4,656 results match your criteria Urethritis Male

[Age difference in the choice of the sexual partner as a risk factor for sexually transmitted infections].

Medicina (B Aires) 2021 ;81(2):149-153

Centro de Altos Estudios de Ciencias Humanas y de la Salud (CAECHIS), CONICET, Buenos Aires, Argentina.

An age difference > 5 years in the choice of sexual partner may constitute a risk factor for sexually transmitted infections (STIs), including HIV infection. A sexual and reproductive health survey was carried out on people who consulted for STIs or HIV serology in two health centers in Buenos Aires suburbs, with the aim of providing information for the design of prevention measures and to know if in this area there is an association between the maximum age difference (MAD) in the choice of sexual partner and the acquisition of HIV and/or STIs. A total of 120 patients consulted, 90% (108) performed serology, resulting 15 of them (13. Read More

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Mycoplasma and Ureaplasma Molecular Testing Does Not Correlate with Irritative or Painful Lower Urinary Tract Symptoms.

J Urol 2021 Mar 29:101097JU0000000000001750. Epub 2021 Mar 29.

Division of Pelvic Medicine and Reconstructive Surgery, Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, California.

Purpose: For patients with persistent irritative lower urinary tract symptoms, such as dysuria and urinary frequency, evaluation for the atypical organisms Ureaplasma and Mycoplasma has been a common part of care. However, these species are genitourinary colonizers and have not been established as causative pathogens in chronic lower urinary tract symptoms. We therefore sought to evaluate diagnostic testing patterns for Ureaplasma and Mycoplasma and characterize the associations of these bacteria with irritative lower urinary tract symptoms using molecular detection techniques. Read More

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Resistance-guided treatment of infection at a UK sexual health centre.

Int J STD AIDS 2021 Mar 23:956462420987764. Epub 2021 Mar 23.

Department of Medicine, 12190Brighton and Sussex Medical School, Brighton, UK.

We evaluated the ResistancePlus® MG assay in providing macrolide resistance-guided treatment (RGT) for infection at a UK sexual health centre. -positive samples from men with urethritis and women with pelvic inflammatory disease (PID) were tested for macrolide resistance-mediating mutations (MRMMs). MRMM-positive infections were given moxifloxacin 400 mg; otherwise 2 g azithromycin (1 g single dose and then 500 mg OD) was given. Read More

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Main etiological agents identified in 170 men with urethritis attended at the Fundação Alfredo da Matta, Manaus, Amazonas, Brazil.

An Bras Dermatol 2021 Mar-Apr;96(2):176-183. Epub 2021 Jan 31.

Department of Sexually Transmitted Infections, Fundação Alfredo da Matta, Manaus, AM, Brazil; Department of Dermatology, Universidade do Estado do Amazonas, Manaus, AM, Brazil. Electronic address:

Background: Sexually transmitted infections (STI) are a global public health problem. Urethritis are among the most common STIs, and can cause several complications and facilitate the transmission of the HIV virus.

Objectives: To investigate the main etiologic agents of urethritis in 170 men treated at Fundação Alfredo da Matta. Read More

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Prevalence of urogenital, anal, and pharyngeal infections with Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium: a cross-sectional study in Reunion island.

BMC Infect Dis 2021 Jan 21;21(1):95. Epub 2021 Jan 21.

CHU Réunion, Service des Maladies Infectieuses - Dermatologie, Saint Pierre, La Réunion, France.

Background: Recommendations for sexually transmitted infection (STI) screening vary significantly across countries. This study evaluated the prevalence of urogenital and extragenital infections with Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Mycoplasma genitalium (MG) in patients visiting a French STI clinic in the Indian Ocean region to determine whether current STI screening practices should be updated.

Methods: This cross-sectional study examined all patients who visited the STI clinic between 2014 and 2015. Read More

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January 2021

[The use of alfuzosin in the treatment of patients with acute urinary retention].

Urologiia 2020 Dec(6):58-63

Department of Urology and Andrology of A.I. Burnazyan SRC FMBC, FMBA of Russia.

Aim: To study the efficiency of using alfuzosin 10 mg (Alfuprost MR, SUN Pharma) in routine clinical practice in order to predict its feasibility for treating acute urinary retention.

Materials And Methods: A total of 47 patients, aged from 54 to 88 years old (mean 68.5+/-5. Read More

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December 2020

Penile amputation and pre-scrotal urethrostomy in a male guinea pig (Cavia porcellus).

Rjt Doneley

Aust Vet J 2021 Mar 13;99(3):89-92. Epub 2020 Dec 13.

