Green discharge from the male urethra is an uncommon phenomenon and a special manifestation of male reproductive system abnormality. This situation is mainly caused by diseases such as gonococcal urethritis. Of course, in addition to green secretions, gonococcal urethritis has many other symptoms and complications, which have a great impact on men's health. Below, we will give a detailed introduction to gonococcal urethritis! 1. Pathological causes Gonococcal urethritis is often caused by the migration of acute infection in the upper urinary tract or chronic infection, and can also induce or be secondary to certain lower urinary tract lesions, such as benign prostatic hyperplasia, chronic prostatitis, urethral stenosis, bladder stones or foreign bodies, fusion of the hymen at the urethral orifice, hymenal fimbria, paraurethral glanditis, etc. 2. Symptoms and Signs Frequent urination, urgent urination, painful urination, burning and itching of the urethral opening, burning pain when urinating, pus discharge from the urethral opening, or purulent secretions from the cervical and vaginal openings, etc. Or there may be symptoms such as gonococcal conjunctivitis, enteritis pharyngitis, or symptoms of disseminated gonorrhea. 3. Treatment Methods Treatment principles 1. Early diagnosis and early treatment. 2. Take the medicine promptly and in sufficient amount. 3. Prevent the spread to others. 4. Treat sexual partners at the same time. 5. Follow-up check-up is required after treatment. 6. Pay attention to whether there are other sexually transmitted diseases. Treatment Ceftriaxone 250mg-1g, intramuscular injection or intravenous infusion, once a day for 3 days. Spectinomycin 2g for males and 4g for females, injected intramuscularly once a day for 3 days. Then continue oral antibiotics for 1 week, such as macrolides, cephalosporins, and quinolones. Cure criteria 1. All symptoms and signs disappear. 2. Morning urine routine test negative 3. Stop the medication 3-7 days after the end of treatment, and take samples from the affected area for smear staining and culture, both of which are negative. 4. Preventive Care 1. Gonococcal urethritis is a sexually transmitted disease. The key to prevention is to avoid unclean sexual intercourse and promiscuity. 2. If you find thick yellow pus in the urethra accompanied by symptoms such as painful urination, you should seek medical attention immediately. 3. The diagnosis can be confirmed by finding Gram-negative diplococci in the secretions. 4. Treatment should be adequate and last for a sufficient period of time to avoid recurrence and chronic disease. 5. Both men and women are governed together. This disease is not hereditary and has no immunity. It can be infected repeatedly. If the treatment is not thorough, it may relapse and become chronic. Timely diagnosis and anti-infection treatment can completely cure it. |
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