Urethral Discharge Syndrome (UDS)
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UDS refers to the presence of abnormal secretions in the distal portion of the urethra.
Causes
- Neisseria gonorrhoeae and
- Chlamydia trachomatis
Clinical Presentation
- Urethral discharge
- Burning or painful micturition
- Itchy urethra and increased frequency and urgency of micturition
Note:
Persistent or recurrent symptoms of urethritis may be due to drug resistance, poor compliance or re-infection. In some cases, there may be infection with Trichomonas vaginalis (TV).
Male patients complaining of urethral discharge and/or dysuria should be examined for evidence of discharge. If none is seen per inspection, the urethra should be gently milked from the ventral part of the penis towards the meatus.
Delayed or inadequate treatment may result into orchitis, epididymitis, urethral stricture and/or infertility.
Investigation(s) if the HF has a laboratory capable of doing:
- Culture and Sensitivity
- Gram stain
- ELISA
- Quantitative or qualitative PCR
- Genetic sequencing
Management and Treatment of UDS (see flow chart 12.1)