School of Veterinary Science, The University of Queensland, Gatton, Queensland, 4343, Australia.

Male guinea pigs (Cavia porcellus), especially older animals, are prone to urethritis and posthitis. Severe, chronic balanoposthitis/posthitis can result in fibrosis, localised infection and the deposition of mineralised plaques in the prepuce. Severe cases may require surgical intervention, such as penile amputation and urethrostomy, to achieve resolution. Read More

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Prescrotal urethrotomy for urethroscopic ablation of a hemorrhagic urethral mucosal mass.

Can Vet J 2020 12;61(12):1299-1302

Dick White Referrals, Station Farm, Six Mile Bottom, Cambridge, UK CB8 0UH.

A 7-year-old neutered male Staffordshire bull terrier dog was presented for investigation of chronic profuse urethral hemorrhage. A vascular mucosal mass lesion was identified in the proximal penile urethra on ultrasound examination; prescrotal urethrotomy was performed to allow rigid urethroscopy and mass removal. Histopathological changes were consistent with proliferative urethritis. Read More

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December 2020

Emergence of a novel urogenital-tropic Neisseria meningitidis.

Curr Opin Infect Dis 2021 Feb;34(1):34-39

The Ohio State University College of Medicine.

Purpose Of Review: Neisseria meningitidis (Nm) is primarily associated with asymptomatic nasopharyngeal carriage and invasive meningococcal disease (sepsis and meningitis), but like N. gonorrhoea (Ng), Nm can colonize urogenital and rectal mucosal surfaces and cause disease. First noted in 2015, but with origins in 2011, male urethritis clusters caused by a novel Nm clade were reported in the USA (the US_NmUC). Read More

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February 2021

Profile of sexually transmitted infections causing urethritis and a related inflammatory reaction in urine among heterosexual males: A flow-cytometry study.

PLoS One 2020 2;15(12):e0242227. Epub 2020 Dec 2.

Andrology Centre, Tartu University Hospital, Tartu, Estonia.

Background: Information about the use of flow cytometry in the diagnosis of male urethritis is scarce. The current study aims to evaluate the performance of flow cytometry on first-voided urine in males with infectious urethritis (Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium and Trichomonas vaginalis).

Methods: Male patients of the Andrology Centre (Tartu University Hospital, Estonia) were recruited during the period March 2015 -January 2018. Read More

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January 2021

[The efficiency of combination therapy of non-gonococcal urethritis in men].

Urologiia 2020 11(5):5-9

Department of Physics and Informatics of Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russia.

Aim: To carry out a comparative assessment of the efficiency of combination therapy for non-gonococcal urethritis (NGU) in men.

Materials And Methods: a total of 124 patients with NGU and laboratory-confirmed urogenital infection were included in the study. The diagnostic methods included microscopy of urethral smear, real-time polymerase chain reaction (PCR) for the detection of uropathogens and laser Doppler flowmetry for evaluating the urethral microcirculation. Read More

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November 2020

The first human case of babesiosis mimicking Reiter's syndrome.

Folia Parasitol (Praha) 2020 Oct 30;67. Epub 2020 Oct 30.

Department of Immunology, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.

Babesiosis is a tick-borne disease that may exhibit a broad range of clinical manifestations. According to the Food and Drug Administration (FDA), Babesia species belong to the most common transfusion-transmitted pathogens (FDA, May 2019), but the awareness of the disease caused by these parasitic protists is still low. In immunocompromised patients, the clinical course of babesiosis may be of extreme severity and may require hospital admission. Read More

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October 2020

Incidence of Nongonococcal Urethritis in Men Who Have Sex With Women and Associated Risk Factors.

Sex Transm Dis 2021 May;48(5):341-346

From the Departments of Epidemiology.

Background: Incidence and risk factors for nongonococcal urethritis (NGU) remain poorly defined. We conducted a cohort study to estimate the incidence of NGU and identify risk factors in men who have sex with women.

Methods: We enrolled cisgender male sexually transmitted disease clinic attendees 16 years or older who reported exclusively female partners. Read More

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Effects of Urethritis on HIV in Semen: Implications for HIV Prevention and Cure.

Clin Infect Dis 2020 Oct 9. Epub 2020 Oct 9.

Institute for Global Health and Infectious Diseases, University of North Carolina, Chapel Hill, NC, USA.

Background: Prior to the widespread availability of antiretroviral therapy (ART), Men living with HIV with urethritis had increased concentration of HIV in semen. This study aims to better evaluate HIV shedding in men with urethritis receiving ART, and implications for the cure of HIV.

