Penile discharge: Difference between revisions
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==Overview== | ==Overview== | ||
Penile discharge is commonly associated with [[STD]]s. A thorough sexual history along with a complete medical history and physical exam are necessary. In addition, cultures for | Penile discharge is commonly associated with [[STD]]'s. A thorough sexual history along with a complete medical history and physical exam are necessary. In addition, cultures for STD's should be taken though rarely are nonsexually transmitted diseases the cause. | ||
== Causes== | == Causes== | ||
===Common Causes=== | |||
*[[Carcinoma]] of the [[urethra]] | *[[Carcinoma]] of the [[urethra]] | ||
*Foreign body in the [[urethra]] | *Foreign body in the [[urethra]] | ||
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*[[Reiter's syndrome]] | *[[Reiter's syndrome]] | ||
==Risk Factors== | |||
A patient that is not circumscised is at higher risk for STD's. | |||
== Diagnosis == | == Diagnosis == | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Urology]] | [[Category:Urology]] | ||
[[Category:Medical signs]] | |||
[[Category:Symptoms]] | |||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Needs causes]] | |||
Latest revision as of 23:37, 29 July 2020
Template:Search infobox Steven C. Campbell, M.D., Ph.D.
Overview
Penile discharge is commonly associated with STD's. A thorough sexual history along with a complete medical history and physical exam are necessary. In addition, cultures for STD's should be taken though rarely are nonsexually transmitted diseases the cause.
Causes
Common Causes
- Carcinoma of the urethra
- Foreign body in the urethra
- Infection
- Nonspecific urethritis
- Prostatitis
- Reiter's syndrome
Risk Factors
A patient that is not circumscised is at higher risk for STD's.
Diagnosis
History and Symptoms
- History includes:
- Personal history
- Sexual history
- Note: onset, color, type and duration of discharge
Physical Examination
- Genital exam
Laboratory Findings
- Blood culture
- CBC
- Hepatitis B
- Hepatitis C antibodies
- HIV
- RPR
- Urethral cultures - gold standard for gonorrhea and chlamydia
- Urinalysis
- Wet mount for trichomonas
X Ray
- X-ray for detection of foreign bodies, when necessary.
Treatment
- Penile discharge should be treated as an STD until definitivly ruled out.
Medical Therapy
Pharmacotherapy
Acute Pharmacotherapies
- Chlamydia - PO azithromycin, ofloxacin for seven days, doxycycline for seven days or erythromycin for seven days
- Trichomonas - Single dose metronidazole for seven days
- Gonorrhea - Ceftriaxone single dose IM (in office) / PO cefixime / ciprofloxacin
Primary Prevention
- Suggest the patient inform all sexual partners of disease so they can seek treatment.
- Discuss safe sexual practices.