UROLOGY · CONDITIONS
Urethritis
Inflammation of the urethra from sexually transmitted or enteric bacterial infection , requiring accurate diagnosis, targeted treatment, and partner notification.
ABOUT THIS CONDITION
What is Urethritis?
Urethritis causes burning urination, urethral discharge, and discomfort. Gonococcal urethritis is caused by Neisseria gonorrhoeae. Non-gonococcal urethritis (NGU) is most commonly caused by Chlamydia trachomatis or Mycoplasma genitalium. Both require accurate microbiological diagnosis and full antibiotic treatment to prevent epididymitis, stricture, and onward transmission. Dr. Vipin provides confidential, rapid STI assessment with PCR-based diagnosis, targeted dual antibiotic therapy, and management of complications including urethral stricture disease arising from recurrent infection.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Chlamydia trachomatis , most common STI cause
- Neisseria gonorrhoeae (gonorrhoea)
- Mycoplasma genitalium , increasingly common
- Trichomonas vaginalis , less common in men
- Non-specific urethritis , no pathogen identified
- Chemical urethritis from soaps or irritants
CLINICAL DETAILS
KeyFacts
First-void urine or urethral swab PCR provides rapid, highly accurate STI identification.
Ceftriaxone IM doxycycline covers both gonorrhoea and Chlamydia simultaneously.
No sexual contact until both partners have completed treatment and tested negative.
Recurrent or untreated gonorrhoeal urethritis can cause progressive urethral stricture.
All sexual contacts in the preceding 60 days should be tested and treated.
Antibiotic resistance in gonorrhoea is increasing , culture and sensitivity testing essential.
HOW WE TREAT IT
Treatment Approach
Culture & PCR-Guided Antibiotic Therapy
Dual antibiotic therapy targeting both gonococcal and non-gonococcal urethritis simultaneously , the cornerstone of treatment, combined with sexual abstinence and partner notification.
- 1
Swab & PCR
Urethral swab and first-void urine PCR test for gonorrhoea and Chlamydia. Culture and sensitivity performed for antibiotic resistance mapping.
- 2
Dual Therapy
Immediate dual antibiotic therapy covers both pathogens. Single-dose ceftriaxone IM plus doxycycline 7-day course started without waiting for results.
- 3
Partner Notification
All recent sexual contacts traced and offered testing and treatment , essential to prevent reinfection and ongoing transmission.
- 4
Stricture Surveillance
Men with recurrent or longstanding gonorrhoeal urethritis are assessed for early stricture formation with uroflowmetry and urethrogram.
AVAILABLE TREATMENTS
Treatment Options
OIU (if stricture develops)
Optical internal urethrotomy for urethral stricture caused by recurrent or untreated gonococcal urethritis causing progressive scarring.
BMG Urethroplasty
Buccal mucosa graft urethroplasty for extensive, long-segment urethral stricture resulting from severe or recurrent gonococcal urethritis.
EPA Urethroplasty
Excision and primary anastomosis for discrete short urethral strictures caused by urethritis where endoscopic urethrotomy has failed.
COMMON QUESTIONS
Frequently Asked
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