Trichomoniasis, caused by the parasite Trichomonas vaginalis, can lead to urethritis in men. The infection is mainly transmitted through sexual intercourse, with asymptomatic men often becoming sources of infection. Additionally, indirect transmission can occur through contaminated items and public facilities.
Urethritis and Its Symptoms: Urethritis can occur acutely, subacutely, or with mild symptoms after sexual intercourse. However, some cases remain asymptomatic, detected only through microscopy. Chronic trichomonas urethritis may lead to periodic relapses and last for years.
Inflammation and Spread: Trichomonads can spread from the urethra to other parts of the urogenital tract, causing complications such as prostatitis, epididymitis, and vesiculitis.
Prostatitis and Epididymitis: Prostatitis can develop as a chronic inflammation, often asymptomatic, leading to occasional urethral inflammation. Epididymitis, on the other hand, may be acute or subacute, with moderate to severe pain.
Other Complications: Trichomonas can cause urethral stricture, cystitis (more common in women), and genital lesions, resembling syphilis or pyoderma.
Sexual Disorders and Fertility: Approximately 5% of trichomoniasis patients experience sexual disorders, primarily associated with chronic prostate inflammation. Prostatitis and epididymitis may lead to fertility issues.
Conclusion: Trichomoniasis in men can have various manifestations, ranging from asymptomatic to mild or severe symptoms. Seeking early medical attention and practicing safe sex are vital to prevent complications and the spread of the infection.
