Male urethral discharge

Question 1

Define urethritis

Answer 1

Dysuria AND urethral discharge AND urethral discomfort

Question 2

What are the symptoms of gonorrhoea in men?

Answer 2

Urethritis

Yellow discharge from penis

Question 3

What are the complications of gonorrhoea in men?

Answer 3

Epidydymo-orchitis
Rectal proctitis
Disseminated gonorrhoea

Question 4

How is gonorrhoea diagnosed in men?

Answer 4

Swab of discharge for NAAT, culture and gram staining

Question 5

What swabs should MSM have?

Answer 5

Triple approach:
Urethral
Pharyngeal
Rectal

Question 6

How is gonorrhoea treated in men?

Answer 6

1g IM ceftriaxone single dose

Question 7

Does gonorrhoea need a test for cure?

Answer 7

Yes, after 2/52

Question 8

How might chlamydia present in men?

Answer 8

Urethritis

Clear or white urethral discharge

Question 9

In a man with chlamydia and rectal symptoms, what condition should be suspected?

Answer 9

Lymphogranulomatous venereum

Question 10

How is chlamydia diagnosed in men?

Answer 10

Swab of discharge/affected area for Gram staining, microscopy or NAAT

Question 11

How is chlamydia treated in men?

Answer 11

100mg doxycycline BD for 7/7

Question 12

What is non-specific urethritis?

Answer 12

Urethritis caused by non-chlamydial and non-gonococcal organisms

Question 13

How is non-specific urethritis diagnosed?

Answer 13

Gram staining

NAAT urine test

Question 14

How is non-specific urethritis diagnosed?

Answer 14

100mg doxycycline BD for 7/7