Urethritis

Question 1

What organisms mainly cause infectious urethritis?

Answer 1

N. gonorrhoeae, chlamydia trachomatis

Question 2

What are some risk factors for infectious urethritis?

Answer 2

New sex partner, multiple sexual partners, age under 25, female sex, msm

Question 3

How does urethritis present?

Answer 3

Skin lesion, dysuria +/- discharge, urethral pain, penile discomfort/pruritus

Question 4

What investigations would you do?

Answer 4

MS&C of discharge, blood cultures, urine dipstick for UTI

Question 5

What is a differential diagnosis?

Answer 5

UTI

Question 6

What is the first line management?

Answer 6

A single dose of azithromycin

Question 7

What other treatment option is there?

Answer 7

A 7 day course of doxycycline

Question 8

What general management would you do?

Answer 8

Tell patient to abstain from sex during treatment, partner tracing, screening and treatment

Question 9

What can untreated gonococcal urethritis lead to?

Answer 9

Arthritis, meningitis, endocarditis

Question 10

What can untreated non-gonococcal urethritis lead to?

Answer 10

Reactive arthritis, infertility

Question 11

What can cause non-infectious urethritis?

Answer 11

Trauma, urethral stricture, irritation, urinary calculi