Uretritis masculina Estudio prospectivo de 254 casos

Abstract

Among 254 male patients with urethritis. prospectively studied in 1982, a predominance was found (78,0%) of the nongonococcal form (NGU); Trichomonos vaginolis was present in 4,0010 of the NGU cases. Based on the comparison between patients with gonoccoccal and nongonococcal urethritis a profile of the latter can be proposed to orient the physician's diagnostic suspicion: NGU patients have a greater probability of showing none or scarce secretion and of having the aqueous, mucoid or mixed (muco-purulent, aqueous-purulent, aqueous-mucoid) modalities of the secretion; also, they have a greater probability of an incubation period days and a duration of the disease above one month. Despite these clues there is much overlapping between clinical features of the two forms of urethritis; therefore, the recommendation to routinely perform a Gram stain is still valid, as a reliable and economic precedure for establishing the differentation. Information is required on urethritis in different colombian socioeconomic groups; also research is needed in areas such as the frequency of postgonococcal urethritis (PGU) .