Isolation of clear mucus in men from the urethra: physiological and pathological

Study of mucus secreted during arousal in men

The appearance of sexual desire in women is accompanied by the release of lubrication and swelling of the mammary glands. However, not everyone knows what comes out during arousal among the representatives of the stronger sex. Men not only in producing semen during sexbut also contain a special lubricant that facilitates sliding of the penis during friction.

If men do not have lubrication when aroused, then it is a symptom of some kind of pathology related to the reproductive system. Injuries to the male genital organ during vaginal penetration can be avoided by the release of this fluid.

There are many glands and cells in the body that secrete mucus, but - other than for physiologically determined reasons - mucus secretion in men can be associated with diseases, primarily inflammatory diseases of the genitourinary system or male genital organs. as well as some intestinal malformations.

mucus secretion in men when excited

Physiological stimulation involves the secretion of mucus in men. When the male sex organ is in an erection state, a special mucous secretion is produced by a pair of small exocrine glands - the bulbourethral or cooper. They are located below the prostate -In the depths of the muscles of the urogenital diaphragm (diaphragm urogenitale), at the base of the penis, with access to the urethra passing inside it.

The mucous secretion of these glands - a colorless transparent liquid of a viscous consistency - is a pre-ejaculate, which is an early ejaculation that enters the urethra before the release (ejaculation or ejaculation) of sperm in it.

This liquid contains glycosaminoglycans (mucus), L-fructose, various enzymes, but most importantly its alkaline reaction (pH>The function of the secretions of the Cooper glands is to neutralize traces of acidic urine in the urethra, as the acidic environment is unfavorable for sperm. The vagina is also usually acidic (pH = 4. 0–4. 2). Therefore, the secretion of mucus in men when stimulated alkalizes the vaginal environment - for better sperm survival.

The amount of pre-ejaculate in different men varies (up to 4-5 ml), and in some it is not produced at all, therefore, according to experts, its "norm" has not been established.

Mucus secretion in men can be increased by increasing the production of mucous secretion by the urethral glands of Littre, located in the epithelium of the inner membrane along the entire length of the urethra. However, their main function is to produce mucus, which keeps the urethra from acidic urine. saves.

Is it possible to get pregnant with lubrication in men? Pre-ejaculate has certain chemicals present in semen, such as the lysosomal enzyme acid phosphatase. But at the same time, it lacks sperm markers such as the enzyme gamma-glutamyl transferase.

The question of the likelihood of pregnancy from pre-ejaculatory fluid is being studied, but there is no definitive answer yet. According to the Journal Human Fertility, studies conducted in 2011-2016. A group of British doctors found 40% of pre-ejaculateVery little semen was found in the samples, but 37% of individual motile spermatozoa were recorded. Therefore do not exclude the possibility of getting pregnant from early ejaculation.

mucus discharge from the urethra in men

Pathological secretion of mucus in men from the urethra can be accompanied by a number of diseases. The leading causes of mucus discharge in men from the urethra are associated with urethritis (inflammation of the urethra); Cystitis (inflammation of the bladder); urolithiasis and prostatitis (inflammation of the prostate gland).

The pathogenesis of urethritis is caused by sexually transmitted infections such as Chlamydia trachomatis, Trichomonas vaginalis, Neisseria gonorrhea, Ureaplasma urealyticum, Mycoplasma genitalium, as well as the bacteria Escherichia coli, Enterobacter spp. , Klebsiella spp. And infectious urethritis often caused by strepto- and staphylococci. Bladder develops after catheterization or due to violation of basic hygiene rules.

Clinical data suggest that more than half of cases of urethral inflammation are associated with chlamydia; up to 25% - with mycoplasma; 15-20% - with ureaplasma; About 17% - with trichomonas. Less than 5% falls on mycotic (candidiasis) urethritis. Lesions of the urethra with gonorrhea and gonococci are detected in men aged 22-37, about 420 cases per 100, 000goes.

Risk factors for the development of urethritis with secretions of varying intensity: sexually active age, sexual intercourse and neglect of their protection.

The prevalence of cystitis in men is estimated at 0. 8%, which is ten times lower than in women, but the symptoms are similar in patients: mucus or mucus-bloody discharge in the urine combined with quite painful (burning), but lessThere is urination and frequent urination.

Bladder stone formation in men has the same symptoms of mucus discharge that many mature men face. In addition, as urologists note, strictures of the urethral canal often result from a hypertrophied prostate gland. is squeezed, contributes to the stagnation of urine and the formation of stones.

