PowerPoint Presentation

Urethritis in malesUrethritis in malesUrethritis etiologiesSTINON STIUrinary tract infectionBacterial prostatitisUrethral stricturePhymosisInstrumentation of urethraChemical iritationTumorCongenital anomaly Gonococcal UrethritisNon-Gonococcal UrethritisIncubation period2-6 days1-5 weeksDischarge - Quantityprofuse scant or absent(spontaneous flow) - ColorPurulentMucoid(yellowish or greenish)(white/clear)Dysuria(+), mild or absent itching or tingling, HVS : (+)signs & symptoms

Gonococcal UrethritisNon-Gonococcal UrethritisMeatitis(+) Occasionally (+) in Herpes simplex virus (HSV)

Penile edemaRarelyRarely (+) in Herpes simplex virus (HSV)Inguinal Lymphadenopathy(+)/(-)(+)Complications of gu & NGU

TYSONITIS

EpididimoorchitisEPIDIDIMOORKITIS

diagnosisGUNGUGram stain smear - PMN/HPF> 5> 5 - Intracellular Gram negative Diplococci (ICDC)(+)(-)CultureModified Thayer MartinT. vaginalisPolymerase chain reaction(+)HSVM. genitaliumT. vaginalisC. trachomatisSerologic(-)HSV: IgM, IgGtherapyTreatment for UNCOMPLICATED GUGONOCOCCAL URETHRITISRECOMMENDEDCefixim 400mg, orally, single doseorLevofloxacin* 500mg, orally, single doseALTERNATIVESKanamycin 2gr, intramuscular, single doseorThiamfenicol ** 3.5gr, orally, single doseorCeftriaxone 250mg, intramuscular, single doseNON GONOCOCCAL URETHRTITISRECOMMENDEDAzithromycin 1gr, orally, single doseorDoxycycline* 2x100mg, orally, 7 daysALTERNATIVESErythromycin 4x500mg, orally, 7 days+* Contraindication in children < 12 years & pregnancy** Contraindication in pregnancy

Treatment for COMPLICATED GUGONOCOCCAL URETHRITISRECOMMENDEDCefixim 1x400mg, orally, 5 daysorLevofloxacin* 1x500mg, orally, 5 daysALTERNATIVESKanamycin 1x2gr, intramuscular, 5 daysorThiamfenicol ** 1x3.5gr, orally, 5 daysorCeftriaxone 1x250mg, intramuscular, 5 days+NGU treatment* Contraindication in children < 12 years & pregnancy** Contraindication in pregnancy

TRICHOMONIASISRecommended: Metronidazole* 2gr, orally, single doseOther choice of treatment: Metronidazole* 2x500mg/daily, orally, 7 daysTreatment for trIchomoniasis* Avoiding alcohol intakeTHANK YOU