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Updated: May 27, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Microscopy for symptomatic men: not all symptoms are born equal.
R M Lascar1, A S Foo, E Jungmann
1Archway Sexual Health Clinic, Camden Provider Services, London, UK. monix@doctors.net.uk
Microscopy for urethritis in men accurately diagnoses infection when discharge is present. Dysuria alone does not correlate with positive microscopy results, highlighting the importance of discharge in diagnosis.
Area of Science:
- Urology
- Microbiology
- Infectious Diseases
Background:
- Urethritis is a common condition in symptomatic males.
- Microscopy is a key diagnostic tool for urethritis.
- Clinical symptoms like discharge and dysuria are used to assess patients.
Purpose of the Study:
- To determine the clinical correlates of urethritis diagnosed by same-day microscopy in symptomatic males.
- To evaluate the association between specific symptoms and microscopy outcomes.
Main Methods:
- Retrospective review of microscopy results for symptomatic male patients.
- Analysis of clinical symptoms including discharge and dysuria.
- Correlation of symptoms with urethral microscopy findings.
Main Results:
- Higher polymorphonuclear leukocyte counts were observed in patients with discharge, with or without dysuria.
- Dysuria alone was strongly associated with negative urethral microscopy results.
- Patient symptoms showed a strong link to microscopy outcomes, unlike partnership status.
Conclusions:
- Same-day urethral microscopy is a valuable tool for diagnosing urethritis in males presenting with discharge.
- The presence of discharge is a more reliable indicator of urethritis on microscopy than dysuria alone.
- Clinical symptom assessment, particularly discharge, aids in the interpretation of urethral microscopy for urethritis diagnosis.
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