It is possible to release white mucus in men - when bacterial chronic prostatitis consists of an admixture of pus, which in no more than 10% of all cases (the most common pathogens are Escherichia coli, Pseudomonas aeruginosa, Klebsiella spp. ). By the way, Dr. About 12% of men who pass do not experience any symptoms of prostatitis, but an admixture of pus is found in the composition of their sperm, and according to the results of a blood test, an increased level of leukocytes.

Non-purulent milky mucus may be released in cases of prostoria - abnormal secretion of the prostate gland with its atony, associated either with an excessively active sex life, or with the presence of non-bacterial chronic prostatitis in a man.

mucus discharge from the anus in men

With infection of the gastrointestinal tract or its frequent irritation, the goblet secretory cells of the inner lining of the intestinal tract begin to produce mucus in excess, which is released through the rectum.

The main diseases that cause mucus discharge from the anus in men are ulcerative colitis and proctitis.

With ulcerative colitis, ulcers form at the site of inflammatory foci in the mucous membrane of the colon and rectum. Patients complain of not only mucous discharge from the anus, but also fatigue, loss of strength, loss of appetite, and periodic rectal bleeding. The exact cause of ulcerative colitis is unknown, but most physicians believe that its pathogenesis lies in the abnormal response of the immune system to bacteria in the gastrointestinal tract. The systemic nature of ulcerative colitis is not associated with the intestines. The manifestations that occur are indicated by: pain in the joints; ulcers on the mucous membranes in the mouth, on the skin and in the subcutaneous tissue; the formation of blood clots in the veins; Inflammation of the gallbladder, liver, etc.

The reasons for the development of proctitis - inflammation of the rectal mucosa - are most often associated with infection, and among its symptoms are: rectal mucus discharge, bleeding, pain (in the lower abdomen and perineum, radiating to the lower back) and coccyx), a feeling of pressure on the intestinal walls, frequent false urge to defecate, diarrhea and / or constipation.

Whom to contact?

Urologist, proctologist.

Diagnosis of mucus secretion in men

When mucus is released from the urethra in men, the diagnosis includes anamnesis data, blood tests (normal, ELISA, PCR); general, biochemical and bacteriological analysis of urine; Broom from the urethra.

Instrumental diagnosis is carried out using ultrasound of the genital organs.

In case of mucous discharge from the rectum, the proctologist examines it manually, prescribes blood, urine and stool tests, and also takes a swab from the anus for bacterial culture.

Of the methods of instrumental diagnosis, the following are used: sigmoidoscopy (rectoscopy), colonoscopy, X-ray and ultrasound of the abdominal cavity.

differential diagnosis

Given that there are many reasons for the appearance of these symptoms, differential diagnosis is necessary, which is carried out using computed or magnetic resonance imaging.

Treatment of mucus secretion in men

Effective treatment of mucus secretion in men with infectious urethritis is provided by the use of antibacterial drugs.

For the treatment of ulcerative colitis, NSAIDs are used: rectal suppositories are introduced into the rectum (1-2 suppositories) three times a day.

Treatment of proctitis depends on the cause of the inflammation. Proctitis caused by bacteria is usually treated with antibiotics. If proctitis is caused by inflammatory bowel disease, medications to control inflammation or surgery may be needed. Might be possible.

Consequences and complications

Experts call such consequences and complications of diseases in which men have mucus discharge from the urethra:

  • Inflammation of the seminal vesicles (vesiculitis);
  • epididymitis - inflammation of the epididymis (with a high probability of its blockage);
  • inflammation of the bulbourethral glands (couperitis) and their possible irreversible dysfunction;
  • Impaired spermatogenesis, anorgasmia, dyspareunia, sexual dysfunction and infertility.

In addition, inflammation of the prostate is fraught with adenoma or adenocarcinoma of the prostate.

The most dangerous consequences of nonspecific ulcerative colitis are perforation of the walls of the colon or rectum (with the formation of fistulas), intestinal bleeding with large blood loss and the development of oncology (colorectal cancer). And of significant mucous secretions with proctitis. In addition, there is irritation of the perianal area, which can lead to skin rash, the appearance of anal fissures, itching, burning and pain during defecation.

Redressal

Prevention of prostatitis is considered timely release of the bladder and intestines; active lifestyle (including intimate words, but only with protected sex); compliance with the rules of personal hygiene; Healthy eating, as well as getting rid of all bad habits. However, these recommendations are suitable for almost any disease, therefore, in terms of preventing the occurrence of problems with the prostate, medicine has not yet offered anything more specific.

forecast

Doctors do not give a prognosis for the development of any symptoms (and in men the pathological excretion of mucus - from the urethra or anus - refers to the symptoms) in isolation from the disease that causes it.

And if urethral infection, following a doctor's prescription, can be cured, then ulcerative colitis patients can only control it for life, trying to prevent recurrence.