Urethritis in men

From WikEM
(Redirected from Urethritis)
Jump to: navigation, search

Background

Genitourinary infection

"UTI" frequently refers specifically to acute cystitis, but may also be used as a general term for all urinary infections; use location-specific diagnosis.

Clinical Features

  • Dysuria
  • Urethral discharge

Differential Diagnosis

Dysuria

Evaluation

Workup

  • UA
  • Urine GC/chlamydia

Diagnosis

  • Typically initially a clinical diagnosis with empiric treatment

Management

Treatment to cover both gonorrhea and chlamydia

Uncomplicated Infection

Cephalosporin Allergy

Partner treatment

Recurrent or Persistent

Target M. genitalium

Consider coverage of trichomonas, among men who have sex with women

  • Metronidazole 2 gm PO x 1, OR
  • Tinidazole 2 gm PO x 1

Disposition

  • Outpatient

See Also

References

  1. CDC: 2015 Sexually Transmitted Diseases Treatment Guidelines