Edit concept Question Editor Create issue ticket

Gonococcal Urethritis in the Male

Urethritis Gonococcal M


Presentation

  • METHODS: The present study comprised 424 men with symptoms and signs compatible with acute urethritis. Their urethral swabs and first-voided urine underwent detection of the microorganisms.[ncbi.nlm.nih.gov]
  • Abstract Gonococcal urethritis in a heterosexual male complicated by periurethral abscess and its treatment with antibiotics and surgical drainage is presented.[ncbi.nlm.nih.gov]
  • Each patient received one oral dose of 2.5 g of thiamphenicol, which was readministered after 48-72 hr if Neisseria gonorrhoeae continued to be present in urethral smears.[ncbi.nlm.nih.gov]
  • METHODS: We used statistical models to develop a system to predict either the presence or absence of laboratory-confirmed chlamydial and/or gonorrheal urethritis based on patient demographics and presenting symptoms.[ncbi.nlm.nih.gov]
  • Documentation: Infection of the male urethra ("the clap") is one of the common presentations of Neisseria gonorrohoeae.[meducator3.net]
Unsafe Sexual Practices
  • The predisposing factors for urethritis are multiple sexual partners, unsafe sexual practices, a current sexually transmitted infection (STI), and recent urethral instrumentation.[infectiousdiseaseadvisor.com]
Camping
  • For fun, Jenelle stays active as a group fitness instructor and also spends time camping, snow shoeing, hiking, skiing, kayaking, growing things, running through sprinklers, and building sand castles.[thestdproject.com]
Tingling
  • […] highly transmissible (re-infection common) significant asymptomatic reservoir 50% asymptomatic incubation period ranges from 5-10 days in symptomatic infection, 7-21 in asymptomatic Most common sign/symptom of Chlamydia pain on urination and itch or tingling[quizlet.com]
  • However, if you have urethritis, you may experience: Pain during urination (Dysuria) Urethral Discharge Pain during intercourse Blood in semen Penile Itching or tingling An increased urge to urinate Increased frequency of micturition.[condom-sizes.org]
Urethral Discharge
  • Incubation period: 1 to 10 days or more Clinical findings: (1) dysuria, often described as burning (2) urethral discharge that may be mucoid and/or purulent A small percent of men may be asymptomatic and may go unrecognized.[meducator3.net]
  • In males the symptoms are usually obvious with purulent urethral discharge, frequent and painful urination.[chp.gov.hk]
  • Gonococcal urethritis (GCU) usually presents with severe dysuria and profuse mucopurulent urethral discharge. The external meatus is often erythematous and oedematous.[ijdvl.com]
  • Overview Urethral discharge and/or dysuria are typical symptoms of male urethritis. Make a clinical diagnosis of gonorrhoea or non-gonococcal urethritis (NGU) and treat accordingly.[sti.guidelines.org.au]
  • Treatment of Urethral Discharge Treat patient for both Gonorrhoea and Chlamydia infection.[slideshare.net]
Dysuria
  • Incubation period: 1 to 10 days or more Clinical findings: (1) dysuria, often described as burning (2) urethral discharge that may be mucoid and/or purulent A small percent of men may be asymptomatic and may go unrecognized.[meducator3.net]
  • Men complain of glassy or purulent discharge from the urethra, Dysuria and burning in the urethra. Women complain of vaginal discharge, dysuria or abdominal pain (sign of progression to pelvic inflammatory disease).[urology-textbook.com]
  • […] trachomatis and occurring mostly among males as an early symptom of chlamydia. nongonococcal urethritis (NGU) [-gon′əkok′əl] Etymology: L, non Gk, gone, seed, kokkos, berry an infectious condition of the urethra in males that is characterized by mild dysuria[medical-dictionary.thefreedictionary.com]
  • Discharge /- dysuria or may be asymptomatic. 6.[slideshare.net]
  • Children who have urethritis may present with irritative voiding symptoms, such as dysuria, urgency, or frequency; possible urethral discharge; initial hematuria; or blood spotting on the underwear.[pedsinreview.aappublications.org]
Urinary Urgency
  • If men have prostatic involvement, they may also complain of nocturia and urinary urgency. Common to both sexes is urethral tenderness, erythema, and pruritis.[infectiousdiseaseadvisor.com]
Painful Ejaculation
  • . - Painful ejaculation. 32.  Proctitis – repetitive anal intercourse or by lymphatic spread from posterior urethra. - Rectal pain - Discharge - mucopurrulent - Bleeding 33.  Reiter’s syndrome – urethritis - conjuctivitis - arthritis - characteristic[slideshare.net]

