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Urethritis: Nongonococcal

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European Handbook of Dermatological Treatments
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Abstract

Nongonococcal urethritis (NGU) is the commonest form of urethritis in developed countries and can be caused by a variety of infectious agents as well as noninfectious conditions. Chlamydia trachomatis is the pathogen identified more frequently, followed by Mycoplasma genitalium. NGU may be asymptomatic or cause mild to moderate irritation, but if left untreated it can result in serious complications. Patients with symptoms or signs of urethritis should undergo testing with a Gram-stained urethral swab or first-pass urine specimen; cases with confirmed or suspected urethritis should consequently be tested for N. gonorrhoeae and C. trachomatis. Treatment of NGU includes therapeutic schemes that are effective against C. trachomatis, STD counseling and monitoring, patient follow-up, and proper management of sexual contacts. Persistent and recurrent NGU occurs in 10–20% of cases and should be treated accordingly.

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Stefanaki, I. (2023). Urethritis: Nongonococcal. In: Katsambas, A.D., Lotti, T.M., Dessinioti, C., D'Erme, A.M. (eds) European Handbook of Dermatological Treatments. Springer, Cham. https://doi.org/10.1007/978-3-031-15130-9_99

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  • DOI: https://doi.org/10.1007/978-3-031-15130-9_99

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  • Print ISBN: 978-3-031-15129-3

  • Online ISBN: 978-3-031-15130-9

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