URETHRITIS IN MEN

Microbiology and Epidemiology

Most cases are caused by either Neisseria gonorrhoeae or Chlamydia trachomatis. Other causative organisms include Mycoplasma genitalium, Ureaplasma urealyticum, Trichomonas vaginalis, and herpes simplex virus (HSV). Chlamydia causes 30–40% of nongonococcal urethritis (NGU) cases. M. genitalium is the probable cause in many Chlamydia-negative cases of NGU.

CLINICAL MANIFESTATIONS: -

Urethritis in men produces urethral discharge, dysuria, or both, usually without frequency of urination.

DIAGNOSIS

Patients present with a mucopurulent urethral discharge that can usually be expressed by milking of the urethra; alternatively, a Gram’s-stained smear of urethral exudates containing ≥5 PMNs/1000× field confirms the diagnosis.

• Centrifuged sediment of the day’s first 20–30 mL of voided urine can be examined instead.
• N. gonorrhoeae can be presumptively identified if intracellular gramnegative diplococci are present in Gram’s-stained samples.
• Early-morning, first-voided urine should be used in “multiplex” nucleic acid amplification tests (NAATs) for N. gonorrhoeae and C. trachomatis.

HOMEOPATHIC MANAGEMENT: -

The medicines that can be thought of use are: -

• Petroselinum
• Cantharis
• Apis mel
• Lycopodium
• Merc sol.