Urethritis history and symptoms
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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
- Using condom
- 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
- Overall, dysuria is present in majority of patients with gonorrheal urethritis and over half of all patients with nongonococcal urethritis.
Urethral discharge
References
- ↑ "Information from your family doctor. Urethritis in men". Am Fam Physician. 81 (7): 879. 2010. PMID 20358658.
- ↑ 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.
- ↑ Taylor-Robinson D (1996). "The history of nongonococcal urethritis. Thomas Parran Award Lecture". Sex Transm Dis. 23 (1): 86–91. PMID 8801649.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 9781455748013.
- ↑ Brill JR (2010). "Diagnosis and treatment of urethritis in men". Am Fam Physician. 81 (7): 873–8. PMID 20353145.