Discharge from the man's penis can tell about his male health, the presence of diseases of the genitourinary system. Often, the discharge is the only or one of the symptoms of a serious illness, so you must be very careful about them, observing changes in color, smell, consistency, and asthat's it.
Discharge from the male genital organ refers to all discharges from the urethra, sebaceous glands and skin, the prostate duct and the ejaculatory duct. Depending on the nature of their occurrence, they are divided into physiological and pathological. The second appears as a result of the development of infectious, inflammatory or other diseases of the prostate, bladder or other organs of the genitourinary system.
Everything is normal: physiological discharge
There are three types of physiological secretions, which are released, to one degree or another, from the penis, and do not indicate the presence of disease:
- urethrorrhea;
- smegma;
- sperm
urethra
In most cases, there is a clear discharge in men libidinal or physiological urethrorrhea. This is the secret of a transparent color that is secreted by the urethral glands. Secretion flows from the urethra, usually at a time of arousal. The purpose of the secret is to lubricate the ducts before sperm passage.
The amount of urethrorrhea excreted can be insignificant or quite abundant. It depends on the period of sexual abstinence, as well as the individual characteristics of the man. After long abstinence from sexual contact, as well as urethrorrhea, a small amount of sperm may be released, which will change its color.
It is worth noting that in the case where the amount of discharge is more than usual, it is necessary to consult a doctor, since such a phenomenon may indicate the development of the disease.
Smegma
Smegma, also known as preputial lubrication, is secreted by glands located on the foreskin. The purpose of the secret is to reduce the friction between the head of the penis and the foreskin. Smegma is constantly released. During puberty, it can be more, with old age - less.
Smegma is made up of fat and bacteria. It accumulates under the inner layer of the foreskin. Subject to daily hygiene procedures, the secret is easily washed off. Otherwise, its accumulation is an ideal environment for the development of bacteria, which leads to an inflammatory process. If the grease is not washed in time (this should be done at least once a day), then it begins to dissolve and rot. From here, it changes color from transparent white to yellow or green. It has an unpleasant smell.
Sperm
Sperm refers to the physiological secretions from the male sexual organ. Semen is usually a mixture of the secretion of gonads and spermatozoa, which is released during sexual contact or masturbation. Although men are also faced with the involuntary release of sperm, known as wet dreams. They often occur in boys of adolescence, when puberty occurs, or with long abstinence. Involuntary ejaculation occurs at night or early in the morning, because it is related to the production of testosterone.
Natural male secretions also include urine, which can be transparent, yellow or light brown in color, and prostate secretion. The specific smell of spermine will help to distinguish prostorrhoea. The discharge is thick and bright in color. A change in the amount of discharge, its color and smell, as well as the appearance of cloudiness or mucus may be the first sign of prostatitis or cancer.
Pathological spread
The causes of pathological discharge can be very different. These include:
- inflammatory processes, including those caused by pathogenic own flora;
- oncological diseases;
- STDs;
- consequences of operations or injuries.
Also, there is a difference between pathological discharges in color. They can be white, grey, yellow, brown and so on. In addition, there may be an admixture of blood or pus. The nature of the discharge can be scanty or abundant, they can be allocated constantly or periodically, for example, in the morning or after going to the toilet, and so on.
Different diseases often have similar secretions, but at the same time, one disease can manifest itself in different representatives of the stronger sex in different ways. It is impossible to self-diagnose the disease by discharge. If you notice any changes in their color, abundance, smell, or the presence of a mixture of mucus, blood or pus, you should definitely visit a doctor and undergo the necessary studies.
Penile discharge associated with STDs
It is often accompanied by sexually transmitted diseases:
- Transparent mucous eyes, which are viscous. Usually, their small number indicates the presence of mycoplasmal or ureaplasmic urethritis, or the development of chronic chlamydia. Microscopic examination shows a moderate amount of leukocytes.
- Mucopurulent discharge of transparent or white color occurs with mycoplasmosis or ureaplasmosis. They can also be accompanied by chlamydia. In this case, the discharge sticks to the head of the penis.
- Purulent discharge in men indicates gonorrhea. They can be brown, yellow or greenish, have an unpleasant rotten smell and are very dense. They also contain an increased number of leukocytes and microscopic particles of the epithelium. Abundance depends on the degree of development of the disease. Other symptoms of gonorrhea are itching and burning, which increases after going to the toilet, pain and discomfort in the genital area.
A feature of sexually transmitted diseases is that several infections are causative agents at the same time. In this case, the course of the disease, as well as the nature and amount of discharge, can change significantly, therefore, it is impossible to diagnose the disease without clinical studies from discharge only.
Self-diagnosis and subsequent self-treatment of sexually transmitted diseases with antibiotics leads to the disappearance of the symptoms of the disease, but the cause remains. Upon completion of the course of treatment, the disease attacks with renewed vigor, so you should not start the disease and self-medicate. The formulation of effective treatment depends on the correct diagnosis. And it is impossible to establish it, based only on the nature of the discharge.
