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Male Urethritis Treatment & Management

  • Author: Michael C Plewa, MD; Chief Editor: Erik D Schraga, MD  more...
Updated: Apr 08, 2016

Emergency Department Care

History and physical examination should focus on exclusion of the following other disorders:

  • Cystitis
  • Pyelonephritis
  • Epididymitis/orchitis
  • Prostatitis
  • Pneumonia
  • Otitis media
  • Conjunctivitis
  • Arthritis
  • Reactive arthritis
  • Foreign body
  • Trauma
  • Other STDs, such as syphilis, herpes simplex, condyloma acuminatum, chancroid, or lymphogranuloma venereum
  • Urinalysis may be necessary to exclude cystitis or pyelonephritis.
  • VDRL assay should be performed to screen for syphilis.
  • Antibiotic therapy is discussed in Medication.


Urologic consultation may be beneficial in cases of urethral foreign body or postinstrumentation urethritis.

Contributor Information and Disclosures

Michael C Plewa, MD Research Coordinator, Consulting Staff, Department of Emergency Medicine, Lucas County Emergency Physicians, Inc, and Mercy Saint Vincent Medical Center

Michael C Plewa, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, Physicians for Social Responsibility, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Richard H Sinert, DO Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, Research Director, State University of New York College of Medicine; Consulting Staff, Vice-Chair in Charge of Research, Department of Emergency Medicine, Kings County Hospital Center

Richard H Sinert, DO is a member of the following medical societies: American College of Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Erik D Schraga, MD Staff Physician, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates

Disclosure: Nothing to disclose.

Additional Contributors

David S Howes, MD Professor of Medicine and Pediatrics, Residency Program Director Emeritus, Section of Emergency Medicine, University of Chicago, University of Chicago, The Pritzker School of Medicine

David S Howes, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

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