URETHRAL DISCHARGE

URETHRAL DISCHARGE: Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Most cases of urethral discharge in both males and females are due to gonorrhea or Chlamydia trachomatis . When the smear and culture are negative for gonorrhea, a course of tetracycline can be given as a therapeutic trial to diagnose Chlamydia infection. Alternatively, the urine can be cultured for chlamydia. Other etiologies for nongonococcal urethritis are Ureaplasma genitalium and Trichomonas vaginalis . Alert the laboratory in advance if these organisms are suspected because they may require special culture media for isolation. A prostate examination should always be done in males, as acute and chronic prostatitis are common causes of urethral discharge. In teenagers, a urethral discharge may develop in prolonged abstinence or excessive masturbation. Rarer causes of urethral discharge are syphilis, tuberculosis, foreign body, and herpes. Carcinoma of the urethra is extremely rare.

Book Source Details

• Book Title: Algorithmic Diagnosis of Symptoms and Signs
• Author(s): R. Douglas Collins
• Year of Publication: 2003
• Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

More About Non-Specific Urethritis

• Back to disease: Non-Specific Urethritis: Introduction
• Next Book Extract About Non-Specific Urethritis: URETHRAL DISCHARGE (Differential Diagnosis in Primary Care)
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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

More About This Book: Title: Algorithmic Diagnosis of Symptoms and Signs Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2003 ISBN: 0-7817-3805-9

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