Urethritis

Question 1

Background

Answer 1

Inflammation of urethra not always caused by STI.
Mainly associated with gonorrhoea.
Classified as:
- gonococcal urethritis, non-gonococcal urethritis (NGU), or persistent/recurrent urethritis.

Question 2

Signs and Symptoms

Answer 2

Be sus if there is urethral discharge, dysuria or penile discomfort.
To see if STI is likely cause ask on sexual Hx

Refer all men to genito-urinary medicine (GUM) clinic or other local specialist sexual health service

Unable/unwilling to go make working diagnosis if:
- mucopurulent or purulent urethral discharge (MILKY)
- 1st-void urine sample tests positive for leukocyte esterase and urinary threads (strands of mucus/ pus)

Question 3

Treatment

Answer 3

Should be treated in 1-2 weeks.
Treat depending on type of infection i.e. if its chlamydia u treat that.
gonorrhoea treat that.