Department of Dermatology, First People's Hospital of Changshu City, Changshu Hospital Affiliated to Soochow University, Changshu, China.
Department of Dermatology, Traditional Chinese Medical Hospital of Changshu City, Changshu, China.
Urol Int. 2023;107(5):510-516. doi: 10.1159/000528429. Epub 2023 Jan 17.
Gonococcal infection of the penile raphe is rarely encountered in the clinical setting. The study aimed to understand the incidence, sites, clinical manifestations, and treatment of gonococcal infection of the penile raphe.
We enrolled men with gonococcal infection of the penile raphe and men with urethral gonorrhea from January 2010 to December 2021. All patients' demographic data and clinical characteristics were recorded. All patients were treated with ceftriaxone. Incision and drainage were performed in patients with non-ruptured abscesses. Nodules and sinus tract-like lesions that did not resolve after 1 month of treatment were excised.
Among 2,736 men who presented with urethral gonorrhea from January 2010 to December 2021, 5 (0.18%) had accompanying gonococcal infection of the penile raphe. An additional two men presented with gonococcal infection of the penile raphe without urethritis. Thus, 7 (0.26%; confidence interval, 0.11-0.56%) of 2,738 men had urethral gonorrhea or gonococcal infection of the penile raphe confirmed both clinically and by laboratory testing. Lesions were present in the frenulum of the prepuce and at the median aspect, proximal end, distal end, and both the proximal and distal ends of the penile raphe. The lesions manifested as abscesses, ulcers, a nodule, and a nodule with a sinus-like lesion. All lesions exhibited tenderness. All seven patients were cured after treatment.
Gonococcal infection of the penile raphe is a rare, atypical type of involvement of the male urogenital tract by Neisseria gonorrhoeae. It may be a local complication of urethral gonorrhea or an independent primary infection. The proximal end, distal end, and median aspect of the penile raphe can be infected by N. gonorrhoeae. Cutaneous lesions present as abscesses, ulcers, nodules, and sinus-like lesions. Ceftriaxone is effective, but sinus-like lesions require surgery.
阴茎系带淋病感染在临床实践中很少见。本研究旨在了解阴茎系带淋病的发病率、部位、临床表现和治疗方法。
我们招募了 2010 年 1 月至 2021 年 12 月期间患有阴茎系带淋病和尿道淋病的男性。记录所有患者的人口统计学数据和临床特征。所有患者均接受头孢曲松治疗。对于未破裂的脓肿患者进行切开引流。对于治疗 1 个月后仍未消退的结节和窦道样病变进行切除。
在 2010 年 1 月至 2021 年 12 月期间因尿道淋病就诊的 2736 名男性中，有 5 名（0.18%）伴有阴茎系带淋病感染。另有 2 名男性患有阴茎系带淋病感染而无尿道炎。因此，2738 名男性中有 7 名（0.26%；置信区间，0.11-0.56%）经临床和实验室检查均确诊为尿道淋病或阴茎系带淋病感染。病变位于包皮系带和阴茎系带的正中、近端、远端和近端及远端。病变表现为脓肿、溃疡、结节和结节伴窦道样病变。所有病变均有触痛。所有 7 例患者经治疗后均治愈。
阴茎系带淋病感染是淋病奈瑟菌罕见的、非典型的男性泌尿生殖道感染类型。它可能是尿道淋病的局部并发症，也可能是独立的原发性感染。阴茎系带的近端、远端和正中均可被淋病奈瑟菌感染。皮肤病变表现为脓肿、溃疡、结节和窦道样病变。头孢曲松有效，但窦道样病变需要手术。
