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Hi, my husband is suffering from chronic urethritis. He just can’t get rid of urination difficulties like pain during urinating. What could be the causes to keep the infection reoccuring?

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Chronic urethritis is inflammation of the urethra for some longer time. Urethra is the tube that carries urine from the body. Chronic urethritis is persistent ant condition that needs careful treatment. A bacterial infection may lead to narrowing of the urethra. Chlamydia and gonorrhea infection can have for consequence an urine tract infection. Other bacteria like E. coli can also be responsible for infection. By women, hygiene products especially feminine products, can cause chronic chemical urethritis. The condition is equally affecting men and women and bacteria are easily sexually transmitted, so you should pay attention to avoid infection.
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Hi, 

Urinary tract infections are known as very persistent and annoying – they tend to get back and back. And the thing that might contribute to your husband getting re-infected is that you might have UTI, too, but you just don’t have symptoms as strong as he does. That means that infections just swings back when you have intercourse, even protected.

Besides you eventually getting treated, it might also be helpful for him to try to boost his immune system so that it fights infection more effectively. The one of most used home remedies for these purposes is cranberry juice – which is a good source of vitamins, anyway – or cranberry supplements. But there might also be the need for preventive use of antibiotics, to prevent infection from happening again.

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There are many things that can cause chronic urethritis with some form of infection commonly being the main reason. Any bacteria that enters the urinary tract from inside or outside of the body can result in urethritis. However when antibiotics are of no use then it's likely that the problem is not bacterial in nature. It could also be from
an unknown virus that is resistant to antibiotics or not related to an infection at all.
Another primary cause for urethritis is external contact with something that causes inflammation. This could be certain types of soaps, sanitary wipes, tampons and diaphragms. The chemical compounds found in these items can cause localized allergic reactions that result in inflammation. If this is the reason for your chronic urethritis then you are in luck as all you need to do is stop using whatever is causing the irritation. If not then you will need to look deeper to find the cause of your symptoms.3
Another common reason for chronic urethritis is damage to the urethra. This can be the result of radiation exposure, sexual activity, bike riding and other injuries. Damage to the urethra may cause abnormal narrowing and other localized irregularities that cause constant pain. If injury is the reason for your urethritis then you may be able to get help through surgery and other conventional methods.

Reference:
Smith, Thomas, B. "Chronic Urethritis." Modern Medical News. March 3, 2021.
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