Workup

Pyuria
  • Among patients in whom N. gonorrhoeae was eradicated, pyuria and clinical symptoms, respectively, disappeared in 92.6% (162/175) and 98.9% (173/175) of patients without concomitant C. trachomatis and in 78.6% (22/28) and 71.4% (20/28) with C. trachomatis[ncbi.nlm.nih.gov]
  • .  In women – - Cevicitis – mucopurulent cervical discharge - cervical erythema & edema with an area of ectopy - spontaneous or easily induced cervical bleeding - Urethritis – dysuria - frequency - pyuria 36. - Bartholoinitis - Endometritis – abnormal[slideshare.net]
Neisseria Gonorrhoeae
  • Each patient received one oral dose of 2.5 g of thiamphenicol, which was readministered after 48-72 hr if Neisseria gonorrhoeae continued to be present in urethral smears.[ncbi.nlm.nih.gov]
  • Of the 76 patients who returned for the first follow-up examination, 75 (98.7%) no longer had Neisseria gonorrhoeae in urethral smears or cultures.[ncbi.nlm.nih.gov]
  • A total of 210 patients (57.5%) could be evaluated, in 28 (13.3%) of whom Chlamydia trachomatis was detected in addition to Neisseria gonorrhoeae. A single dose of spectinomycin eradicated N. gonorrhoeae in 203 (96.7%) of the 210 patients.[ncbi.nlm.nih.gov]
  • RESULTS: Neisseria gonorrhoeae was detected in 127 men (30.0%). In 297 men with non-gonococcal urethritis, C. trachomatis was detected in 143 (48.1%).[ncbi.nlm.nih.gov]
  • Single-dose cefixime versus single-dose ceftriaxone in the treatment of antimicrobial-resistant Neisseria gonorrhoeae infection. J Infect Dis. 1992 Oct;166(4):919-22.[bestbets.org]
Helicobacter Pylori
  • The role of the oral cavity in Helicobacter pylori infection. Am J Gastroenterol 92, 2148 –2154. [Google Scholar] Supplementary Data Data loading.... Article metrics loading...[mic.microbiologyresearch.org]

Treatment

  • Twenty-eight patients (2.3%) did not respond to treatment; treatment was successful in 1,140 patients (92.7%) after only one dose, and in 62 (5.0%) after two doses. The overall rate of treatment success was 97.7%.[ncbi.nlm.nih.gov]
  • Minimal inhibitory concentrations (MICs) were determined for four of seven N. gonorrhoeae strains isolated after spectinomycin treatment.[ncbi.nlm.nih.gov]
  • Abstract Eighty-two male patients with acute gonococcal urethritis were given a single oral dose of 2.5 g of granulated thiamphenicol dissolved in water, and the results of treatment were evaluated after 48-72 hr and one week.[ncbi.nlm.nih.gov]
  • Abstract Gonococcal urethritis in a heterosexual male complicated by periurethral abscess and its treatment with antibiotics and surgical drainage is presented.[ncbi.nlm.nih.gov]
  • […] resistance of the gonococcus to penicillin--particularly that due to plasmid mediated penicillinase production--and current interest in Chlamydia trachomatis associated diseases in males, females and neonates, necessitate constant review of the diagnosis and treatment[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis NGU is completely curable with proper antibiotic treatment. Untreated, NGU can lead to sterility in both men and women, inflammation of the mouth of the uterus, and infections of the woman's internal sexual organs.[medical-dictionary.thefreedictionary.com]
  • Prognosis is typically very good if the diagnosis is made early and treated properly.[infectiousdiseaseadvisor.com]
  • Prognosis If gonococcal urethritis is diagnosed and treated quickly and correctly, there usually is complete recovery.[drugs.com]
  • What Is the Prognosis for Urethritis? When treated early, simple urethritis has few complications. If allowed to progress, you may develop a bladder infection, kidney infection , or infection involving your testicles or prostate.[emedicinehealth.com]
  • Prognosis If NGU, chlamydia and gonorrhoea remain untreated they may, rarely, remit spontaneously. However, this may take several months and carries the risk of transmission to others if the patient continues to have unprotected sexual intercourse.[patient.info]

