Urethritis physical examination

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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]

Physical Examination

In patients with suggestive symptoms for urethritis, through examination of genital area must be done.

• The genitalia are best examined while the patient is supine.
• Patients should be examined for: inguinal lymphadenopathy, ulcers, or urethral discharge.
• The skin of the entire pubic area, scrotum, groin, and penis should be examined for lesions, and the hair should be examined for nits.
• The testes, epididymis, and spermatic cords should be palpated for masses or tenderness.
• The urethral meatus should be inspected for secretions.
• If no discharge is present, the urethra should be gently stripped or milked.
• Milking, frequently expels a discharge that may be collected on a swab for examination.

Images

Milking in patients with urethrits:

• 

  Mucoid urethral discharge in men with non-gonococcal urethritis.

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  Mucopurulent urethral discharge.