NGU A definite history of venereal exposure accompanied by a mucoid or muco-purulent urethral discharge. Urethral discomfort in terms of dysuria, urethra itch, tingling or burning sensation is invariable. Rarer manifestations with urinary frequency, haematuia and urgency are occasionally encountered. Persistent or atypical urethral symptoms like perineal pain, inner thigh discomfort, pain during ejaculation, may hint ascending infections like epididymitis, orchitis or prostatitis. NSGI Majority of female patients can be asymptomatic.
Vaginal discharge can be the only manifestation.
Systemic Perihepatitis 7. The distal end of the urethra should be examined for the presence of genital warts, herpes simplex infections and foreign bodies. A urethral smear should be obtained by a sterile platinum or a disposable plastic loop and directly plated onto the specimen slide for microscopic examination. Patients should be warned that unnecessary urethral smear may damage the inner lining of the urethra. The urethral smear ideally should be obtained by asking the patients to withhold the urine for at least five hours prior to examination.