Methods: Men living with HIV with urethritis taking ART ≥12 weeks were enrolled at a sexually transmitted infections clinic in Lilongwe, Malawi. Read More

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October 2020

Single-Cell Sequencing in Human Genital Infections.

Reema Singh

Adv Exp Med Biol 2020 ;1255:203-220

Department of Biochemistry, Microbiology and Immunology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

Human genital infections are one of the most concerning issues worldwide and can be categorized into sexually transmitted, urinary tract and vaginal infections. These infections, if left untreated, can disseminate to the other parts of the body and cause more complicated illnesses such as pelvic inflammatory disease, urethritis, and anogenital cancers. The effective treatment against these infections is further complicated by the emergence of antimicrobial resistance in the genital infection causing pathogens. Read More

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September 2020

Acute urinary retention in children.

J Pediatr Urol 2020 Dec 25;16(6):842.e1-842.e6. Epub 2020 Aug 25.

Department of Pediatric Surgery and Pediatric Urology, Cnopfsche Kinderklinik, St. Johannis-Mühlgasse 19, 90419, Nürnberg, Germany. Electronic address:

Background: Acute urinary retention is a common emergency in adult patients, foremost in older men. In childhood urinary retention is a rare entity with only sparse literature on the etiology.

Objective: To assess the etiology and treatment of acute urinary retention in the pediatric population and assess age and sex distribution. Read More

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December 2020

Reactive arthritis after COVID-19 infection.

RMD Open 2020 08;6(2)

Department of Nephrology and Rheumatology, Kyorin University School of Medicine, Shinkawa, Mitaka-shi, Tokyo, Japan.

Reactive arthritis (ReA) is typically preceded by sexually transmitted disease or gastrointestinal infection. An association has also been reported with bacterial and viral respiratory infections. Herein, we report the first case of ReA after the he severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Read More

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Urethral microbiota in men: Association of Haemophilus influenzae and Mycoplasma penetrans with nongonococcal urethritis.

Clin Infect Dis 2020 Aug 5. Epub 2020 Aug 5.

Department of Epidemiology, University of Washington, Seattle, WA, USA.

Background: Nongonococcal urethritis (NGU) is a common syndrome with no known etiology in up to 50% of cases. We estimated associations between urethral bacteria and NGU in men who have sex with men (MSM) and men who have sex with women (MSW).

Methods: Urine was collected from NGU cases (129 MSM; 121 MSW) and controls (70 MSM; 114 MSW) attending a Seattle STD clinic. Read More

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Male urethritis. A review of the ideal diagnostic method.

Actas Urol Esp 2020 10 16;44(8):523-528. Epub 2020 Jul 16.

Universidad Autónoma de Nuevo León, Hospital Universitario "Dr. José Eleuterio González", Departamento de Patología Clínica, Monterrey, México. Electronic address:

Male urethritis is an inflammation of the urethra and the periurethral glands; it is widely classified as gonococcal or non-gonococcal. The most frequent microorganisms responsible are Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum, and Ureaplasma parvum. In the last three decades, the diagnosis of sexually transmitted diseases depended almost exclusively on traditional methods, such as culture, enzyme immunoassay, fluorescent antibody staining, and hybridization, until the appearance of molecular techniques. Read More

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October 2020

New Approach to Microscopy of Gram-Stained Urethral Smear: The Kissing Slide Method.

Sex Transm Dis 2020 Oct;47(10):712-715

Department of Clinical Microbiology and Infectious Disease, Training and Research Hospital, Antalya, Turkey.

Background: The effectiveness of microscopy of Gram-stained smear (GSS) for the detection of male urethral infection is debatable, especially in cases with low inflammation and no visible urethral discharge. This clinical study compared GSS samples collected with the conventional swab method and our new technique, the kissing slide method, together with polymerase chain reaction results to demonstrate the effectiveness of this new method in men with acute urethritis.

Methods: The study included 64 men who presented to the urology outpatient clinic with complaints of acute urethritis between October 2019 and January 2020. Read More

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October 2020

Prevalence of Mycoplasma genitalium and Antibiotic Resistance-Associated Mutations in Patients at a Sexually Transmitted Infection Clinic in Iceland, and Comparison of the S-DiaMGTV and Aptima Mycoplasma genitalium Assays for Diagnosis.

J Clin Microbiol 2020 08 24;58(9). Epub 2020 Aug 24.

