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Penile discharge is the abnormal loss of fluid that is not urine or semen from the urethra at the tip of the penis. It is commonly the sign of a sexually transmitted disease (STD), and requires prompt and accurate diagnosis and treatment.

Diagnosis Of Conditions Accompanied By Penile Discharge

There are several different ways to diagnose an STD. Penile discharge urethritis is most commonly diagnosed by finding white blood cells on a urethral swab or urine sample. The color and consistency of the discharge alone does not help distinguish any non-specific urethritis from gonococcal urethritis. [5]

Gonococcal urethritis is diagnosed in 98% of men by microscopic examination of the discharge obtained from a urethral swab.
Development of more sensitive tests such as polymerase chain reaction and ligase chain reaction might allow for more precise diagnosis, especially in patients with no symptoms. [5] 

Treatment Of Conditions With Penile Discharge

Gonococcal urethritis

One of several antibiotics can be given as a single dose [5]:

  • Ceftriaxone 250mg by intramuscular injection
  • Cefixime 400mg orally
  • Ciprofloxacin 500mg orally
  • Ofloxacin 400mg orally.
  • Doxycycline 100mg twice daily for seven days

Non-specific urethritis 

Typical antibiotic treatment includes doxycycline 100mg twice daily for seven days or a single dose of Azithromycin 1g if the infection is due to Chlamydia trachomatis. [5]

Prevention Of STDs

The most secure way of preventing sexually transmitted diseases is definitely sustaining from sexual intercourse. Another option is to be in a long-term monogamous relationship with an uninfected partner. 

Activities that carry a very low or no risk of developing a sexually transmitted disease are:

  • Kissing
  • Massage
  • Masturbation
  • Sexual stimulation using your hand on another person
  • Oral sex on a man who is wearing a condom
  • Oral sex on a woman who is wearing a dental dam or plastic wrap