Abstract
Almost all physicians involved in treating sexually transmitted infections recognize the specific clinical manifestations of patients with urethritis. However, in previous studies, the diagnosis of gonococcal urethritis was based on cultures or staining methods. In this study, we examined in detail the clinical manifestations of patients with urethritis diagnosed by the nucleic acid amplification test (NAAT). A total of 154 patients with male urethritis were included in the study. The NAAT could distinguish 64 patients with gonococcal urethritis, 45 patients with chlamydial urethritis, and 45 patients with nongonococcal and nonchlamydial urethritis. Forty-three (67.2%) patients with gonococcal urethritis had more severe symptoms, i.e., moderate or profuse urethral discharge, and cloudy or purulent discharge, than patients with chlamydial urethritis, nongonococcal and nonchlamydial urethritis. There were 39 (86.7%) patients in the chlamydial urethritis group with mild symptoms, clear discharge or none, and moderate or profuse discharge. Although the diagnosis of male urethritis can be performed by microbiological examination, the typical symptoms help us to distinguish each type of urethritis and understand this kind of disease.
Similar content being viewed by others
References
R Rothenberg FN Judson (1983) ArticleTitleThe clinical diagnosis of urethral discharge Sex Transm Dis 10 24–8 Occurrence Handle6845112 Occurrence Handle1:STN:280:DyaL3s7psl2jtA%3D%3D Occurrence Handle10.1097/00007435-198301000-00005
E Van Dyck M Ieven S Pattyn L Van Damme M Laga (2001) ArticleTitleDetection of Chlamydia trachomatis and Neisseria gonorrhoeae by enzyme immunoassay, culture, and three nucleic acid amplification tests J Clin Microbiol 39 1751–6 Occurrence Handle11325985 Occurrence Handle1:CAS:528:DC%2BD3MXktVOgtbc%3D Occurrence Handle10.1128/JCM.39.5.1751-1756.2001
DS Luijt PAJ Bos AA Van Zwet PC Van Voorst Vader J Schirm (2005) ArticleTitleComparison of COBAS AMPLICOR Neisseria gonorrhoeae PCR, including confirmation with N. gonorrhoeae-specific 16S rRNA PCR, with traditional culture J Clin Microbiol 43 1445–7 Occurrence Handle15750129 Occurrence Handle1:CAS:528:DC%2BD2MXjtVGjt7w%3D Occurrence Handle10.1128/JCM.43.3.1445-1447.2005
DH Martin WR Bowie (1999) Urethritis in males KK Holmes PA Mårdh PF Sparling SM Lemon WE Stamm P Piot JN Wasserheit (Eds) Sexually transmitted diseases EditionNumber3rd ed McGraw Hill New York 833–45
WE Stamm (1999) Chlamydia trachomatis infections of the adult KK Holmes PA Mårdh PF Sparling SM Lemon WE Stamm P Piot JN Wasserheit (Eds) Sexually transmitted diseases EditionNumber3rd ed McGraw Hill New York 407–22
T Deguchi S Maeda (2002) ArticleTitleMycoplasma genitalium: another important pathogen of nongonococcal urethritis J Urol 167 1210–7 Occurrence Handle11832700 Occurrence Handle10.1016/S0022-5347(05)65268-8
L Falk H Fredlund JS Jensen (2004) ArticleTitleSymptomatic urethritis is more prevalent in men infected with Mycoplasma genitalium than with Chlamydia trachomatis Sex Transm Infect 80 289–93 Occurrence Handle15295128 Occurrence Handle1:STN:280:DC%2BD2czptFOqsA%3D%3D Occurrence Handle10.1136/sti.2003.006817
T Iyoda T Saika A Kanayama M Hasegawa I Kobayashi Y Onoe et al. (2003) ArticleTitleBacteriological and epidemiological study on Neisseria gonorrhoeae isolated from pharyngeal specimens of male and female patients with gonorrhea Kansenshogaku Zasshi 77 103–9 Occurrence Handle12661086
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Takahashi, S., Takeyama, K., Kunishima, Y. et al. Analysis of clinical manifestations of male patients with urethritis. J Infect Chemother 12, 283–286 (2006). https://doi.org/10.1007/s10156-006-0466-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10156-006-0466-7