This presentation provides an overview of urethritis in men, touching on its diagnosis, clinical manifestations, epidemiology, and treatment. In men presenting with signs and symptoms of urethritis, the importance of obtaining information as to the patient's sexual contacts is stressed. Methods for obtaining smears and culture samples are discussed, with special reference to the importance of differentiating between gonococcal and nongonococcal urethritis (NGU). The entity postgonococcal urethritis (PGU) in most instances represents cases of NGU, coincidentally acquired with gonorrhea. NGU accounts for more than half of cases of urethritis in men in several countries. Chlamydia trachomatis is isolated significantly more often in men with NGU than in control groups.
本报告概述了男性尿道炎,涉及尿道炎的诊断、临床表现、流行病学及治疗。对于出现尿道炎体征和症状的男性,强调获取患者性接触信息的重要性。文中讨论了获取涂片和培养样本的方法,特别提及区分淋菌性尿道炎和非淋菌性尿道炎(NGU)的重要性。在大多数情况下,淋菌后尿道炎(PGU)实际上是与淋病同时感染的NGU病例。在多个国家,NGU占男性尿道炎病例的一半以上。与对照组相比,NGU男性患者中沙眼衣原体的分离率明显更高。