Isolation of male clear mucus from the urethra: physiological and pathological

a study of mucus secreted during male arousal

The appearance of libido in women is accompanied by the release of lubrication and swelling of the mammary glands. However, not everyone knows what gets rid of stimulation among the representatives of the stronger sex. Men can not only produce semen during sex, but also a special lubricant that facilitates the gliding of the member during friction.

If there is no lubrication in men when they are excited, then this is a symptom 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 certain physiological reasons - mucus secretion in men can be related to diseases, primarily in the genitals or inflammatory diseases of the male genitals, as well as some. intestinal diseases.

Mucous secretion in men when excited

Physiological involves the secretion of mucus in men when they are excited. When the male genital organ is erect, a special mucous secretion is produced from a pair of small glands - bulbourethral or Cooper's. They are located below the prostate gland - in the depth of the muscle of the urinary membrane (diaphragma urogenitale), at the base of the penis, with access to the urethra that runs into it.

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

This fluid contains glycosaminoglycan (mucilage), L-fructose, various enzymes, but most importantly, an alkaline reaction (pH>7, 2). The function of the secretion of Cooper's glands is to neutralize residual acidic urine in the urethra, as an acidic environment is unfavorable for sperm. The vagina is also normally acidic (pH = 4. 0-4. 2), so men's mucus secretion when they are awake alkalizes the environment in the vagina - for better sperm survival.

The amount before ejaculation in different men is different (up to 4-5 ml) and in some it is not produced at all, so according to experts, its "norm" has not been established.

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

Is it possible to get pregnant from lubrication in men? Pre-ejaculate contains some of the substances 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 probability of pregnancy from pre-ejaculate fluid is being studied, but there is no definitive answer yet. According to the Journal Human Fertility, research conducted in the years 2011-2016. A team of British doctors found very few sperm in 40% of pre-ejaculation samples, while in 37% individual sperm movements were recorded. So don't rule out the possibility of getting pregnant from temporary ejaculation.

Mucus secretion from the urethra in men

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

The pathogenesis of urethritis is caused by sexually transmitted infections such as Chlamydia trachomatis, Trichomonas vaginalis, Neisseria gonorrhoeae, Ureaplasma urealyticum, Mycoplasma genitalium, as well as the bacteria Escherichia coli, Enterobacteriaceae sp. And infectious urethritis caused by streptococci and staphylococci often develops after catheterization of the bladder or due to violations of the basic rules of hygiene.

Clinical statistics indicate that more than half of the cases of inflammation of the urethra are related to chlamydia; up to 25% - with mycoplasma; 15-20% - with ureaplasma; about 17% - with Trichomonas. Less than 5% fall to fungal infection (candidiasis) of the urethra. Gonorrhea and urethral ulcers with gonococci are diagnosed in men aged 22-37 in approximately 420 cases per 100, 000.

Risk factors for the development of urethritis, along with secretions of varying intensity: sexually active age, sexual promiscuity 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 its symptoms in patients are the same: mucus in the urine or mucus-bloody discharge with some pain (burning) but little. urination and frequent urination.

Similar symptoms of mucus discharge in men in case of formation of stones in the bladder, which many men of adult age face. In addition, as noted by urologists, the narrowing of the urethra, squeezed by an enlarged prostate, often contributes to urinary stasis and calculus formation.

White mucus can be released in men - when pus is mixed with chronic prostatitis, which is not more than 10% of all cases (the most common pathogens are Escherichia coli, Pseudomonas aeruginosa, Klebsiella spp. ). By the way, about 12% of men who went to the doctor do not feel any symptoms of prostatitis, but a mixture of pus is found in the composition of their semen, and according to the results of a blood test, there is an increase in the number of leukocytes.

Non-purulent milky mucus may be discharged in cases of prostatitis—abnormal prostatic secretion with atony, associated with either excessively active sex or the presence of chronic nonbacterial prostatitis in a man.

Secretion of mucus from the anus in men

With infections in the digestive tract or its frequent irritation, the secretory cells of the goblet in the inner lining of the digestive tract begin to produce an excess amount of mucus, which is released through the rectum.

The main diseases with discharge from the anus in men are ulcerative colitis and prostatitis.

With ulcerative colitis, ulcers develop in the inflamed area of the mucosa 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 doctors believe that its pathogenesis lies in an abnormal response of the immune system to bacteria in the digestive tract. The systemic nature of ulcerative colitis is indicated by non-intestinal symptoms: joint pain; ulcers on the mucous membranes of the mouth, on the skin and in the subcutaneous tissue; formation of blood clots in the veins; inflammation of the gallbladder, liver, etc. 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 (located in the lower abdomen and in the abdominal cavity, radiating to the lower back and tailbone), a feeling of pressure on the intestinal walls, frequent false desire toconstipation, 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 information about anemia, blood tests (general, ELISA, PCR); general, biochemical and bacteriological analyzes of urine; dry out the urethra.

Instrumental diagnosis is performed by ultrasound examination of the genitals.

In the case of rectal mucosa, proctologists perform a manual examination of it, prescribe blood, urine and stool tests, and also take a swab from the anus for bacterial culture.

The following diagnostic methods are used: sigmoidoscopy (rectoscopy), colonoscopy, x-ray and abdominal ultrasound.

Differential diagnosis

Considering that there are several reasons for the appearance of these symptoms, a differential diagnosis is necessary, which is carried out by 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, anti-inflammatory drugs are used: rectal styles are inserted into the rectum (1-2 styles) three times a day.

Treatment for sore throat depends on the cause of the inflammation. Inflammation caused by bacteria is usually treated with antibiotics. If strep throat is caused by inflammatory bowel disease, medication to control the inflammation or surgery may be needed.

Consequences and complications

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

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

In addition, prostatitis is full of adenoma or adenocarcinoma of the prostate.

The most dangerous consequences of nonspecific ulcerative colitis are rupture of the colon or rectum (with the formation of fistulas), bleeding in the intestines with heavy blood loss, and the development of oncological diseases (cancer of the colon and rectum). And with significant mucus secretion accompanying cystitis, irritation occurs in the abdominal area, which can lead to skin bleeding, the appearance of an anal fissure, itching, burning and pain during bowel movements.

Prevention

Prevention of prostatitis is considered a timely release of the bladder and bowels; an active lifestyle (including in the intimate sense, but only with protected sex); follow the rules of personal hygiene; healthy food, as well as getting rid of all bad habits. However, these recommendations are suitable for almost any disease, therefore, when it comes to preventing problems with the prostate, medicine has not yet offered anything more specific.

Forecast

Doctors do not make predictions about the development of any symptoms (and the pathological discharge of mucus in men - from the urethra or anus - refers to symptoms) in isolation from the disease that causes it.

And if UTIs can be cured by doctor's prescriptions, then ulcerative colitis patients can only manage for life and try to prevent relapses.