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Urethritis

Patrick L. McCurdy, PA-C, MS, MBA and Matthew E. Bryant, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Inflammation of the urethra

  • Common manifestation of sexually transmitted infection

  • Frequently associated with dysuria, pruritus, and/or urethral discharge; classified as gonococcal (ca...

DIAGNOSIS

  • Chief complaint

    • Urethral discharge (mucopurulent suggestive of N. gonorrhoeae)

    • Dysuria

    • Erythema of the urethral meatus

    • Symptom onset 2 to 8 days following exposure

  • History

    • Sexual history, incl...

TREATMENT

GENERAL MEASURES

  • Most cases can be treated in the outpatient setting.

  • Single-dose regimens with direct observation preferred (3)

MEDICATION

First Line

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Sexual activity should be avoided for 7 days following administration of single-dose therapy or until completion of multiday regimen.

  • All sexual partners who came ...

REFERENCES

1
Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance, 2015. Atlanta, GA: U.S. Department of Health and Human Services; 2016.
2
LeFevre ML. Screening for chla...

ADDITIONAL READING

U.S. Preventive Services Task Force. Final recommendation statement. Gonorrhea and chlamydia: screening 2014. http://www.uspreventiveservicestaskforce.org/Page/Document/Recommendati...

SEE ALSO

  • Chlamydia Infection (Sexually Transmitted); Epididymitis; Gonococcal Infections; Pelvic Inflammatory Disease (PID); Prostatitis; Urinary Tract Infection (UTI) in Females; Urinary Tract Infect...

CODES

ICD10

  • N34.2 Other urethritis

  • A56.01 Chlamydial cystitis and urethritis

  • A54.01 Gonococcal cystitis and urethritis, unspecified

  • N34.1 Nonspecific urethritis

  • M02.30 Reiter’s disease, unspecified site

ICD9

CLINICAL PEARLS

  • Inflammation of the urethra, frequently associated with dysuria, pruritus, and/or urethral discharge

  • Common manifestation of STI

  • Classified as gonococcal (caused by N. gonorrhoeae) and n...

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