Enterococcus Faecalis In A Smear In Men – What Kind Of Microorganism Is It And What Is It Dangerous

Enterococcus feces is a conditionally pathogenic microorganism that is present in all, without exception, representatives of humanity. Enterococcus lives on the mucous membranes of the oral cavity, in the intestine, partially in the genitourinary structures.

With adequate functioning of the immune system, enterococci perform important physiological functions, assisting in digestion and stool formation. With a weakening of the protective system, the microorganism makes itself felt in a mass of symptoms.

What does detecting enterococcus in prostate secretion or urethral smear mean?

In most cases, enterococci can be found in a smear from the urethra: this is a normal physiological phenomenon. Much depends on the number of pathogenic microorganisms. The more of them, the higher the likelihood that immunity fails.

The picture becomes obvious when this organism is detected in the secret of the prostate gland. This means that the microflora has multiplied to such an extent that it has already penetrated higher along the ascending path. At any time, prostatitis may begin or it has already begun. Additional research is required to clarify the nature and type of process.

Clnical manifestations

The clinical signs of enterococcal affection are numerous. In most cases, the acute period makes itself felt by the following characteristic phenomena:

    • Pain in the penis. The pains are intense in nature, they give (radiate) to the groin, testicles, lower back, and perineum. Patients describe pain as acute, burning, pulling, or aching. It comes to the fact that the patient cannot walk normally. The discomfort during movements and urination is intensified (pains most characteristic of sexually transmitted diseases).
    • Discomfort, manifested during bowel movements. The pain intensifies during bowel movement during straining, which is due to the acute process in the urethra or prostate gland.
    • Pollakiuria. Frequent false urination. Imperative urination is possible when it is impossible to restrain them.
    • Erection problems. Erectile dysfunction suggests a possible onset of prostatitis.
    • Problems with ejaculation. The opposite effect is also possible when ejaculation does not occur at all.
    • Changing the nature of urine. It becomes dark or cloudy with protein flakes.
    • Discharge from the urethral canal. They have a greenish tint and a sharp, unpleasant smell of putrefactive nature.
    • Signs of general intoxication are weakness, drowsiness.
    • Fever on subfebrile numbers (37-37.5 ° C).
    • The urine stream becomes excessively weak.

All of these symptoms may occur. Maybe only a part.

Is asymptomatic carriage possible?

Since enterococcus belongs to the conditionally pathogenic flora, asymptomatic carriage is not just possible, it is likely, as this microorganism is found in all people without exception. Another thing is that it is possible to reduce the effectiveness of the immune system, in which case carriage will turn into unpleasant consequences for the patient.

The danger of defeating enterococcus feces

The microorganism is significantly hazardous for a number of reasons. Therefore, the absence of treatment is fraught with adverse consequences for the patient’s body:

    • Enterococcus is characterized by significant vitality. He is not afraid of critical temperature changes.
    • The second significant factor is the resistance of microorganisms to many antibacterial drugs.
    • Enterococci are not afraid of a lack of oxygen.
    • They reproduce easily with fermentative dyspepsia.

Therefore, a thorough approach to diagnosis and treatment is required.


In the absence of proper treatment, the defeat of the described microorganism is fraught with the following consequences:

    • prostatitis;
    • urethritis;
    • purulent-inflammatory diseases of the pelvic organs;
    • sepsis.

Perhaps the development of severe consequences for life and health.


Diagnosis of enterococcal infection is carried out by infectious disease doctors. In addition to routine analyzes, questioning and examination, bacteriological culture of biomaterial on nutrient media is used. It makes it possible to sow the pathogen, as well as determine its sensitivity to antibiotics.


Fecal enterococci are microorganisms that help maintain the optimal acid-base balance inside our intestines, participate in the production of vitamins, and 1/3 together with other microbes they make up the mass of our feces. Therefore, it is illogical to destroy enterococcus indiscriminately, since in norm it will still be useful to us. It is necessary to use only those means that can lead to the destruction of the urogenital localization of the pathogen, and not affect its intestinal form.

Of course, this cannot be completely done: antibiotics destroy microbes anywhere in the body. But what if antibiotics are not used? Is it possible to do without them? Yes you can. To do this, you need to use a specific enterococcal bacteriophage. Bacteriophages are viruses that feed on a certain type of microorganism. In particular, the enterococcal bacteriophage is active, in addition to these cocci, also to Escherichia coli, Salmonella, Shigella, as well as to Proteus, and many other microorganisms.

Men with urogenital enterococcosis should do the installation of a solution of the bacteriophage in the urethra, rinse with it the head of the penis and the inner leaf of the foreskin. This will allow the viruses to destroy the local population of bacteriophages introduced from the intestine. Since microorganisms are most often introduced from the rectum, the bacteriophage is also used rectally to prevent such “self-infections”. The course of treatment with a bacteriophage is 7-10 days, one dose for rectal administration is 50 ml of the drug in the form of an enema, which must be set after bowel movement. “Intesti – Bacteriophage” is produced in bottles of 100 ml.

In addition, the recommended local use of creams and ointments containing antibacterial drugs, and allowing to disinfect the mucous membrane of the genital tract. So, with success it can be applied: a solution of chlorhexidine, furatsilina and miramistin, according to the instructions.

The use of a bacteriophage instead of antibiotics ensures that the populations of healthy and needed microorganisms in the intestine remain healthy and that the intestinal dysbiosis that often accompanies any treatment with antibiotics does not develop.