What are the symptoms and clinical manifestations of gonococcal urethritis

Generally speaking, when gonococcal urethritis occurs, the reproductive organs will have symptoms and manifestations of urethritis. Common symptoms include urethral discomfort, scanty urethral secretions, vulvar itching, etc. For such discomfort, patients should seek medical attention promptly and do not delay treatment.

Clinical symptoms:

1. The incubation period of non-gonococcal urethritis is 10-20 days.

2. The onset is not as acute as gonorrhea, and the symptoms are delayed, sometimes mild and sometimes severe, but milder than gonorrhea. About 50% of patients have symptoms such as urinary pain and urethral itching, and it is easy to be missed at the initial diagnosis. Male non-gonococcal urethritis is manifested by urethral discomfort, itching, burning or stinging, urethral redness and swelling, and urethral secretions are mostly serous and thin, with a "sticky" phenomenon in the morning. Female non-gonococcal urethritis is manifested by inflammation and erosion of the cervix, increased secretions, many lobed white blood cells in cervical secretions (more than 10 per field of view under high power), vaginal and vulvar itching, and lower abdominal discomfort. Note: Some patients may be asymptomatic or have atypical symptoms and are easily missed. There are many lobed white blood cells in cervical secretions (more than 10 per field of view under high power).

3. The urethral secretions are small, thin, mucous or mucopurulent. A small amount of thin secretions may overflow from the external urethral opening if urination is not induced for a long time (such as in the morning). Sometimes it only manifests as a scab sealing the urethral opening or contaminating the underwear in the morning. During the examination, it is necessary to press and squeeze the anterior urethra from back to front to cause a small amount of secretions to overflow from the urethral opening. Sometimes the patient has symptoms but no secretions, or may have secretions but no symptoms.

4. It is often infected at the same time as gonorrhea. The former shows gonorrhea symptoms first. After anti-gonococcal treatment, gonococci are killed by penicillin, while chlamydia and mycoplasma still exist. The disease occurs 1-3 weeks after infection, which can easily be mistaken for uncured or relapsed gonorrhea clinically.

5. Improper handling or untimely treatment may cause complications (1%), such as acute epididymitis, prostatitis, colitis, pharyngitis, female cervicitis, cervical erosion, Bartholinitis, vaginitis, salpingitis, pelvic inflammatory disease, ectopic pregnancy, infertility, etc.