Urethritis in Men: A Common STD

Urethritis is inflammation of urethra (the passage through which urine is passed from urinary bladder to the outside). Urethritis is fairly common STI (sexually transmitted infection) among sexually active males (more so among adolescence age group).

What are the symptoms of urethritis?

The common symptoms of urethritis are discharge from urethra and pain during micturition or urination. Commonly both of these symptoms are seen in case of urethritis. Generally there is no change in frequency of urination.

What are the causative agents of urethritis?

The commonest cause of urethritis in men is Neisseria gonorrhoeae (the causative agent for gonorrhea). Other common organisms which can cause urethritis are Clamidia. trachomatis, Mycoplasma genitalium, Ureaplasma urealyticum, Trichomonas vaginalis, HSV (herpes simplex virus), coliform (commonly seen in men practicing insertive anal intercourse) etc. Among nongonococcal urethritis (NGU), approximately one third of the cases are due to Clamidia. Trachomatis (older men with urethritis generally are less likely be due to chlamydial infection), although the cases are declining these days.

In many populations, the urethritis in men due to Clamidia. trachomatis, has declined to an extent due to effective chlamydial-control programs. HSV and T. vaginalis cause a small proportion nongonococcal urethritis (NGU) in men. Other causes of NGU are M. genitalium, Ureaplasma urealyticum, Ureaplasma parvum, coliform etc.

If a case of urethritis is suspected it should be properly investigated and treated appropriately without delay. At first, only Neisseria gonorrhoeae and Clamidia. trachomatis, should be tested with specific tests.

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