WHO Collaborating Centre for Gonorrhoea and other Sexually Transmitted Infections, Department of Laboratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

is prevalent among attendees in sexually transmitted infection (STI) clinics, and therapy is hampered by rapidly rising levels of resistance to azithromycin and moxifloxacin. In this study, we evaluated, for the first time in Iceland, the prevalence of and azithromycin and moxifloxacin resistance-associated mutations and assessed the diagnostic performance of the CE/ diagnosis (IVD)-marked S-DiaMGTV (Diagenode Diagnostics) versus the U.S. Read More

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Haemophilus urethritis in males: A series of 30 cases.

Rev Int Androl 2020 Jun 17. Epub 2020 Jun 17.

Head of Andrology and Urology Department, Casa di Cura Villa Maria, Padova, Italy. Electronic address:

Introduction And Objectives: Pathogens such as Haemophilus spp. have been associated with non-gonococcal urethritis, but their role is unproven. To describe the clinical characteristics and therapeutic outcomes in male patients diagnosed with Haemophilus spp. Read More

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Comparison of gentamicin MICs by agar dilution and Etest for clinical isolates of Neisseria gonorrhoeae.

J Antimicrob Chemother 2020 09;75(9):2599-2604

Centre for HIV & STIs, National Institute for Communicable Diseases, Johannesburg, South Africa.

Background: In South Africa, Neisseria gonorrhoeae (NG) is the predominant cause of male urethritis syndrome (MUS). The national MUS treatment guidelines recommend gentamicin as salvage therapy for ceftriaxone treatment failures. We ascertained and compared gentamicin MICs obtained by agar dilution and Etest for clinical isolates of NG. Read More

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September 2020

Meningococcal disease and sexual transmission: urogenital and anorectal infections and invasive disease due to Neisseria meningitidis.

Lancet 2020 06;395(10240):1865-1877

Immunisation and Countermeasures Division, Public Health England, London, UK.

Neisseria meningitidis is an obligate human commensal bacterium that frequently colonises the upper respiratory tract. Person-to-person transmission occurs via direct contact or through dispersion of respiratory droplets from a carrier of the bacteria, and can lead to invasive meningococcal disease. Rare sporadic cases of meningococcal urogenital and anorectal infections, including urethritis, proctitis, and cervicitis, have been reported, typically following orogenital contact with an oropharyngeal meningococcal carrier. Read More

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Antimicrobial Resistance of Neisseria Gonorrhoeae in a Newly Implemented Surveillance Program in Uganda: Surveillance Report.

JMIR Public Health Surveill 2020 06 10;6(2):e17009. Epub 2020 Jun 10.

Division of Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, MD, United States.

Background: Neisseria gonorrhoeae (commonly known as gonorrhea) has developed resistance to all first-line therapy in Southeast Asia. East Africa has historically had absent or rudimentary gonorrhea surveillance programs and, while the existence of antimicrobial-resistant gonorrhea is recognized, the extent of its resistance is largely unknown. In 2016, the World Health Organization's Enhanced Gonococcal Antimicrobial Surveillance Program (EGASP) was initiated in Uganda to monitor resistance trends. Read More

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Test of cure study: a feasibility study to estimate the time to test of cure (TOC) for and infections.

Sex Transm Infect 2020 09 23;96(6):402-407. Epub 2020 May 23.

Sexually Transmitted Bacteria Reference Unit, Public Health England, London, UK.

Objectives: Test of cure (TOC) for (NG) and (CT) infection is an important tool in the public health management of STIs. However, there are limited data about the optimal time to perform TOC using nucleic acid amplification tests (NAATs) for NG and CT infections. A study was performed to assess the feasibility of a larger study to determine the optimal time to TOC using NAATS. Read More

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September 2020

Extragenital Gonorrhea and Chlamydia Positivity and the Potential for Missed Extragenital Gonorrhea With Concurrent Urethral Chlamydia Among Men Who Have Sex With Men Attending Sexually Transmitted Disease Clinics-Sexually Transmitted Disease Surveillance Network, 2015-2019.

Sex Transm Dis 2020 06;47(6):361-368

From the Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Background: Extragenital gonorrhea (GC) and chlamydia (CT) are usually asymptomatic and only detected through screening. Ceftriaxone plus azithromycin is the recommended GC treatment; monotherapy (azithromycin or doxycycline) is recommended for CT. In urethral CT-positive/urethral GC-negative persons who are not screened extragenitally, CT monotherapy can lead to GC undertreatment and may foster the development of gonococcal antimicrobial resistance. Read More

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