Nongonococcal Urethritis

In male patients with symptomatic urethritis, a causative agent may not be identified, a situation often referred to as nongonococcal urethritis (NGU). Technically, Chlamydia is included in this category. Organisms such as Ureaplasma urealyticum and Mycoplasma genitalium may be the cause and may be difficult to detect. Treatment for these infections is the same as for symptomatic Chlamydia, with azithromycin or doxycycline (Table 16-11). It is recommended that partners of patients with NGU should be evaluated and treated. In some cases, testing of partners may detect a specific organism as the cause of infection (e.g., Chlamydia).

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