching, swelling and redness in the area of the head of the penis. Very often, children face this problem when the head of the penis is tightly covered by the foreskin.

The main causes of the disorder are:

• An infection that develops under the skin of the foreskin (fungal, bacterial).
• Inflammatory process due to urinary retention or smegma.
• Infections of the urethra (gonorrhea, trichomoniasis, syphilis).
• Endocrine pathologies.
• Allergic reactions.
• Insufficient hygiene of the genitals.

Also, white discharge in men on the head of the penis can occur when infected with Candida fungi. In its symptoms, candidiasis is similar to venereal diseases.

Yeast-like fungi are activated in the presence of the following factors:

• Weakened immune system.
• Hypovitaminosis.
• Long-term stress, climatic factors.
• Endocrine pathologies.
• HIV infections.
• Hormonal disorders.
• Failure to comply with personal hygiene rules.

Candidal urethritis manifests itself in white discharge in the area of the foreskin with an unpleasant odor, burning and itching, redness in the affected area, pain during intercourse and urination. Many patients face problems with retracting and extending the head of the penis.

Regardless of the cause of origin, the painful condition requires complex diagnostics and treatment. The patient is prescribed a bacteriological study to detect the pathogen. If necessary, an ultrasound of the genitourinary system is performed.

Treatment depends on the identified causes. In case of balanitis, balanoposthitis and candidiasis, antibacterial drugs are taken, and baths with disinfectants are also carried out. If the cause of the disorder is phimosis (narrowing of the foreskin), then surgical operation is indicated - circumcision.

White discharge from the urethra in men

The urethra in men is a channel for the excretion of urine and sperm. Discharge from the urethra involves the natural release of biological fluid, so it is physiological in nature. But when exposed to certain factors, the discharged fluid changes its color, smell, consistency and frequency of appearance. Most often, the pathological condition indicates inflammatory processes in the genitourinary system.

Normally, the secretion of the preputial glands (located under the foreskin and on the head of the penis) and discharge from the urethra comes out of the urethra:

1. Fresh smegma.
2. Ejaculate.
3. Prostate secretion.
4. Urine.

White discharge from the urethra in men occurs for several reasons. First of all, it can be a fungal infection, that is, candidiasis. It manifests itself with the following symptoms:

• The head of the penis is covered with a whitish coating.
• Pain, itching and burning in the penis and perineum.
• The discharge has an unpleasant sour smell.
• There are red spots on the inner surface of the foreskin and the head.
• During sexual intercourse, pain and discomfort occur.

Possible causes of white discharge also include chlamydia, ureaplasmosis, mycoplasmosis, and inflammatory processes in the prostate. The latter have the following symptoms:

• Difficulty, frequent, or interrupted urination.
• Burning in the urethra and perineum.
• Decreased libido, erectile dysfunction.

Unpleasant discharge occurs with inflammation of the genitals, urethritis, STDs, injuries and narrowing of the urethra, allergic reactions. Non-specific fluid from the urethra can signal a tumor process, injuries, a condition after operations and medical manipulations.

To determine the causes of the disorder, a comprehensive diagnosis is indicated. To identify injuries, deformations and inflammatory processes, a visual examination of the penis and perineum is performed. The urologist palpates the inguinal lymph nodes and conducts a digital examination of the prostate.

A microscopic examination of the discharge is mandatory: smears for sowing and microscopy, PCR. Patients take a general blood and urine test, blood for sugar. An ultrasound of the kidneys, prostate and bladder, urography and CT are also performed. Based on the results of the diagnostics, a treatment plan is drawn up.

White discharge in men's underwear

Quite often, men have white discharge on their underwear. It is normal for a healthy person. But in some cases, it indicates health problems, in particular with the genitourinary system.

If the discharge does not have a strong odor and does not cause discomfort, then this can be considered normal. This is observed in the following cases:

• During sexual arousal. During the day, a man may experience ebbs and flows of sexual arousal. This causes a whitish fluid of non-viscous consistency to be released, which remains on the underwear.
• After a night's rest - these are morning emissions, which occur both in adolescence and in adulthood.
• Stains on underwear can occur when prostate secretion flows out of the urethra. This occurs at the moment of strong tension of the abdominal muscles.

