Related Experiment Videos
Idiopathic urethritis in the adolescent male
1Women's and Children's Hospital, Department of Paediatrics, University of Adelaide, Australia.
Objective:
To study adolescent males presenting with protracted blood spotting and dysuria in an attempt to further understand the precise pathology and endoscopic findings in these boys.
Methods:
Over a 3-year period the 7 patients had video endoscopies and tests to exclude infective and immunological disease.
Results:
All boys were found to have a similar well-defined, circumferential length of inflammation in the bulbar urethra. No specific aetiology was illucidated, but 2 cases had a urethral stricture at the time of presentation, and two further cases subsequently required urethral dilatation. Two boys had a borderline low IgG, of probably little significance.
Conclusion:
Boys presenting with prolonged symptoms of dysuria and haematuria should be endoscoped, and detailed investigations looking for fastidious organisms and immune deficiency seem appropriate in those with significant urethral ulceration.