Penile discharge

Penile discharge

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Editor-In-Chief: Steven C. Campbell, M.D., Ph.D., Professor of Surgery, Residency Program Director, Section of Urologic Oncology, Glickman Urological and Kidney Institute, Cleveland Clinic. You can email Dr. Campbell by clicking here. Office phone: 216-444-5595.

Please Join in Editing This Page and Apply to be an Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [1] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Overview

Penile discharge is commonly associated with STDs. A thorough sexual history along with a complete medical history and physical exam are necessary. In addition, cultures for STDs should be taken though rarely are nonsexually transmitted diseases the cause. A patient that is not circumscised is at higher risk for STDs.

Differential Diagnosis

• Carcinoma of the urethra
• Foreign body in the urethra
• Infection
• Nonspecific urethritis
• Prostatitis
• Reiter's Syndrome

Diagnosis

History and Symptoms

• History includes:

• personal history
• sexual history

• Note: onset, color, type and duration of discharge

Other

• Genital exam

Laboratory Findings

• Blood culture
• CBC
• Hepatitis B
• Hepatitis C antibodies
• HIV
• RPR
• Urethral cultures - Gold standard for gonorrhea and chlamydia
• Urinalysis
• Wet mount for trichomonas

X Ray

• X-ray for detection of foreign bodies, when necessary

Treatment

• Penile discharge should be treated as an STD until definitivly ruled out

Pharmacotherapy

Acute Pharmacotherapies

• Chlamydia - PO azithromycin, ofloxacin for seven days, doxycycline for seven days or erythromycin for seven days
• Trichomonas - Single dose metronidazole for seven days
• Gonorrhea - Ceftriaxone single dose IM (in office) / PO cefixime / ciprofloxacin

Primary Prevention

• Suggest the patient inform all sexual partners of disease so they can seek treatment
• Discuss safe sexual practice

Acknowledgements

The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

List of contributors:

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For Patients

Cost Effectiveness of Penile discharge

| group5 = Clinical Trials Involving Penile discharge | list5 = Ongoing Trials on Penile discharge at Clinical Trials.gov • Trial results on Penile discharge • Clinical Trials on Penile discharge at Google

| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Penile discharge | list6 = US National Guidelines Clearinghouse on Penile discharge • NICE Guidance on Penile discharge • NHS PRODIGY Guidance • FDA on Penile discharge • CDC on Penile discharge

| group7 = Textbook Information on Penile discharge | list7 = Books and Textbook Information on Penile discharge

| group8 = Pharmacology Resources on Penile discharge | list8 = AND (Dose)}} Dosing of Penile discharge • AND (drug interactions)}} Drug interactions with Penile discharge • AND (side effects)}} Side effects of Penile discharge • AND (Allergy)}} Allergic reactions to Penile discharge • AND (overdose)}} Overdose information on Penile discharge • AND (carcinogenicity)}} Carcinogenicity information on Penile discharge • AND (pregnancy)}} Penile discharge in pregnancy • AND (pharmacokinetics)}} Pharmacokinetics of Penile discharge •

| group9 = Genetics, Pharmacogenomics, and Proteinomics of Penile discharge | list9 = AND (pharmacogenomics)}} Genetics of Penile discharge • AND (pharmacogenomics)}} Pharmacogenomics of Penile discharge • AND (proteomics)}} Proteomics of Penile discharge

| group10 = Newstories on Penile discharge | list10 = Penile discharge in the news • Be alerted to news on Penile discharge • News trends on Penile discharge</small>

| group11 = Commentary on Penile discharge | list11 = Blogs on Penile discharge

| group12 = Patient Resources on Penile discharge | list12 = Patient resources on Penile discharge • Discussion groups on Penile discharge • Patient Handouts on Penile discharge • Directions to Hospitals Treating Penile discharge • Risk calculators and risk factors for Penile discharge

| group13 = Healthcare Provider Resources on Penile discharge | list13 = Symptoms of Penile discharge • Causes & Risk Factors for Penile discharge • Diagnostic studies for Penile discharge • Treatment of Penile discharge

| group14 = Continuing Medical Education (CME) Programs on Penile discharge | list14 = CME Programs on Penile discharge

| group15 = International Resources on Penile discharge | list15 = Penile discharge en Espanol • Penile discharge en Francais

| group16 = Business Resources on Penile discharge | list16 = Penile discharge in the Marketplace • Patents on Penile discharge

| group17 = Informatics Resources on Penile discharge | list17 = List of terms related to Penile discharge

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