Etiology

  • Navy, and the University of Washington; and a review of case-control studies of the etiology of NGU, conducted in London and Seattle.[link.springer.com]
  • Thus, the notion that NGU of chlamydial or mycoplasmal etiology can be dealt with by a single antibiotic, namely azithromycin, has had considerable clinical appeal.[academic.oup.com]
  • Trichomonas vaginalis: an anaerobic, parasitic flagellated protozoan, rare cause of urethritis ( Uncertain etiology: in 20–30%. Signs and Symptoms Urethritis: Incubation period 1–5 weeks.[urology-textbook.com]
  • Causes of Urethritis It is most commonly of bacterial etiology. Although classified as STD, urethritis is not always caused by sexual activity. On basis of etiology, urethritis can be classified as Gonococcal and Non-Gonococcal urethritis.[condom-sizes.org]
  • Etiology of nongonococcal nonchlamydial urethritis. Dermatol Clin 1998 ; 16 727 –33, xi,. Lefevre JC , Lepargneur JP, Bauriaud R, et al. Clinical and microbiologic features of urethritis in men in Toulouse, France. Sex Transm Dis 1991 ; 18 : 76 –9.[sti.bmj.com]

Epidemiology

  • This paper presents a preliminary analysis of a cohort study of the epidemiology of NGU, conducted by the U.S. Public Health Service, the U.S.[link.springer.com]
  • Epidemiology Increasing incidence, nowadays more frequent than gonorrheal urethritis. Causes (Pathogens) of Non-Gonococcal Urethritis Chlamydia trachomatis: Most often cause of NGU.[urology-textbook.com]
  • Epidemiology of Helicobacter pylori : acquisition, transmission, population prevalence and disease-to-infection ratio. Br Med Bull 54, 39 –53. [CrossRef] [Google Scholar] Fisk, P. & Riley, V. ( 1995 ; ).[mic.microbiologyresearch.org]
  • Sex partner of the patient is always given the same treatment even if there is no clinical or laboratory evidence of urethritis (epidemiological treatment).[ijdvl.com]
  • Epidemiology [ 2 ] Urethritis is the most common condition diagnosed and treated in men attending genitourinary medicine (GUM) clinics in the UK. Over 80,000 cases are diagnosed every year. NGU is more common than gonococcal urethritis.[patient.info]
Sex distribution
Age distribution

Prevention

  • How is NGU prevented? NGU is best prevented by consistent and correct latex male condoms.[stdclinic.ie]
  • What can be done to prevent the spread of NGU? There are a number of ways to prevent the spread of NGU: Limit your number of sex partners. Use a condom. Carefully wash genitals after sexual relations.[health.ny.gov]
  • This is to prevent re-infection. This factsheet is due for review in December 2021[aidsmap.com]
  • Rein, Public Health Image Library, Center for Disease Control and Prevention, USA, www.cdc.gov.[urology-textbook.com]
  • Other tests include: Chlamydia culture Urinalysis (sometimes, but rarely) Women: Chlamydia culture Gonorrhea culture to rule out gonorrhea Prevention and Risk Reduction Abstinence from sex is the best form of prevention.[std-gov.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!