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==Overview==
==Overview==
A detailed history, particularly with regard to sexual activity, must be taken. Symptoms suggestive for urethritis include [[dysuria]] and urethral [[discharge]].
A detailed history, particularly with regard to [[sexual]] activity, must be taken. Symptoms suggestive for urethritis include [[dysuria]] and urethral [[discharge]].


==History==
==History==

Revision as of 16:01, 27 August 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

A detailed history, particularly with regard to sexual activity, must be taken. Symptoms suggestive for urethritis include dysuria and urethral discharge.

History

It is necessary to obtain a detailed and thorough history from the patient. Specific areas of focus when obtaining a history from the patient include:[1]

  • Recent sexual activities
  • Number of sex partners or any new partner
  • Use of condoms
  • History of prior STDs
  • History of recent urethral instrumentation (e.g., urethral catheters)

Symptoms

Between 5 and 10 percent of cases of gonococcal urethritis, and up to 42 percent of nongonococcal urethritis are asymptomatic.[2]
Common symptoms of urethritis include:[3][4][5]

Dysuria

Urethral discharge

  • Urethral discharge could be a small amount of meatal moisture, or an apparent discharge of clear or frankly purulent meatal secretion with a wide range of colors.

References

  1. "Information from your family doctor. Urethritis in men". Am Fam Physician. 81 (7): 879. 2010. PMID 20358658.
  2. McNagny SE, Parker RM, Zenilman JM, Lewis JS (1992). "Urinary leukocyte esterase test: a screening method for the detection of asymptomatic chlamydial and gonococcal infections in men". J. Infect. Dis. 165 (3): 573–6. PMID 1538163.
  3. Taylor-Robinson D (1996). "The history of nongonococcal urethritis. Thomas Parran Award Lecture". Sex Transm Dis. 23 (1): 86–91. PMID 8801649.
  4. Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 9781455748013.
  5. Brill JR (2010). "Diagnosis and treatment of urethritis in men". Am Fam Physician. 81 (7): 873–8. PMID 20353145.

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