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Может протекать остро или хронически [12](https://Medgorod-clinic.ru/stati/uretrit-i-ego-oslozhneniya--prichiny--simptomy--lechenie-i-profilaktika/). \n\n**К какому врачу обращаться**: урологу [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/)[15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit). При подозрении на инфекции, передающиеся половым путём, может потребоваться консультация венеролога или инфекциониста [16](https://doct.ru/diseases/uretrit-u-muzhchin.html).\n\n\n\n## Причины\nВ большинстве случаев уретрит связан с **инфекционными агентами**, которые попадают в уретру извне или изнутри организма [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/). Это могут быть: \n* бактерии (гонококки, хламидии, микоплазмы и др.) [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/)[6](https://www.MedCentrServis.ru/disease/uretrit/); \n* вирусы (герпес, папилломавирус) [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/)[6](https://www.MedCentrServis.ru/disease/uretrit/); \n* грибы (например, кандиды) [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/); \n* простейшие (трихомонады и др.) [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/). \n\nИнфекция может проникать в организм половым путём (при незащищённом сексуальном контакте), при использовании общих предметов гигиены, белья, полотенец, гематогенным путём (при распространении инфекции из других очагов через кровь) [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/). \n\n**Неинфекционные причины**: травмы уретры (например, при медицинских манипуляциях), аллергические реакции, воздействие химических веществ [4](https://uteka.ru/articles/zhenskoe-zdorove/uretrit-u-zhenshchin/)[9](https://www.mos-clinics.ru/diseases/uretrit/).\n\n## Симптомы\n**Для острого уретрита** характерно резкое начало и выраженные проявления [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/). Некоторые симптомы: \n* жжение или зуд в уретре [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/); \n* частое, трудное мочеиспускание [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/); \n* выделения из мочеиспускательного канала (гнойные, слизистые, кровянистые) [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/); \n* покраснение или отёк наружного отверстия уретры [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/); \n* болезненные ощущения при мочеиспускании [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/); \n* боли в нижней части живота или пояснице [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/). \n\n**Хронический уретрит** чаще всего развивается при отсутствии лечения острой формы [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/). Он может не сопровождаться выраженной симптоматикой, проявляться периодическими обострениями [1](https://alfazdrav.ru/zabolevania/urologiya/uretrit/).\n\n## Диагностика\n**Врач проводит осмотр** уретры, выявляет характерные признаки воспаления, оценивает количество и вид выделений из уретры [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit). \n\n**Лабораторная диагностика** включает: \n* микроскопическое исследование мазка из уретры для определения причины воспаления [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit); \n* ПЦР-исследование отделяемого из уретры для выявления некоторых возбудителей инфекции (вирус герпеса, микоплазмы) [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit); \n* общий анализ мочи для оценки состояния мочевыделительной системы в целом [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit). \n\n**Инструментальные методы** обследования предназначены для оценки распространённости воспалительного процесса, выявления осложнений: уретрография (рентгенологическое исследование мочеиспускательного канала с применением контрастного вещества), уретроцистоскопия или цистоскопия (эндоскопическое исследование уретры и мочевого пузыря) [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit).\n\n## Лечение\n**Лечение уретрита преимущественно медикаментозное** [2](https://www.ckbran.ru/cure/mens-reproductive-system/uretrit). Схема терапии зависит от вида возбудителя, который вызвал болезнь [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit). Например: \n* антибиотики с учётом типа бактерии [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit); \n* противовирусные препараты при герпетической инфекции [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit); \n* противогрибковые средства при кандидозе [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit). \n\n**В дополнение к основному лечению** врач может назначить фитотерапию, физиопроцедуры (УВЧ, магнитотерапия) [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit). \n\n**Хирургическое лечение** показано при формировании спаек в просвете мочеиспускательного канала — в таких ситуациях уролог выполняет бужирование уретры (расширение её просвета с помощью специального инструмента) [15](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/uretrit).","linksData":[{"sourceId":1,"url":"https://alfazdrav.ru/zabolevania/urologiya/uretrit/","shownUrl":"https://alfazdrav.ru/zabolevania/urologiya/uretrit/","title":"Уретрит — причины, симптомы и лечение в клинике «Альфа-Центр Здоровья»","shortUrl":"alfazdrav.ru","isTranslated":false,"description":"","greenUrl":"alfazdrav.ru"},{"sourceId":2,"url":"https://www.ckbran.ru/cure/mens-reproductive-system/uretrit","shownUrl":"https://www.ckbran.ru/cure/mens-reproductive-system/uretrit","title":"Уретрит: симптомы, диагностика, лечение уретрита - Урологическое отделение – государственная больница НКЦ №2","shortUrl":"ckbran.ru","isTranslated":false,"description":"","greenUrl":"ckbran.ru"},{"sourceId":3,"url":"https://Megapteka.ru/specials/simptomy-i-lechenie-4501","shownUrl":"https://Megapteka.ru/specials/simptomy-i-lechenie-4501","title":"Уретрит симптомы и лечение: Клинические рекомендации","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":4,"url":"https://uteka.ru/articles/zhenskoe-zdorove/uretrit-u-zhenshchin/","shownUrl":"https://uteka.ru/articles/zhenskoe-zdorove/uretrit-u-zhenshchin/","title":"Уретрит у женщин: признаки и схемы лечения | Статьи Ютеки","shortUrl":"uteka.ru","isTranslated":false,"description":"","greenUrl":"uteka.ru"},{"sourceId":5,"url":"https://OpenClinics.ru/bolezni/uretrit/","shownUrl":"https://OpenClinics.ru/bolezni/uretrit/","title":"Уретрит: симптомы и лечение, причины. 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