If the number of stains on your panties increases, they change smell, color or consistency, then this may be due to the following pathological processes:

• Urethritis - when an inflammatory process develops, the urethra tries to protect itself from pathogenic microorganisms. This is manifested by the production of an increased amount of mucus.
• Venereal diseases - in addition to leucorrhoea on underwear, are accompanied by a complex of additional pathological symptoms and a deterioration in general well-being.
• Oncological neoplasms – symptoms depend on the location of the tumor, its type and other characteristics.

In any case, the appearance of uncharacteristic discharge is a direct indication to contact a urologist. After a comprehensive examination, the doctor will establish the cause of the disorder and prescribe treatment.

White discharge in the morning in men

The main reason for white marks on men's underwear after a night's sleep is pollution. Involuntary ejaculation occurs in boys during puberty and in adult men during prolonged sexual abstinence. This is normal and does not require medical intervention.

Another possible cause of discharge from the genital organ is morning erection. The liquid has a transparent white color and a mucous consistency. It is produced by the urogenital glands and indicates the normal functioning of the body.

If the discharge occurs in large volumes, is accompanied by itching, burning, stinging, odor, deterioration of general health and other pathological symptoms, then you should immediately contact a urologist. The doctor will conduct an examination, prescribe diagnostic procedures and draw up a treatment plan.

Clear white discharge in men

There are many reasons for the appearance of transparent white discharge from the urethra in men. Let's consider the most common cases of this symptom:

• Protatorrhea - fluid appears with intense tension of the abdominal wall. Most often, this occurs during defecation, with too frequent constipation or prostate adenoma. In this situation, compression increases inside the abdominal wall and because of this, a small amount of transparent white fluid appears, sometimes with mucous streaks.
• Pollution - in this case, the appearance of exudate is associated with hormonal fluctuations. This is observed in boys during puberty and in men with a long absence of intimacy.
• Urethrorrhea is the secretion of mucus from the urethra by glands. Mucus is formed during sexual arousal and improves the passage of seminal fluid.

If the discharge changes its structure, darkens, acquires an unpleasant odor, or occurs with additional symptoms, you should consult a urologist.

White and yellow discharge in men

The main reason for the appearance of discharge from the penis of this nature is urogenital diseases. Yellow color indicates that the discharge contains an increased number of leukocytes.

Possible reasons for the violation:

• Urethritis (specific form) - yellow mucus signals an inflammatory process in the body. It develops due to damage to the urethra. The main pathogens are opportunistic microorganisms (fungi, coccal bacteria). Chemical burns and mechanical damage to the urethra are also causes of the disorder. In some cases, the disease is a complication of gonorrhea or chlamydia.
• Inflammation of the prostate gland - most often, men over 50 years of age face prostatitis. This disease is characterized by white-yellow and yellow-green discharge. The inflammatory process is manifested by pain in the groin area, burning during urination, and increased weakness. It develops against the background of chronic diseases of the genitourinary system, venereal diseases, injuries to the soft tissues of the pelvic organs, due to irregular sexual activity and hypothermia.
• Prostatorrhea - this disease occurs when the tone of the prostate decreases. It causes itching in the urethra and white-yellow discharge. Prostatorrhea is often combined with spermatorrhea, when seminal fluid is spontaneously released from the urethra.
• Gonorrhea is a venereal disease that manifests itself as thick white-yellow, yellow-green discharge with an unpleasant putrid odor. It causes pain when urinating, itching and burning. The disease causes an increase in body temperature and swelling of the head of the penis.
• Gonorrheal epididymitis is an inflammatory process in the testicles. It occurs with elevated body temperature, scrotal edema and yellowish exudate. Pain in the groin increases significantly during movement. Without timely treatment, it leads to bilateral testicular damage and infertility.
• Trichomoniasis – manifests itself as purulent discharge, burning and stinging when urinating, frequent urge to go to the toilet, pain in the lower abdomen and in the perineum. It can occur in a latent form.

In addition to the above reasons, white-yellow exudate from the penis is observed in oncological processes in the urethra and urinary system.

