Musculoskeletal disorders: genitourinary medicine perspective

1996 ◽  
Vol 7 (6) ◽  
pp. 396-399
Author(s):  
Sarup C Tayal ◽  
Peter Watson

Summary: The association of musculoskeletal disorders and genitourinary symptoms is reviewed. Reactive arthritis, Sjogren's syndrome and rheumatoid arthritis can present with a variety of genitourinary symptoms. Similarly sexually transmitted diseases including gonorrhoea, syphilis, HIV and other viral infections can affect the musculoskeletal system. Reiter's syndrome may be a consequence of a sexually transmitted infection although its presentation can suggest that also in postdysenteric cases. The fact that conditions may present to various medical specialties requires doctors outside departments of GUM to allow their patients an opportunity and the time to discuss sexual matters.

2020 ◽  
Vol 31 (2) ◽  
pp. 92-99 ◽  
Author(s):  
RJ Caswell ◽  
K Manavi

Human T-lymphotropic virus-1 is a preventable sexually transmitted infection. In the majority of people it is asymptomatic, remaining undiagnosed and thereby contributing to its silent transmission. When it does manifest it causes significant morbidity and mortality. This review summarises the existing evidence for its role in sexual transmission and offers suggestions for those working in the area of sexual health. This is the third part of a series looking at novel sexually transmitted infections.


2009 ◽  
Vol 20 (9) ◽  
pp. 644-646 ◽  
Author(s):  
N M Steedman ◽  
V Worsnop ◽  
R Fernie

The Department of Health has addressed access to genitourinary medicine services by setting targets that 100% of patients should be offered an appointment within 48 hours of contact and 95% should be seen within 48 hours. Such rapid access appointments are often declined by patients. We wished to ascertain whether patient perception of health risk or the presence of symptoms suggestive of a sexually transmitted infection (STI) might influence how quickly patients accept an appointment. We designed a two-armed study which demonstrated that up to 37% of patients offered an appointment within 48 hours declined it, with work commitments offered by 84% of these patients as the reason for deferring attendance. The presence of symptoms did not influence whether patients accepted an early appointment, however the patient's perception of health risk associated with an untreated STI was statistically significantly associated with earlier attendance ( P < 0.0001). Increased public education regarding the consequences of untreated STI may therefore improve the acceptance by patients of appointments within 48 hours.


2005 ◽  
Vol 16 (8) ◽  
pp. 543-545 ◽  
Author(s):  
Faryal Mahar ◽  
Jackie Sherrard

Providing a service that incorporates both sexually transmitted infection (STI) treatment and contraception may provide an opportunity to reduce the spread of infection and unintended pregnancies by identifying women using inadequate contraception. Genitourinary (GU) medicine clinics are well equipped to do this. This study looked at current contraception needs of, and provision where inadequate to, new patients attending a department of GU medicine. Two hundred consecutive new patients ranging in age from 13–60 years were included in the study. Overall 164 (82%) women attending for testing for STIs had no contraceptive needs. In this GU medicine clinic population the majority of attendees were using a reliable form of contraception correctly. Where contraception was inadequate there was discussion of this and documentation of the advice and/or treatment given in the notes of all except one woman. This suggests that for this group of women their attendance at a GU medicine clinic was appropriate to meet their main need, which was related to STIs, and where contraception was inadequate this was managed appropriately within the GU medicine clinic attendance.


2002 ◽  
Vol 6 (33) ◽  
Author(s):  

Consistent with other Western European states, the numbers and rates of bacterial and viral sexually transmitted infections (STIs) in England, Wales, and Northern Ireland have been increasing since the mid-1990s (1). Recently released figures (collected on the national KC60 statistical returns) on diagnoses made in genitourinary medicine (GUM) clinics in England, Wales, and Northern Ireland show that this increase has continued throughout 2001. In 2001, genital chlamydial infection became the most common STI seen in GUM clinics with a total of 71 055 diagnoses. This is the first time in 30 years that a bacterial STI has been the most commonly diagnosed STI and may reflect increased incidence as well as increased awareness and case-finding


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