Men with non gonococcal urethritis have not received treatment for 5 years

Untreated non gonococcal urethritis in males for five years may lead to chronic inflammation or complications. Non gonococcal urethritis is usually caused by mycoplasma and chlamydia infections, and long-term untreated conditions may lead to prostatitis, epididymitis, urethral stricture, infertility, or reactive arthritis.

1. Chronic Inflammation

Non gonococcal urethritis that has not been treated for a long time is prone to develop into chronic inflammation, and patients may experience recurrent symptoms such as urethral itching and discomfort during urination. Chronic inflammation may spread to the prostate or seminal vesicles, leading to perineal pain or sexual dysfunction. Daily consumption should avoid spicy food and prolonged sitting. It is recommended to seek medical attention promptly for pathogen testing.

2. Prostatitis

Infection by pathogens can cause chronic prostatitis, manifested as lower abdominal bloating, frequent urination, urgency, or painful ejaculation. Persistent inflammation may affect the quality of prostate fluid and lead to abnormal semen liquefaction. Patients should avoid drinking alcohol and excessive fatigue, and a diagnosis should be confirmed through prostate fluid examination.

3. Epididymitis

infection spreading to the epididymis may cause swelling and pain in one side of the scrotum, and in severe cases, may form a hard knot or blockage of the vas deferens. Long term epididymitis may cause sperm transport disorders and increase the risk of infertility. During the acute phase, it is necessary to rest in bed and elevate the scrotum. It is recommended to undergo ultrasound examination and semen analysis.

4. Urethral stricture

Repeated damage to the urethral mucosa may lead to fibrous tissue proliferation, resulting in symptoms of urethral stricture such as difficulty urinating and thinning of the urine stream. Severe cases require urethral dilation or urethroplasty, and early intervention can prevent renal dysfunction. When patients experience difficulty urinating, they should seek medical attention immediately.

5. Infertility

Chronic infection may lead to infertility by affecting sperm motility, causing reproductive tract obstruction, and other ways. The toxins and inflammatory factors produced by pathogens can damage the integrity of sperm DNA, and abnormal biochemical indicators in semen may occur. Suggest conducting semen routine and pathogen PCR testing to evaluate fertility. Non gonococcal urethritis patients who have not been treated for a long time should seek medical attention at the urology or urology department as soon as possible, and complete examinations such as urethral secretion culture and drug sensitivity testing. Sexual activity should be prohibited during the treatment period, and partners should receive synchronous treatment. Keep the perineum clean and dry in daily life, drink plenty of water to promote urination and flush the urethra, and avoid activities such as cycling that compress the perineum. A light diet is recommended, and supplementing with vitamin C and zinc elements can help with mucosal repair. Regular check ups should be conducted until symptoms completely disappear and laboratory tests turn negative.