Penile discharge: Difference between revisions
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__NOTOC__ | |||
{{Search infobox}} | {{Search infobox}} | ||
{{SCC}} | {{SCC}} | ||
==Overview== | ==Overview== | ||
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== Treatment == | == Treatment == | ||
*Penile discharge should be treated as an STD until definitivly ruled out | *Penile discharge should be treated as an STD until definitivly ruled out | ||
=== Acute Pharmacotherapies === | ===Medical Therapy=== | ||
==== Pharmacotherapy ==== | |||
==== Acute Pharmacotherapies ===== | |||
*[[Chlamydia]] - PO [[azithromycin]], [[ofloxacin]] for seven days, [[doxycycline]] for seven days or [[erythromycin]] for seven days | *[[Chlamydia]] - PO [[azithromycin]], [[ofloxacin]] for seven days, [[doxycycline]] for seven days or [[erythromycin]] for seven days | ||
*[[Trichomonas]] - Single dose [[metronidazole]] for seven days | *[[Trichomonas]] - Single dose [[metronidazole]] for seven days | ||
*[[Gonorrhea]] - [[Ceftriaxone]] single dose IM (in office) / PO [[cefixime]] / [[ciprofloxacin]] | *[[Gonorrhea]] - [[Ceftriaxone]] single dose IM (in office) / PO [[cefixime]] / [[ciprofloxacin]] | ||
== Primary Prevention == | === Primary Prevention === | ||
*Suggest the patient inform all sexual partners of disease so they can seek treatment | *Suggest the patient inform all sexual partners of disease so they can seek treatment | ||
*Discuss safe sexual practice | *Discuss safe sexual practice | ||
Revision as of 04:50, 31 January 2013
Template:Search infobox Steven C. Campbell, M.D., Ph.D.
Overview
Penile discharge is commonly associated with STDs. A thorough sexual history along with a complete medical history and physical exam are necessary. In addition, cultures for STDs should be taken though rarely are nonsexually transmitted diseases the cause. A patient that is not circumscised is at higher risk for STDs.
Differential Diagnosis
- Carcinoma of the urethra
- Foreign body in the urethra
- Infection
- Nonspecific urethritis
- Prostatitis
- Reiter's Syndrome
Diagnosis
History and Symptoms
- History includes:
- personal history
- sexual history
- Note: onset, color, type and duration of discharge
Other
- 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 practice
References
Acknowledgements
The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
List of contributors: