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Testicular lumps
Published in Alexander Trevatt, Richard Boulton, Daren Francis, Nishanthan Mahesan, Take Charge! General Surgery and Urology, 2020
Davoud Khodatars, Sarah Y. W. Tang
Perform this lying down then standing up. Is the testicle elevated or lying horizontally? (Testicular torsion)Does the swelling increase in size with the patient standing? (Hydrocele, varicocele)Is the swelling on the left-hand side? Varicoceles are most commonly found on left-hand side and can look like a ‘bag of worms’.Is there urethral discharge? Is it blood stained? (Epididymitis, orchitis)
The male reproductive system and hernias
Published in Peter Kopelman, Dame Jane Dacre, Handbook of Clinical Skills, 2019
Peter Kopelman, Dame Jane Dacre
Urethral discharge is usually associated with dysuria and is usually due to chlamydial infection or gonorrhoea. A sexual history should be obtained, and the patient should be referred to a clinic for sexually transmitted diseases.
Microbiology
Published in Michael McGhee, A Guide to Laboratory Investigations, 2019
DiagnosisIn men, a swab of urethral discharge should be sent for staining, microscopic examination and culture.In women, swabs from the urethra and cervix should be sent for culture.Swabs should be transported in Stuart’s medium in a bottle with a screw top, or as charcoal swabs.
Investigating the microbial pathogens of sexually transmitted infections among heterosexual Vietnamese men with symptomatic urethritis
Published in The Aging Male, 2022
Bac Hoai Nguyen, Quan Minh Pham, Long Hoang, Andrea Sansone, Emmanuele A. Jannini, Chau Minh Tran
Characteristics of a study population was presented in Table 1. In the total of 349 heterosexual men diagnosed with symptomatic urethritis, we found that 11.2% reported using antibiotics before presenting at our clinic. Urethral discharge was the predominant symptom in most cases (88.8%). There were 53.3% unmarried men. The number of men who reported having sex with only one romantic partner, only one unstable partner, multiple sex partners, and a female sex worker was 139 (39.8%), 65 (18.6%), 57 (16.3%), and 88 (25.3%), respectively. There was a significant difference in the type of sexual partner regarding marital status, with p < 0.01. Married men were more likely to have sex with multiple sex partners (27.6 vs. 6.5%) or with a female sex worker (36.2 vs. 15.6%) than unmarried men, while the latter appeared to be more faithful, with 47.3 vs. 31.3% reporting only one romantic partner in the last three months.
Urethral stricture and scrotal abscess: a rare case presentation of penile cancer and review of the literature
Published in The Aging Male, 2020
Aldo Franco De Rose, Francesca Ambrosini, Laura Tomasello, Francesco Boccardo, Carlo Terrone
A 67-year-old male presented to the Department of Urology, San Martino Hospital (Genova) in December 2017 with high temperature and purulent urethral discharge. He was cigarette smoker and suffered from chronic obstructive pulmonary disease, but apart from that the patient’s medical history was unremarkable. The patient did not provide any history of urethral trauma or sexually transmitted disease. In July 2017, a suprapubic cystostomy had been placed for the management of obstructive voiding symptoms, after failed urethral catheterization in another Department. A urethral stricture had been suspected. In September 2017, the patient had been admitted because of penoscrotal abscess extending to surrounding subcutaneous tissue. A perineal urethrostomy had been performed after several unsuccessful attempts of conservative treatment. A malignant disease was not rule out.
Adolescents and Young People’s Sexual and Reproductive Health in Iran: A Conceptual Review
Published in The Journal of Sex Research, 2020
Sexuality before marriage in such a cultural context has important adverse outcomes because young people do not receive any education on relationships and sexual health. Women who live in a conservative society with a strong endorsement of virginity are more vulnerable to violence, abuse, and honor-related killing if they get involved in premarital sex (Cinthio, 2015), as well as an increased rate of sexually transmitted infections (STIs). A cross-sectional study in Iran showed that the prevalence of male urethral discharge was 0.40% and for genital ulcers in women and men was 3.68% and 0.16%, respectively; these conditions may be symptoms of STIs. The incidence of gonorrhea, Chlamydia, and syphilis per 1,000 women was 2.44, 5.02, and 0.04, respectively, and per 1,000 men was 0.43, 0.82, and 0.005 (Nasirian et al., 2015). A study among youth in Shiraz showed that about 7% of sexually experienced youth (n = 528) reported a diagnosis of gonorrhea and only about 5% received treatment (Honarvar et al., 2015).