Discharge associated with non-venereal inflammation
In the body of each person, the so-called conditional pathogenic flora is always present, for example, Candida fungus, E. coli, streptococcus and others. Usually it does not make itself felt, but under certain conditions (hypothermia, stress, weakening of the immune system) it can cause an inflammatory process.
Diseases of the genitourinary system are accompanied by discharge, the causative agent of which is the flora itself:
- Non-gonococcal urethritis (inflammation of the urethra) is often accompanied by a mucopurulent discharge. Their characteristic feature is a small profusion, which may increase between large interruptions of urination. The disease is not characterized by other symptoms (pain, itching), or they are expressed very weakly.
- Balanoposthitis is accompanied by abundant yellow or green mucous discharge, sometimes with pus. The symptoms of inflammation of the foreskin are its strong redness, as well as pain and redness of the foreskin.
- The appearance of prostatitis is characterized by cloudy discharge after urination. During the period of the acute form of the disease, the discharge is abundant, and when it enters the chronic form, it changes color to whitish and decreases in quantity.
- Candidiasis or thrush caused by the fungus Candida is accompanied by a curdled discharge with a characteristic pungent odor. There is redness of the head and the foreskin, there may be pain or itching. The causes of candidiasis are the use of antibiotics, chemotherapy or radio wave treatment, as well as other factors that depresses the immune system.
- Gardnerellosis of the urethra occurs as a result of a violation of the microflora (dysbacteriosis) and there is a scanty discharge of yellow or green color with a characteristic fishy smell.
Release not related to the inflammatory process
Discharges that are not accompanied by the inflammatory process are extremely rare in the stronger sex. The cause of such secretions is mechanical damage, diseases of the nervous system, oncology, and so on.
- Spermatorrhea - sperm flowing spontaneously. The appearance of such discharge has nothing to do with intercourse or masturbation. Semen flow is not accompanied by an orgasm. The reason for this phenomenon is most often neurological diseases, as well as injuries of the spine. The vas deferens lose their tone and ability to hold sperm.
- Hematorrhea is bloody discharge from the urethra. Hematorrhea appears to be the result of mechanical damage to the urethra in the process of taking a smear, instrumental examination, installing a catheter, and so on. Additionally, spotting after urination may indicate kidney stones, a tumor, or another serious condition.
- Prostatorrhea - secretion of the secretion of the prostate. Prostorrhea is caused by the relaxed muscles of the excretory duct of the prostate gland. A similar phenomenon is often accompanied by prostatitis or adenoma.
- Brown discharge with or without mucus may indicate cancer of the prostate, bladder, penis or urethra. The discharge may contain blood clots or pus.
Examinations to help determine the cause of the discharge
The appearance of pathological discharge can be associated with various diseases. Only a qualified doctor can determine the true cause of the discharge, and prescribe the correct treatment.
A patient who complains of discharge from the penis must undergo a series of studies that will help to determine the cause of their appearance. An examination by a doctor begins with a detailed examination of the genital area for rash, redness and other visible signs. Often, the discharge remains on the underwear, which the doctor also examines carefully.
One of the mandatory stages of the examination is the palpation of the lymph nodes. The doctor checks whether they are enlarged or not, whether they remain mobile or motionless, whether there is pain when they are pressed, and so on.
The doctor also examines the nature of the discharge immediately and after 2-3 hours (the patient during this period must refrain from urinating). Diseases of the prostate (adenoma, prostatitis or tumor) which helps to determine the palpation of the prostate gland. In the normal state, the two lobes of the prostate are of the same size, in the presence of disease, one lobe is larger than the other.
The following clinical studies also help to establish the cause of discharge:
- general analysis of blood;
- detailed urinalysis;
- blood sugar test (taken in the morning on an empty stomach);
- smear from the urethra;
- culture of urethral secretions.
In the case of infectious diseases, the smear plays a central role in making a diagnosis. This study allows not only to establish the pathogen, but also the prescription of the disease, its course, and so on. The presence of an inflammatory process associated with infection is indicated by an increased number of leukocytes. The norm considers no more than 4 leukocytes in the field of vision.
In order to give the smear the truest information about the health status of the patient, it is necessary to prepare for the procedure of reception. Before taking a smear, you can not urinate for at least 2 hours, as well as perform water procedures. In addition, for three days it is necessary to stop local treatment with antibiotics or other drugs. The course of treatment with oral antibiotics or injections must be completed 2 weeks before the study.
If the discharge in men has an abundant smell or if other symptoms of the disease are noted, then the doctor may prescribe:
- Ultrasound of the kidneys, bladder or prostate;
- computed tomography;
- urography.
The doctor can only diagnose cancer after the results of a biopsy.
If a patient seeks help with profuse spotting, then he is admitted to the hospital immediately. In other cases, treatment is carried out after the cause of the discharge has been established.
Discharge from the male genital organ can be a symptom of a serious illness. But remember that only a doctor can determine the cause of this unpleasant phenomenon during examination and personal research. Self-medication only exacerbates the problem, and may lead to complications. If you are concerned about your man's health, if the discharge seems unusual, do not postpone a visit to the urologist.