Isolation of clear mucus in men from the urethra: physiology and pathology

Research on the secretion of mucus when a man is aroused

The appearance of sexual desire in women is accompanied by the secretion of lubricant and swelling of the mammary glands. However, not everyone knows what is released during arousal among representatives of the stronger sex. Men not only have the ability to secrete semen during sex, but also a special lubricant that facilitates the sliding of the penis during friction.

If a man does not have lubrication when he is excited, this is a symptom of some kind of disease related to the reproductive system. The secretion of this fluid prevents damage to the male genital organs during vaginal penetration.

There are many glands and cells in the body that secrete mucus, but - in addition to definite physiological reasons - sebum secretion in men can be related to diseases, mainly of the genitourinary system or diseases. inflammation in the male genital organs, as well as some intestinal diseases.

Oily secretion in men when excited

Physiology involves the secretion of sebum in males during sexual arousal. When the male sex organs are in an erect state, a pair of small exocrine glands - bulb or Cooper secretes a special mucus. They are located below the prostate gland - deep in the muscles of the urogenital diaphragm (diaphragmatic urogenitale), at the base of the penis, through which the entrance to the urethra passes through it.

Mucus secretion by these glands - a clear, colorless liquid with a viscous consistency - is pre-ejaculation, i. e. preliminary ejaculation into the urethra before sperm is released into it (ejaculatory or ejaculatory). ).

This liquid contains glycosaminoglycans (mucus), L-fructose, various enzymes, but most importantly its alkaline reaction (pH>7, 2). The excretory function of Cooper's glands is to neutralize traces of acidic urine in the urethra, since the acidic environment is not favorable for sperm. The vagina is also usually acidic (pH = 4. 0-4. 2), so the secretion of mucus in men when stimulated will alkalize 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, so, according to experts, its "norm"has not been set up yet.

Mucus secretion in men can be increased by increasing mucus secretion by the urethral Littre gland, located in the epithelium of the inner membrane along the entire length of the urethra. However, their main function is to make mucus, which helps protect the urethra from acidic urine.

Is it possible to get pregnant while lubricating in men? Pre-ejaculation contains certain chemicals found in semen, such as lysosomal acid phosphatase. But at the same time, it lacks sperm markers such as the enzyme gamma-glutamyl transferase.

The question of pre-ejaculatory fluid pregnancy is being studied, but there is still no definite answer. According to the Journal Human Fertility, the studies were conducted in 2011-2016. A team of British doctors found very little semen in 40% of pre-ejaculated samples, but in 37% of the individual motile sperm that were recorded. Therefore, the possibility of pregnancy due to premature ejaculation cannot be excluded.

Secretion of mucus from the urethra in men

The pathology of discharge of mucus in men from the urethra can occur with a number of diseases. The main cause of mucus discharge in men from the urethra is related to urethritis (inflammation of the urethra); cystitis (cystitis; urolithiasis and prostatitis (inflammation of the prostate gland).

The pathogenesis of urethritis is caused by sexually transmitted diseases such as Chlamydia trachomatis, Trichomonas vaginalis, Neisseria gonorrhoeae, Ureaplasma urealyticum, Mycoplasmaroductionium, as well as Escherichia coli, Enterobacter spp. , Klebsiella spp. And streptococcal and staphylococcal infectious urethritis often develops after bladder catheterization or due to a violation of the basic rules of hygiene.

Clinical statistics indicate that more than half of cases of urethritis are associated with chlamydia; up to 25% - with mycoplasma; 15-20% - with ureaplasma; about 17% - with Trichomonas. Less than 5% fall into the case of fungal urethritis (candida). Gonorrhea and coccidioid urethral lesions are detected in men aged 22-37 years with approximately 420 cases per 100, 000.

Risk factors that lead to the development of urethritis, accompanied by discharge of varying intensity: age of sexual activity, promiscuity and disregard for their safety.

The prevalence of cystitis in men is estimated at 0. 8%, 10 times lower than in women, but its symptoms in patients are the same: mucusy urine or bloody mucusassociated with quite pain (burning), but little. urinating and urinating less often.

