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Urethritis

Danielle Taylor, DO and Cynthia D. Hall, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Inflammation of the urethra

  • Common manifestation of sexually transmitted infection (STI)

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

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, includin...

TREATMENT

  • Most cases can be treated in the outpatient setting.

  • Single-dose regimens with direct observation preferred (4)

MEDICATION

CDC recommendations 

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; 2018. [View Abstract on OvidMedline]
...

ADDITIONAL READING

U.S. Preventive Services Task Force. Final recommendation statement. Chlamydia and gonorrhea: screening. http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationSta...

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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