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

work of mucus secreted during male arousal

The appearance of sexual desire in women is accompanied by lubrication and swelling of the mammary glands. However, not everyone knows what is released during arousal among representatives of the stronger sex. Men can produce not only seminal fluid during sex, but also a special lubricant that facilitates the gliding of the penis during friction.

If men do not have lubrication when excited, this is a sign of some kind of pathology related to the reproductive system. The release of this fluid prevents injury to the male genitalia during vaginal penetration.

There are many glands and cells in the body that secrete mucus, but - in addition to physiologically determined causes - mucus secretion in men can be associated with certain diseases, primarily inflammatory diseases of the genitourinary system or male genital organs. intestinal pathologies.

Mucus secretion when excited in men

Physiological involves secretion of mucus in males when excited. During the erection of the male genitalia, a special mucus secretion is produced by a pair of small exocrine glands - bulbourethral or Cooper's. They are located under the prostate - deep in the muscles of the urogenital diaphragm (diaphragm urogenitale), at the base of the penis, with access to the urethra passing through it.

The mucous secretion of these glands - a colorless transparent liquid with a viscous consistency - is a pre-ejaculate, that is, a pre-ejaculation (ejaculation or ejaculation), which enters the urethra before it is released into it.

This fluid contains glycosaminoglycans (mucus), L-fructose, various enzymes, but most importantly alkaline reaction (pH>7. 2) includes. The function of the secretion of Cooper glands is to neutralize traces of acidic urine in the urethra, since the acidic environment is unfavorable for sperm. The vagina is also usually acidic (pH = 4. 0-4. 2), so when stimulated, mucus secretion in men alkalizes the vaginal environment – for better sperm survival.

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

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

Is it possible to get pregnant without getting fat in men? Pre-ejaculate contains some chemicals found in semen, such as the lysosomal enzyme acid phosphatase. But it also lacks a sperm marker such as the enzyme gamma-glutamyl transferase.

The question of the possibility of pregnancy from pre-ejaculation fluid is being investigated, but there is no definitive answer yet. Studies from 2011-2016, according to the Journal Human Fertility. A group of British doctors found very little semen in 40% of pre-ejaculate samples, but individual motile spermatozoa were recorded in 37%. Therefore, do not exclude the possibility of getting pregnant from a pre-ejaculation.

secretion of mucus from the urethra in men

Pathological secretion of mucus from the urethra in men can occur with a number of diseases. The main causes of mucus discharge from the urethra in men are associated with urethritis (inflammation of the urethra); cystitis (bladder inflammation; urolithiasis and prostatitis (prostate gland inflammation).

Sexually transmitted infections such as Chlamydia trachomatis, Trichomonas vaginalis, Neisseria gonorrhoeae, Ureaplasma urealyticum, Mycoplasma genitalium, as well as Escherichia coli, Enterobacter spp. , Klebsiella spp. Infectious urethritis caused by strepto and staphylococci often develops after catheterization of the bladder or due to violations of basic hygiene rules.

Clinical statistics show that more than half of urethral inflammation cases are associated with chlamydia; up to 25% - with mycoplasma; 15-20% - with ureaplasma; about 17% - with Trichomonas. Less than 5% decrease in mycotic (candidiasis) urethritis. Lesions of the urethra with gonorrhea and gonococci are detected in approximately 420 cases per 100, 000 in men aged 22-37 years.

Risk factors for the development of urethritis, accompanied by secretions of varying intensity: sexually active age, confusion in sexual intercourse and neglect of their safety.

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

In men, similar signs of mucous discharge in case of stone formation in the bladder, which many men of mature age encounter. Also, as urologists note, the stenosis of the urethral canal, squeezed by the hypertrophied prostate gland, contributes to stagnation of urine and the formation of stones.

It is possible to secrete white mucus in men - when there is an admixture of pus in bacterial chronic prostatitis, which accounts for more than 10% of all cases (the most common pathogens Escherichia coli, Pseudomonas aeruginosa, Klebsiella spp. ). By the way, about 12% of men who go to the doctor do not experience any symptoms of prostatitis, but in the composition of their sperm there is an admixture of pus, and according to the results of a blood test, an increase in leukocytes.

Non-purulent milky mucus can be released in case of abnormal secretion of the prostate gland with prostorrhea - atony associated with an overactive sex life or the presence of non-bacterial chronic prostatitis in a man.

Mucus secretion from the anus in men

With infections or frequent irritation of the gastrointestinal tract, the goblet secretory cells of the inner lining of the intestinal tract begin to produce an excessive amount of mucus, which is released from the rectum.

The main diseases in which there is mucous discharge from the anus in men are ulcerative colitis and proctitis.

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

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

Who 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 (general, ELISA, PCR); general, biochemical and bacteriological analyzes of urine; swab from the urethra.

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

In case of mucous discharge from the rectum, proctologists examine it manually, prescribe blood, urine and stool tests, and also take a swab from the anus for bacterial culture.

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

Differential diagnosis

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

Treatment of mucus discharge 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 (1-2 suppositories) are introduced into the rectum three times a day.

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

Results and complications

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

  • inflammation of the seminal vesicles (vesiculitis);
  • epididymitis - inflammation of the epididymis (with a high probability of obstruction);
  • inflammation of the bulbourethral glands (couperitis) and possible irreversible dysfunctions;
  • impaired spermatogenesis, anorgasmia, dyspareunia, sexual dysfunction and infertility.

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

The most dangerous consequences of nonspecific ulcerative colitis are perforation of the walls of the colon or rectum (with fistula formation), intestinal bleeding with massive blood loss, and the development of oncology (colorectal cancer). And with proctitis accompanying significant mucus secretions, irritation occurs in the perianal area, which can cause skin maceration, the appearance of anal fissures, itching, burning and pain during defecation.

Prevention

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

guess

Doctors do not make predictions for the development of any symptoms (and the pathological excretion of mucus in men - from the urethra or anus - refers to the symptoms) separately from the disease that caused it.

And if urethral infections can be cured by adhering to doctor's prescriptions, ulcerative colitis patients can only control for life and try to prevent recurrences.