Epistemis

Urethral discharge

Specialty: Nephrology and urology.

  • urethral exudate
  • suppuration of the penis
  • urethritis

Why it occurs

  • Gonococcal urethritis
  • Non-gonococcal urethritis (Chlamydia)
  • Irritation

Initial workup

Gram stain and culture/PCR for gonococcus and chlamydia; screening for other STIs.

red flags

Also treat your partner and rule out other STIs; discharge with fever and testicular pain → epididymitis/orchitis.

Standard management

  • Ceftriaxone — gonococcus coverage
  • Doxycycline/azithromycin — Chlamydia coverage

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousPreputial discharge
Area
Nephrology and urology
Listed causes
3
Treatment options
2
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