Penile Discharge

Discharge from the penis is a continuous or intermittent flow of fluid from the urethra. Ask the patient whether he has ever had a discharge and, if he has, whether it was bloody or purulent. Bloody penile discharges are associated with ulcerations, neoplasms, or urethritis. Purulent discharges are thick and yellowish-green and may be associated with gonococcal urethritis or chronic prostatitis. Determine when the discharge was first noted. Figure 18-7 shows a purulent penile discharge in a man with gonococcal urethritis. Gonorrhea is caused by Neisseria gonorrhoeae. After exposure, approximately 25% of men and more than 50% of women contract the disease. In men, the acute symptoms of dysuria and a purulent urethral discharge begin 2 to 10 days after exposure. In women, a vaginal discharge and dysuria develop days to weeks after exposure;however, in up to 50% of women, the infection may be asymptomatic.

Tactful direct questioning about any history of or exposure to sexually transmitted diseases is essential. The interviewer should determine the patient's sexual orientation and the type of sexual exposure—oral, vaginal, or anal—because this information can help determine the types of bacteriologic cultures necessary. It is appropriate to ask whether the patient has more than one sexual partner and whether the partner or partners have any known illnesses. The sexual history questions suggested in Chapter 1, The Interviewer's Questions, may be helpful.

10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook

Post a comment