To detect the cause of the disease, microscopic examination, bacterial culture, PCR are indicated. Treatment depends on the results of the diagnostics.

White curdy discharge in men

The appearance of exudate of a curdled consistency indicates damage to the mucous membranes by microscopic fungi of the genus Candida. Candidiasis in men has several forms, which differ in the localization of the pathological process:

• Candidal urethritis is an inflammatory process in the urethra. Fungal infection can develop due to the action of other pathogenic factors.
• Candidal balanoposthitis is a lesion of the mucous membrane of the head of the penis and its foreskin.
• Candidal posthitis is an inflammation of the mucous membrane of the foreskin.
• Candidal balanitis is a fungal infection of the mucous membrane of the head of the penis.

The risk group for developing candidiasis includes men with endocrine diseases, obesity, after long-term antibiotic therapy, with hormonal disorders. Thrush often occurs in people with the human immunodeficiency virus, after chemotherapy treatment of oncological diseases.

White cheesy discharge is the main symptom of the disease. Thrush is also characterized by a white coating on the head of the penis, pain and burning during urination, and itching of the mucous membrane of the external genitalia.

To confirm the diagnosis, a microscopic examination of the smear of the affected area is carried out. Patients undergo general and biochemical blood tests, an immunogram. Treatment consists of systemic and external use of antifungal drugs, drugs to restore immune protection and vitamin therapy for general health improvement of the body. Particular attention is paid to maintaining intimate hygiene.

Cloudy white discharge in men

Male discharge varies in color and transparency. These characteristics depend on the intensity of the inflammatory process, its stage and etiology. The appearance of a cloudy white exudate indicates that it contains a large amount of mucus and various cells.

One of the reasons for the appearance of cloudy discharge is the stuck together lips of the urethra due to a small amount of discharge. This is also observed with a fluid deficiency, that is, when the body is dehydrated.

If this symptom persists for a long time, the exudate increases in intensity or is accompanied by additional pathological symptoms, then this is a reason to immediately contact a urologist. After a comprehensive diagnosis, the doctor will determine the cause of the unpleasant condition and prescribe appropriate treatment.

White thick discharge in men

One of the possible reasons for the appearance of white thick discharge in men is gonorrhea. The causative agent of the venereal disease is the gonococcus Neisseria gonorrhoeae. The infection affects not only the urethra, but also the rectum, eyes, and throat. Infection occurs sexually. Domestic infection is unlikely, since the gonococcus quickly dies outside the human body.

Signs of gonorrhea in men:

• Thick discharge from the urethra, white or white-yellow in color.
• Pain when urinating.
• Itching and burning in the genital area and urethra.
• Frequent urge to urinate.
• Swelling of the foreskin and glans penis.
• Elevated body temperature.
• Pain during defecation.

To diagnose the cause of the thick exudate, as well as to confirm gonorrhea, a comprehensive examination is carried out. The man must pass a smear from the urethra, urine and blood tests. If necessary, an ultrasound of the genitourinary system is performed. Differential diagnostics are also indicated.

If after all the tests and examinations it is established that the cause of the unpleasant symptoms is the gonococcus Neisseria gonorrhoeae, then the treatment is carried out by a venereologist. The patient is prescribed a course of antibacterial therapy and local procedures. Barrier methods of contraception and routine examinations by a urologist are indicated as a preventive measure.

White discharge from the nipples of the breast in men

If a man has white exudate coming out of his nipples, then gynecomastia can be suspected. This disease is characterized not only by the appearance of discharge, but also by an increase in the size of the mammary glands. At the same time, the pathology, as a rule, does not threaten health, but negatively affects its psychological component.

Most often, gynecomastia develops during the period of hormonal changes in the body, as well as in men after 45 years. In the latter case, the pathology is associated with a decrease in testosterone levels and an increase in female estrogen. [ 9 ]

According to research, there are many causes of gynecomastia, but they can all be divided into three groups:

1. Hormonal disorders. Normally, the male body contains a small amount of estrogen. But tumors, liver cirrhosis and other pathological processes lead to increased production of female sex hormones.
2. Decreased testosterone levels. This is observed in congenital hormonal pathologies, kidney diseases, and malignant processes in the body.
3. Medicines. Taking some groups of medications leads to active enlargement of the mammary glands. For example, the diuretic drug Veroshpiron, as well as the neuroleptic Haloperidol provoke hormonal disorders and increased synthesis of estrogen.

