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Defining the Urethritis Syndrome in Men Using Patient Reported Symptoms
Stephen J Jordan1, Kristal J Aaron, Jane R Schwebke
1From the Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL.
Sexually Transmitted Diseases
|February 22, 2018
Summary
Self-reported symptoms like discharge and dysuria can help diagnose urethritis in men. Combining these with genital irritation and itching accurately identifies most cases, improving clinical assessment.
Area of Science:
- Urology
- Infectious Diseases
- Clinical Diagnostics
Background:
- Urethritis diagnosis in men can be challenging.
- Accurate symptom assessment is crucial for timely treatment.
Purpose of the Study:
- To evaluate the diagnostic utility of self-reported symptoms for urethritis in men.
- To identify key symptoms that can guide clinical diagnosis.
Main Methods:
- Symptomatic men undergoing urethritis evaluation were surveyed.
- Seven specific symptoms were captured during medical history taking.
- Statistical analysis was performed to assess symptom association with urethritis.
Main Results:
- Urethral discharge and dysuria were significantly associated with urethritis.
- A combination of discharge, dysuria, genital irritation, and itching identified 95% of urethritis cases.
- Symptoms such as odor and urinary frequency showed poor diagnostic performance.
Conclusions:
- Self-reported symptoms, particularly discharge and dysuria, are valuable for diagnosing male urethritis.
- A focused symptom assessment including genital irritation and itching enhances diagnostic accuracy.
- Certain symptoms have limited utility in diagnosing urethritis.
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