Male genitourinary infections

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

INTRODUCTION: The male urinary tract is contiguous with the reproductive organs, so infections arising in the urethra, epididymis, testicle and prostate share common symptoms of dysuria, frequency, and urgency. In healthy young or middle-aged men presenting to the acute care setting, these symptoms are unlikely to be caused by simple cystitis and are usually attributable to sexually transmitted disease or prostatitis. URETHRITIS: Epidemiology: Urethritis affects about 4 million males in the United States each year. The peak incidence is in males age 20–24. It is most often a sexually transmitted disease, caused by Neisseria gonorrhoeae (gonococcal urethritis) or Chlamydia trachomatis (nongonococcal urethritis, NGU). Other nongonococcal causes include Ureaplasma urealyticum, Mycoplasma hominis, or Trichomonas vaginalis (see Chapter 18, Nonulcerative Sexually Transmitted Diseases). Rare infectious causes of urethritis include lymphogranuloma venereum, herpes genitalis, syphilis, mycobacterium, and adenovirus. Enteric species can cause urethral infection in patients who practice insertive anal intercourse or patients with urethral strictures who develop cystitis. Clinical Features: Male patients with urethritis may present with dysuria, penile discharge, and a history of unprotected sexual contact (Table 20.1). However, up to half of men are asymptomatic and present only because they were referred by a sexual partner who was diagnosed with a sexually transmitted disease (STD). Gonococcal urethritis is more likely to be symptomatic than nongonococcal urethritis. Differential Diagnosis: The differential includes postinstrumentation (traumatic) urethritis, cystitis, pyelonephritis, urethral stricture, and urethral foreign body.

Original languageEnglish (US)
Title of host publicationEmergency Management of Infectious Diseases
PublisherCambridge University Press
Pages111-116
Number of pages6
ISBN (Print)9780511547454, 9780521871761
DOIs
StatePublished - Jan 1 2008

Fingerprint

Urethritis
Sexually Transmitted Diseases
Infection
Cystitis
Dysuria
Urethral Stricture
Lymphogranuloma Venereum
Mycoplasma hominis
Ureaplasma urealyticum
Herpes Genitalis
Trichomonas vaginalis
Prostatitis
Neisseria gonorrhoeae
Epididymis
Sexual Partners
Pyelonephritis
Chlamydia trachomatis
Urethra
Syphilis
Mycobacterium

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Choo, E. (2008). Male genitourinary infections. In Emergency Management of Infectious Diseases (pp. 111-116). Cambridge University Press. https://doi.org/10.1017/CBO9780511547454.021

Male genitourinary infections. / Choo, Esther.

Emergency Management of Infectious Diseases. Cambridge University Press, 2008. p. 111-116.

Research output: Chapter in Book/Report/Conference proceedingChapter

Choo, E 2008, Male genitourinary infections. in Emergency Management of Infectious Diseases. Cambridge University Press, pp. 111-116. https://doi.org/10.1017/CBO9780511547454.021
Choo E. Male genitourinary infections. In Emergency Management of Infectious Diseases. Cambridge University Press. 2008. p. 111-116 https://doi.org/10.1017/CBO9780511547454.021
Choo, Esther. / Male genitourinary infections. Emergency Management of Infectious Diseases. Cambridge University Press, 2008. pp. 111-116
@inbook{38cacb29fb2f408d8b90f8634cfb7196,
title = "Male genitourinary infections",
abstract = "INTRODUCTION: The male urinary tract is contiguous with the reproductive organs, so infections arising in the urethra, epididymis, testicle and prostate share common symptoms of dysuria, frequency, and urgency. In healthy young or middle-aged men presenting to the acute care setting, these symptoms are unlikely to be caused by simple cystitis and are usually attributable to sexually transmitted disease or prostatitis. URETHRITIS: Epidemiology: Urethritis affects about 4 million males in the United States each year. The peak incidence is in males age 20–24. It is most often a sexually transmitted disease, caused by Neisseria gonorrhoeae (gonococcal urethritis) or Chlamydia trachomatis (nongonococcal urethritis, NGU). Other nongonococcal causes include Ureaplasma urealyticum, Mycoplasma hominis, or Trichomonas vaginalis (see Chapter 18, Nonulcerative Sexually Transmitted Diseases). Rare infectious causes of urethritis include lymphogranuloma venereum, herpes genitalis, syphilis, mycobacterium, and adenovirus. Enteric species can cause urethral infection in patients who practice insertive anal intercourse or patients with urethral strictures who develop cystitis. Clinical Features: Male patients with urethritis may present with dysuria, penile discharge, and a history of unprotected sexual contact (Table 20.1). However, up to half of men are asymptomatic and present only because they were referred by a sexual partner who was diagnosed with a sexually transmitted disease (STD). Gonococcal urethritis is more likely to be symptomatic than nongonococcal urethritis. Differential Diagnosis: The differential includes postinstrumentation (traumatic) urethritis, cystitis, pyelonephritis, urethral stricture, and urethral foreign body.",
author = "Esther Choo",
year = "2008",
month = "1",
day = "1",
doi = "10.1017/CBO9780511547454.021",
language = "English (US)",
isbn = "9780511547454",
pages = "111--116",
booktitle = "Emergency Management of Infectious Diseases",
publisher = "Cambridge University Press",

