Urethritis candidamycetica - Altmeyers Encyclopedia

Definition
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Infection of the urethra with Candida albicans in the context of balanitis candidamycetica or vulvovaginal candidiasis.

General therapy
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Careful hygiene and cleaning, partner treatment if necessary. No syndets and/or washcloths due to risk of contamination. Drying of the preputial space by frequent insertion of gauze stripes/linen cloths, among other things. Boil underwear and towels. If possible, 2-3 liters of fluid intake per day, especially mildly disinfecting teas (e.g. mixed teas from bearberry, Hauhechel root, birch leaves, etc.)

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External therapy
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Treatment of balanitis candidamycetica and vulvovaginal candidiasis, see there.

Internal therapy
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Ketoconazole (e.g. Nizoral) 1mal/day 400 mg p.o. over 5-10 days. If resistant to therapy: Fluconazole (e.g. Diflucan) initial dose 400-800 mg/day p.o., then 200-400 mg/day p.o. or Itraconazole (e.g. Sempera) 1-2 times/day 200 mg. Therapy duration according to the clinic.

Literature
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Fisher JF et al (2003) Efficacy of a single intravenous dose of amphotericin B for Candida urinary tract infections: further favorable experience. Clin Microbiol Infect 9: 1024-1027
Sanford JP (1993) The engima of candiduria: evolution of bladder irrigation with amphotericin B for management- from Anecdote to Dogma and a lession from Machiavelli. Clin Infect Dis 16: 145-147
Triolo V et al (2002) Fluconazole therapy for Candida albicans urinary tract infections in infants. Pediatric nephrol 17: 550-553