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Related Experiment Videos

How are men with urethral discharge managed in general practice?

J D Ross1, J Champion

  • 1Department of Genitourinary Medicine, Whittall Street Clinic, Birmingham, UK.

International Journal of STD & AIDS
|May 23, 1998
PubMed
Summary

General practitioners (GPs) in Scotland see few male urethritis cases annually. Improved support for GPs is needed to enhance screening, contact tracing, and referral for chlamydia and gonorrhoea infections outside of Genitourinary Medicine (GUM) clinics.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • General Practice

Background:

  • Chlamydia and gonorrhoea are significant causes of morbidity, often asymptomatic, necessitating active case finding.
  • Genitourinary Medicine (GUM) clinics manage sexual health, but the extent of treatment outside these settings is unclear.
  • Male urethritis management requires examination, particularly regarding general practitioner (GP) roles.

Purpose of the Study:

  • To investigate the prevalence and management of male urethritis in general practice in Scotland.
  • To assess screening practices for chlamydia and gonorrhoea among GPs.
  • To identify barriers and facilitators for referral to GUM clinics.

Main Methods:

  • A questionnaire survey was distributed to general practitioners (GPs) across Scotland.

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  • Response rate was 80% (277/347 GPs).
  • Data collected on male urethritis cases, investigations, and referrals.

    • Main Results:

    • GPs reported a median of one case of male urethritis per year.
    • Screening for gonorrhoea and chlamydia occurred in 82% and 63% of non-referred cases, respectively.
    • Only 6% of GPs attempted sexual contact tracing; 29% of patients were not referred to GUM clinics, with distance being a factor.

    Conclusions:

    • There is a need to enhance the management of male urethritis within primary care.
    • Improved support for GPs is crucial for appropriate investigations and treatment.
    • Strategies to encourage GUM clinic referral and improve contact tracing are recommended.