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Chlamydial urethritis - male

Chlamydial urethritis is a sexually transmitted disease involving infection of the urethra (the tube that drains urine from the bladder).

  • Causes, incidence, and risk factors

    Chlamydial urethritis is caused by the bacteria Chlamydia trachomatis.

    Chlamydia can cause a type of swelling (inflammation) of the urethra ( urethritis). Chlamydia and gonorrhea often occur together.

    People who are sexually active and those with multiple sexual partners are at highest risk for chlamydia infection.

    Different strains of chlamydia cause genital, eye, lymph node, and respiratory infections. A child born to a woman with a chlamydia infection of the cervix may develop an eye or lung infection.

  • Symptoms
    • Difficulty urinating
    • Discharge from the penis
    • Redness, swelling, itching of the opening of the urethra at tip of the penis
    • Swelling and tenderness of the testicles

    The symptoms can appear similar to those of infection with gonorrhea, but continue even after after treatment for gonorrhea.

  • Signs and tests
    • Taking a sample of secretions from the penis and sending it to a lab for a culture or a test called polymerase chain reaction (PCR)
    • Urethral discharge culture or genital fluid testing for gonorrhea
    • Urine test
  • Treatment

    Chlamydia can be treated with a variety of antibiotics, including:

    • Azithromycin
    • Erythromycin
    • Quinolones
    • Tetracyclines

    Both sexual partners must be treated for both gonorrhea and chlamydia to prevent passing the infections back and forth. Even partners without symptoms need to be treated.

  • Expectations (prognosis)

    Antibiotic treatment is usually successful.

  • Complications

    Narrowing (strictures) of the urethra may occur. This may require surgery to correct.

    The infection may come back (recur) if you do not take your medicine as directed, or if your sexual partners are not treated.

  • Calling your health care provider

    Call your health care provider if you have symptoms of a chlamydia infection.

  • Prevention

    Screening for other sexually transmitted infections, including syphilis and HIV, is important when you've been diagnosed with a new chlamydia infection.

    Having a sexual relationship with one partner (monogamous) who is not infected is one way to avoid chlamydia. The proper use of condoms during intercourse usually prevents infection.

  • References

    Centers for Disease Control and Prevention (CDC). Update to CDC's sexually transmitted diseases treatment guidelines, 2006: fluoroquinolones no longer recommended for treatment of gonococcal infections. MMWR Morb Mortal Wkly Rep. 2007;56:332-336.

    Centers for Disease Control and Prevention. Workowski KA, Berman SM. Diseases characterized by urethritis and cervicitis. Sexually transmitted diseases treatment guidelines 2006. MMWR Morb Mortal Wkly Rep. 2006;55:35-49.

Review Date: 5/5/2008

Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2014 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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