Gynecomastia is divided into true (formed by glandular tissue), false (formed by fatty tissue) and mixed. Each form has several stages, which are manifested by an increase in pathological symptoms.

To identify the cause of white discharge from the nipples in men, a comprehensive diagnosis is carried out. First of all, a study of hormones, mammography, biopsy and ultrasound of the mammary glands (to exclude tumor neoplasms) are indicated. Treatment depends on the results of the diagnosis. This can be conservative therapy or surgical intervention.

Diagnostics White discharge from the urethra in men

To determine the causes of the disease and to develop a treatment plan, a comprehensive diagnosis is carried out. The examination consists of:

• General examination.
• Collection of anamnesis.
• Clinical urine analysis.
• Complete blood count.
• Bacteriological culture (smear from the urethra).
• Blood glucose test.
• PCR diagnostics.
• Ultrasound of the prostate gland, bladder and kidneys.
• Computed tomography.
• Urography.
• Smear culture to determine resistance to antibacterial drugs.

A comprehensive diagnostic approach allows us to establish the causes and factors of the disorder, as well as develop methods for their elimination and prevention.

Tests

There are many non-physiological reasons for the appearance of white discharge in men. A urologist is engaged in finding the cause for each specific case. To do this, the patient is examined, complaints are assessed and anamnesis is collected. After this, the doctor gives a referral for tests:

1. Blood test – is performed to detect infectious agents and their antibodies. Allows to diagnose hepatitis, syphilis, HIV.
2. Urine analysis – reveals inflammatory processes in the urinary organs. Used in diagnostics of candidiasis, gonorrhea.
3. Sperm analysis – allows you to determine the presence of chlamydia, ureaplasma, mycoplasma, neisseria and other pathogenic microorganisms.
4. Analysis of prostate gland secretion – prostate massage is performed to collect the material. Based on the results of the study, yeast fungi, gardnerella and other bacteria can be detected.
5. Analysis of epithelial cell scrapings – diagnoses ureaplasmosis, genital herpes, trichomoniasis and other diseases.
6. Smear analysis is similar in its information content to scraping, but allows detection of chlamydia.

If there is a suspicion that pathological exudate is associated with inflammatory and other hidden processes in the body, then a urethral smear is indicated. In order for the study to be as reliable as possible, it is necessary to prepare for it properly.

To do this, three days before the test, stop local therapy with antibacterial, antifungal and antiseptic drugs. For 3 hours before the test, you must refrain from urinating and external toilet of the genitals.

Results of urethral smear:

• Increased leukocytes – urethritis (chronic, acute).
• Increased red blood cells – neoplasms, injuries, release of stones or sand in urolithiasis, severe inflammatory process.
• Lipid grains - prostatorrhea.
• Increased eosinophils – urethritis of allergic etiology.
• Spermatozoa - spermatorrhea.
• A large number of epithelial cells - urethritis, leukoplakia of the urethra.
• Mucus without red blood cells is urethrorrhea.

Normally, there should be no pathogens or hidden infections. The smear may contain leukocytes (up to 4 in the field of view), as well as single rods and cocci of bacterial flora. Based on laboratory diagnostics, the doctor gives recommendations for further examinations or prescribes treatment.

Instrumental diagnostics

Another component of a comprehensive examination of the male body for the cause of white discharge from the genital organ is instrumental diagnostics. Most often, patients undergo the following examinations:

1. Ultrasound diagnostics of pelvic organs

This instrumental method is used to detect various diseases and pathologies. It determines compactions in organs and tissues. The procedure does not take much time and does not require a recovery period.

The main indications for ultrasound examination of the pelvic organs in men:

• Pain in the groin and when urinating.
• Pathological discharge.
• Frequent urge to urinate or inability to urinate.
• Discomfort and pain in the lower abdomen.
• Admixtures of pus, blood and other inclusions in urine.

