Multiple prostatic abscesses presenting with urethral discharge.

Self-inflicted foreign bodies in the male urethra and urinary bladder are an emergency that urologists may rarely have to face. A case of an electrical wire inserted in the male urethra and coiled in the bladder is presented here. A 33-year-old male presented with the inability to void and bloody urethral discharge after having introduced a long electrical wire in his urethra for masturbation 6 hours earlier. He had made several unsuccessful attempts to remove it. We know that variety of these objects may be impressive and removal of the foreign body may be quite challenging requiring imagination and high-level surgical skills. In this case an electrical wire was used and the diagnostic as well as the therapeutic steps for its removal are presented here. Bangladesh Journal of Urology, Vol. 14, No. 2, July 2011 p.62-64

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ABC of sexually transmitted diseases. Urethral discharge: management.

BMJ ◽

10.1136/bmj.287.6403.1452 ◽

1983 ◽

Vol 287 (6403) ◽

pp. 1452-1453 ◽

Cited By ~ 2

Author(s):

M W Adler

Keyword(s):

Sexually Transmitted Diseases ◽

Sexually Transmitted ◽

Urethral Discharge ◽

Discharge Management

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Urethral Discharge

Clinical Correlation with Diagnostic Implications in Dermatology ◽

10.5005/jp/books/13043_44 ◽

2018 ◽

pp. 196-196

Author(s):

Malcolm Pinto

Keyword(s):

Urethral Discharge

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Non-gonococcal urethritis and mucopurulent cervicitis

Oxford Handbook of Genitourinary Medicine, HIV, and Sexual Health ◽

10.1093/med/9780198783497.003.0010 ◽

2019 ◽

pp. 161-168

Keyword(s):

Antibiotic Resistance ◽

Chlamydia Trachomatis ◽

Clinical Features ◽

Mycoplasma Genitalium ◽

Common Cause ◽

Urethral Discharge ◽

Separate Section ◽

Diagnosis And Management ◽

Gonococcal Urethritis

Non-gonococcal urethritis (NGU) is caused by Chlamydia trachomatis in 11–50% of cases, but Mycoplasma genitalium is being increasingly recognized as a common cause. Mycoplasma genitalium is not as well understood, and experience with treatment is limited; however, antibiotic resistance is already a problem. Asymptomatic in up to 20% of men, symptoms include dysuria and urethral discharge. Mucopurulent cervicitis is the female equivalent, but is less well defined. This chapter describes the aetiology, clinical features, complications, and investigations and management of NGU, and mucopurulent cervicitis. Management of recurrent and persistent urethritis is also covered, including a separate section for diagnosis and management of Mycoplasma genitalium.

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Urethritis

Oxford Textbook of Medicine ◽

10.1093/med/9780198746690.003.0192 ◽

2020 ◽

pp. 1606-1609

Author(s):

Patrick Horner

Keyword(s):

Chlamydia Trachomatis ◽

Neisseria Gonorrhoeae ◽

Partner Notification ◽

Mycoplasma Genitalium ◽

Urethral Discharge ◽

Gonococcal Urethritis

Urethritis is defined as detectable urethral inflammation in the presence of symptoms or an observable urethral discharge. It is conventionally classified into gonococcal urethritis (GU, caused by Neisseria gonorrhoeae) and non-gonococcal urethritis (NGU, caused by Chlamydia trachomatis, Mycoplasma genitalium, and other causes, but with no known pathogen detected in over 30% of cases). Diagnosis is by urethral smear and microbiological investigations. Treatment with appropriate antibiotics should be given only to those with proven urethritis, and the diagnosis and its implications should be discussed with the patient. Partner notification is essential, not only to prevent re-infection but also to prevent onward transmission from partner(s) and the development of complications if left untreated.

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