}

TY - CHAP

T1 - Male genitourinary infections

AU - Choo, Esther

PY - 2008/1/1

Y1 - 2008/1/1

N2 - INTRODUCTION: The male urinary tract is contiguous with the reproductive organs, so infections arising in the urethra, epididymis, testicle and prostate share common symptoms of dysuria, frequency, and urgency. In healthy young or middle-aged men presenting to the acute care setting, these symptoms are unlikely to be caused by simple cystitis and are usually attributable to sexually transmitted disease or prostatitis. URETHRITIS: Epidemiology: Urethritis affects about 4 million males in the United States each year. The peak incidence is in males age 20–24. It is most often a sexually transmitted disease, caused by Neisseria gonorrhoeae (gonococcal urethritis) or Chlamydia trachomatis (nongonococcal urethritis, NGU). Other nongonococcal causes include Ureaplasma urealyticum, Mycoplasma hominis, or Trichomonas vaginalis (see Chapter 18, Nonulcerative Sexually Transmitted Diseases). Rare infectious causes of urethritis include lymphogranuloma venereum, herpes genitalis, syphilis, mycobacterium, and adenovirus. Enteric species can cause urethral infection in patients who practice insertive anal intercourse or patients with urethral strictures who develop cystitis. Clinical Features: Male patients with urethritis may present with dysuria, penile discharge, and a history of unprotected sexual contact (Table 20.1). However, up to half of men are asymptomatic and present only because they were referred by a sexual partner who was diagnosed with a sexually transmitted disease (STD). Gonococcal urethritis is more likely to be symptomatic than nongonococcal urethritis. Differential Diagnosis: The differential includes postinstrumentation (traumatic) urethritis, cystitis, pyelonephritis, urethral stricture, and urethral foreign body.

AB - INTRODUCTION: The male urinary tract is contiguous with the reproductive organs, so infections arising in the urethra, epididymis, testicle and prostate share common symptoms of dysuria, frequency, and urgency. In healthy young or middle-aged men presenting to the acute care setting, these symptoms are unlikely to be caused by simple cystitis and are usually attributable to sexually transmitted disease or prostatitis. URETHRITIS: Epidemiology: Urethritis affects about 4 million males in the United States each year. The peak incidence is in males age 20–24. It is most often a sexually transmitted disease, caused by Neisseria gonorrhoeae (gonococcal urethritis) or Chlamydia trachomatis (nongonococcal urethritis, NGU). Other nongonococcal causes include Ureaplasma urealyticum, Mycoplasma hominis, or Trichomonas vaginalis (see Chapter 18, Nonulcerative Sexually Transmitted Diseases). Rare infectious causes of urethritis include lymphogranuloma venereum, herpes genitalis, syphilis, mycobacterium, and adenovirus. Enteric species can cause urethral infection in patients who practice insertive anal intercourse or patients with urethral strictures who develop cystitis. Clinical Features: Male patients with urethritis may present with dysuria, penile discharge, and a history of unprotected sexual contact (Table 20.1). However, up to half of men are asymptomatic and present only because they were referred by a sexual partner who was diagnosed with a sexually transmitted disease (STD). Gonococcal urethritis is more likely to be symptomatic than nongonococcal urethritis. Differential Diagnosis: The differential includes postinstrumentation (traumatic) urethritis, cystitis, pyelonephritis, urethral stricture, and urethral foreign body.

UR - http://www.scopus.com/inward/record.url?scp=84927007010&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84927007010&partnerID=8YFLogxK

U2 - 10.1017/CBO9780511547454.021

DO - 10.1017/CBO9780511547454.021

M3 - Chapter

AN - SCOPUS:84927007010

SN - 9780511547454

SN - 9780521871761

SP - 111

EP - 116

BT - Emergency Management of Infectious Diseases

PB - Cambridge University Press

ER -