Medical history (history of illness) represents an important component in the diagnosis of urethral discharge. Family history What is the general health of your family members? Social history What is your profession? Do you have frequently changing sex partners? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? How long have … Urethral Discharge: Medical History
Infectious and parasitic diseases (A00-B99). Bacterial urethritis, unspecified. Mycotic urethritis – caused by a fungal infection. Protozoal urethritis – caused by parasites (e.g. trichomonad urethritis). Viral urethritis Neoplasms – tumor diseases (C00-D48) Carcinoma of the urethra (urethral cancer). Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Abacterial urethritis Allergic urethritis Bacterial urethritis, unspecified Gonorrheal … Urethral Discharge: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing) of the skin, mucous membranes, abdominal wall, and inguinal region (groin area). Examination of the genital area: Male (urological examination): Inspection and palpation of the genitals (penis and scrotum; … Urethral Discharge: Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Urethral smear (urethral swab) for pathogens: Bacteria Sprout fungi Trichomonads If necessary, Mycoplasma, Ureaplasma urealyticum and Chlamydia trachomatis and Neisseria gonorrhoeae; if necessary, Chlamydia trachomatis DNA detection (Chlamydia trochmatis-PCR) or Neisseria gonorrhoeae DNA detection (Go-PCR, gonococcal PCR). Phase contrast examination of cervical secretions (for shoot … Urethral Discharge: Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Urethrography (X-ray imaging of the urethra with contrast medium) or urethrocystoscopy (urethral and bladder endoscopy).
Discharge from the urethra may present as follows: Bloody Purulent, yellowish-greenish Vitreous Clear Whitish The following symptoms and complaints may occur together with urethral discharge: Itching, burning in the urethra. Foul-smelling discharge Pain, burning during urination
Therapy for urethral discharge depends on the underlying condition. See urethritis (inflammation of the urethra), among other topics.
