A 22-year-old man visited a sexual health clinic for symptomatic urethritis with purulent urethral discharge
and pain while urinating.
Methods: Microscopical detection in Gram-stained smear and isolation by culture in Thayer-Martin medium were done for 60 clinically suspected gonorrhea patients using urethral discharge
or prostatic secretion for male and endocervical secretion for female.
Classified as "symptomatic" were men reporting clinical manifestations of urethritis (urethral discharge
and/or dysuria and/or urethral pruritus), and women reporting clinical manifestations of cervicitis (abnormal vaginal discharge, vaginal bleeding after sexual contact, dysuria).
The initial symptoms can be macroscopic hematuria or bloody urethral discharge
. Lower abdominal pain, dyspareunia, and bladder outlet obstruction can also be seen due to the growing tumor mass .
There was no history of any lesion on genitals or in mucous membrane of mouth, urethral discharge
or burning micturition, rash on the body or any constitutional symptom.
Sexually Transmitted Diseases (STDs) are caused by a number of microorganisms; they produce a set pattern of signs and symptoms such as urethral discharge
, acute swelling of the scrotum in men and enlarged glands in the groin.
Clinical signs are usually present at an advanced stage of BPH, including difficult defecation, flattened, ribbon-like stool, intermittent yellowish or clear to hemorrhagic urethral discharge
from urethra and intermittent or persistent mild hematuria.
Closed syringoceles can present with obstructive voiding symptoms, dysuria, perineal pain, and/or urinary retention such as in our case, while open syringoceles may present with postvoid dribbling, urethral discharge
, recurrent UTIs, perineal pain, and/or hematuria [6-8].
Urogenital discharges, or soiled or un-bathed pubic area may attract fly oviposition around the external genitalia and urethral orifices, then hatched larvae may enter the bladder and pass through urethra and produce symptoms of cystitis and/or urethritis that may include dysuria, haematuria, urethral discharge
, and abdominal pain (3, 10).
Symptoms include perineal pain, frequent urination, fever and urethral discharge
The physical examination should include assessment for the presence or absence of a distended bladder, excoriation of the genitals secondary to urinary incontinence and evidence of urethral discharge
. Other assessments that are considered essential in the workup of LUTS are a focused neurological examination and assessment of gait, sphincter tone, anal wick, bulbocavernosis reflex and LE reflexes.