Mp25-10 Etiology of Symptomatic Urethritis in Men According to Sexual Behaviors

Abstract

INTRODUCTION Gonorrhea and chlamydia are sexually transmitted infections (STI) that are the most common causes of urethritis in men. The role of specific sexual behaviors and presentation of urethritis is often overlooked. METHODS Data was retrospectively reviewed on all men presenting at the major STI clinic in Providence, Rhode Island. Predictors of gonorrhea and chlamydia infection were modeled using a generalized model assuming a binary distribution. RESULTS Of the men with urethritis, 27% had chlamydia, 13% gonorrhea, 3% both, and 63% neither (non-gonococcal, non-chlamydial urethritis). MSM were more likely to test positive for gonorrhea than MSW (25% of MSM versus 6% of MSW; p<0.01). CONCLUSIONS MSM with urethritis were much more likely to test positive for gonorrhea which may be due to increased risk behaviors and spread within concentrated sexual networks. A large number of both MSM and MSW had non-gonococcal, non-chlamydial urethritis, which suggests the need for improved diagnostic testing.

Male urethritis with or without discharge: a clinico aetiological study in Hi-tech Medical College and Hospital Bhubaneswar, Odisha

“…8 Vigneswaran et al described that homosexual was 39% in their study. 14 Unmarried patients have more sexual exposure than married patients. Nayak et al and USA data e-medicine also mentioned same.…”

A review of current guidelines and research on the management of sexually transmitted infections in adolescents and young adults

“…32 , 33 The incidences of gonorrhea, including antimicrobial resistant gonorrhea, and primary and secondary syphilis are higher in MSM compared with men who have sex only with women. 34 – 37 In 2017, among MSM in the US, the estimated prevalence of urogenital chlamydia was 4.8%, rectal chlamydia was 7.3–9.0%, and pharyngeal chlamydia was 1.4% 32 , 38 , 39 and the estimated prevalence of urogenital gonorrhea was 8.5%, rectal gonorrhea was 4.5–6.1%, and pharyngeal gonorrhea was 4.6%. 32 , 38 , 39 MSM accounted for 68% of all reported cases of primary or secondary syphilis in 2017; non-white MSM were disproportionately affected.…”

The performance of a syndromic algorithm in diagnosing cervicitis in Jamaica

“…First, the performance of the syndromic algorithm may be different in a lower risk population or a population with a large number of asymptomatic women. 28 Therefore, we are cautious in extrapolating the findings on the performance of the algorithm to other local STI clinics and the general population.…”