Symptoms of mucus discharge are similar in men to stone formation in the bladder that many adult men experience. Furthermore, as urologists note, it is common for the tightening of the urethral canal, which is compressed by an enlarged prostate gland, to contribute to urine retention and the formation of stones.

Possible white discharge in men - when there is pus in chronic bacterial prostatitis, which accounts for no more than 10% of the total cases (the most common pathogens are Escherichia coli, Pseudomonasaeruginosa, Klebsiella spp. ). By the way, about 12% of men who go to the doctor do not experience any symptoms of prostatitis, but a mixture of pus was found in their sperm composition, and according to the results of blood tests, an increaseincreased white blood cell levels.

Opaque, non-purulent mucus may be secreted in cases of prostatic hemorrhage - abnormal secretion of the prostate gland when the prostate gland is atony, associated with an overactive sex life or with an enlarged prostate. presence of chronic nonbacterial prostatitis in men.

Sebum secretion from the anus in men

With gastrointestinal infections or frequent irritation, the secretory cells of the inner lining of the intestinal tract begin to produce an excess of mucus, which is excreted through the rectum.

The major diseases that cause anal discharge in men are ulcerative colitis and prostatitis.

With ulcerative colitis, ulcers form at the site of inflammatory foci in the mucous membranes of the colon and rectum. Patients not only complain of mucus 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 clinicians 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 manifested by non-intestinal manifestations: pain in the joints; ulcers on the mucous membranes in the mouth, on the skin and subcutaneous tissue; the formation of blood clots in the veins; cholecystitis, liver, etc. v.

The cause of the development of choroiditis - inflammation of the lining of the rectum - is often associated with infection, and among its symptoms are: rectal mucus secretion, bleeding, pain (localized in the lower abdomen). and in the perineum, spreading to the lower back and tailbone), feeling of pressure on the bowel wall, frequent false defecation, diarrhea and/or constipation.

Contact who?

Urologist, obstetrician.

Diagnosis of sebum secretion in men

When mucus is secreted from the urethra in men, the diagnosis includes historical data, blood tests (general, ELISA, PCR); general, biochemical and bacteriological analysis of urine; swab from the urethra.

Instrumental diagnosis is made using ultrasound of the genital organs.

In the case of mucus discharge from the rectum, the proctologist conducts a manual examination, ordering blood, urine and stool tests, and taking a swab from the anus to culture bacteria.

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

Differential diagnosis

Considering that there are several reasons for the occurrence of these symptoms, a differential diagnosis is necessary, which is performed by computer or magnetic resonance imaging.

Treatment of mucus discharge in men

Effective treatment of mucus secretion in men with urethritis caused by the use of antibacterial drugs.

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

Treatment of prostatitis depends on the cause of the inflammation. Bacterial prostatitis is usually treated with antibiotics. If the enteritis is caused by inflammatory bowel disease, medication to control the inflammation or surgery may be needed.

Consequences and complications

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

  • inflammation of the seminal vesicles (inflammation of the seminal vesicles);
  • epididymitis - inflammation of the epididymis (with a high probability of obstruction);
  • inflammation of the anal canal glands (tubal inflammation) and their possible irreversible dysfunction;
  • impaired spermatogenesis, anemia, weakness, sexual dysfunction and infertility.

In addition, inflammation of the prostate gland is accompanied by adenoma or adenocarcinoma of the prostate gland.

The most dangerous consequences of nonspecific ulcerative colitis are perforation of the wall of the colon or rectum (with the formation of fistulas), intestinal bleeding with large amounts of blood, and development of cancer (colorectal cancer). colon). And when mucus secretion accompanies anal inflammation, irritation of the perianal area can lead to rough skin, anal fissures, itching, burning, and pain during defecation.

Prevent

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

Forecast

Doctors do not predict the development of any symptoms (and the pathological excretion of mucus in men - from the urethra or anus - referring to symptoms) separate from the underlying cause. the disease that causes it.

And if a urethral infection, following the doctor's prescription, can be cured, the patient with ulcerative colitis can only manage it for life, trying to prevent recurrence.