Discharge from the Urethra

What is it?

Discharge from the urethra can be normal or a sign of an infection or disease in the urinary tract. Normal urethral discharge is usually clear or whitish and odorless, occurring in small amounts throughout the day. If the discharge becomes excessive, changes color, texture, or odor, it may indicate an underlying condition.

Causes of Discharge from the Urethra

• Urinary Tract Infections (UTIs). A common cause of discharge is a urinary tract infection, where the discharge may be cloudy and have an unpleasant odor. UTIs are often accompanied by painful urination, frequent urges to urinate, and lower abdominal pain.
• Urethritis. Inflammation of the urethra often caused by infection. Urethritis can be caused by both bacterial and viral infections. Symptoms may include pain during urination, burning sensations, and discharge from the urethra.
• Gonorrhea. A sexually transmitted infection that can cause yellow or green discharge with an unpleasant odor. In addition to discharge, symptoms include painful urination and inflammation of the genitals.
• Chlamydia. Another sexually transmitted infection that can lead to urethral discharge. Chlamydia is often asymptomatic but may be accompanied by pain during urination and mild discharge.
• Candidiasis (Yeast Infection). Though more common in women, candidiasis can also cause discharge from the urethra in men. The discharge is usually white and curd-like.
• Trauma or Mechanical Injury. Injuries to the urethra can lead to discharge, which may be either clear or bloody, depending on the severity of the injury.

When to See a Doctor?

• If the discharge has an unpleasant odor or unusual color (yellow, green, brown).
• If the discharge is accompanied by painful urination, burning sensations, or itching.
• If there are signs of inflammation, such as redness, swelling, or pain in the genital area.
• If the discharge persists for an extended period or worsens.

Diagnosis and Treatment

• Genital Examination. A thorough examination of the genital area to identify signs of infection or inflammation.
• Smears and Tests. A urethral smear and tests for sexually transmitted infections (STIs), along with bacterial cultures to identify pathogens.
• Urinalysis. To detect urinary tract infections and other diseases in the urinary system.
• Treatment. Depending on the cause of the discharge, treatment may include antibiotics, antiviral medications, or antifungal treatments. If an STI is present, both the patient and their sexual partner will need treatment.