Urethritis: (Drip, Clap)

Presentation

A man complains of dysuria, a burning discomfort along the urethra, pruritus of the urethral meatus, and/or a urethral discharge. A copious, thick yellow-green discharge that stains underwear is characteristic of gonorrhea, whereas a thinner mucopurulent or white scant discharge with milder symptoms is characteristic of Chlamydia. These symptoms may be transient.

Urethritis in a woman may be asymptomatic or indistinguishable from cystitis or vaginitis. It may manifest as urinary tract infection (UTI) symptoms with a low concentration of bacteria on urine culture or tenderness localized to the distal periurethral area of the anterior vaginal wall. Female patients may not be able to distinguish urethral discharge from vaginal discharge. In addition to increased vaginal discharge, women who develop cervicitis may have intermenstrual bleeding, especially postcoital spotting or dyspareunia and cervical friability.