Ultrasound includes a comprehensive analysis of the following organs: prostate, seminal vesicles, urinary bladder, adjacent structures and lymph nodes. To examine the condition of the seminal ducts and vesicles, transrectal and abdominal examinations are performed. Ultrasound allows you to assess the condition of tissues and lymph nodes adjacent to the urinary bladder and prostate.

Ultrasound examination is effective in diagnosing acute/chronic prostatitis, urolithiasis (stones, sand), vesiculitis, oncological processes, circulatory problems, cystitis, cysts, vascular pathologies.

2. Urethroscopy

It is used to identify and clarify the characteristics of the mucous membrane lesion. Endoscopic examination is performed under anesthesia. To improve visualization of the urethra, a physiological solution is introduced into the bladder or, as the urethroscope advances, the organ is filled with gas.

In addition to urethritis, this instrumental method helps to identify cysts, foreign bodies, tumors, dystrophic processes of the mucous membrane and much more. Urethroscopic examination has no contraindications, but only an advanced form of the inflammatory process limits its use.

Differential diagnosis

White discharge in men can be associated with many reasons and factors. To determine what exactly caused the unpleasant symptom, differential diagnostics is used.

First of all, differentiation is carried out with other specific urogenital infections caused by pathogenic and opportunistic microorganisms and viruses.

Symptoms	Gonococcal Infection	Chlamydial infection	Urogenital Trichomoniasis	Urogenital candidiasis
Discharge from the genital tract	Mucopurulent, cloudy white or purulent, odorless	Mucous membranes are cloudy Or mucopurulent, odorless	Gray-yellow color, white foamy with an unpleasant odor	White, curdy, Thick, with a sour smell
Hyperemia of the mucous membranes of the genitourinary tract	Head of the penis, urethral canal	Mainly the mucous membranes of the urethra	Penile tissues, urethral mucosa	Foreskin and glans penis
Itching/burning in the external genital area	Often	Rarely	Often	Often
Urination disorder	Often	Often	Often	Rarely
Sexual dysfunction	Often	Often	Often	Often
Microscopy	Gram-negative diplococci with typical morphological, tinctorial properties.	Not carried out	Presence of T. Vaginalis	FungiCandida predominant Mycelium and budding Yeast cells

When establishing a differential diagnosis, the results of laboratory and instrumental studies are taken into account.

Treatment White discharge from the urethra in men

Before you begin to eliminate the cause of white discharge in men, you need to undergo a comprehensive diagnosis. After the doctor identifies the nosology and establishes the type of pathogen, a treatment plan is drawn up.

Prevention

The main prevention against many diseases, including those causing pathological discharge from the urethra, is a healthy lifestyle.

Preventive recommendations:

• Routine examinations with a urologist.
• Use of barrier contraception to prevent infection with sexually transmitted diseases and other sexually transmitted diseases.
• Maintaining the immune system's defenses.
• Preventing hypothermia of the pelvic organs to maintain local immunity.
• Maintaining personal hygiene of the genitals.
• Balanced nutrition. Avoid fatty and spicy foods, carcinogens, artificial additives and anything that puts additional strain on the kidneys and bladder.
• Avoid excessive physical exertion and stressful situations.
• Refusal to use underwear made of synthetic materials.
• Refrain from drinking alcohol and smoking.

Preventive measures also include maintaining the body's water balance and timely treatment of any diseases.

Forecast

The prognosis for recovery depends on the causes of pathological discharge. With timely diagnosis and proper treatment, the prognosis is favorable. If the unpleasant symptom is left unattended, this leads to pathological progression of the underlying disease.

For example, if the appearance of exudate is caused by the yeast-like fungus Candida, then the absence of treatment leads to the appearance of erosions and ulcers on the mucous membrane of the genital organ, problems in intimate life, pain arise. Damaged mucous membrane increases the risk of sexually transmitted diseases.

White discharge in men caused by infectious lesions of the genitourinary system, left without proper treatment, threatens the development of prostatitis, inflammation of the testicles, balanitis, vesiculitis, narrowing of the lumen of the urethra.