Taking the medical history, the patient said that after breaking up with his girlfriend, he was in a sad mood, and while drunk, he accidentally went to a “fun” massage and had oral sex with a strange girl. Three days ago, he had unusual symptoms in his urinary tract so he decided to go to the doctor.
During the examination of the genitals, the doctor noticed pus flowing out of the urethra and spreading to the glans and foreskin. At the same time, a single hard nodule was noted at the base of the penis, about 0.5cm in size, gray in color, with a rough surface, and raised ridges that were not painful when pressed.
The doctor then ordered the patient to undergo some diagnostic tests for the above problems. The results of the urethral fluid examination and PCR showed that the patient was positive for gonorrhea and urethritis. The results also showed that the "mole" at the base of the penis was positive for HPV type 6. This is a low-risk HPV that causes papillomas, genital warts, etc. in the male genitalia.
On July 23, Dr. Bui Quoc Cuong (Men's Health Center) said that gonorrhea, also known as gonococcus, is a sexually transmitted disease caused by the bacteria Neisseria gonorrhoeae. This disease often causes urethritis in men and vaginitis in women. Symptoms of gonococcus include painful urination, burning urination, pus in urine, itching and swelling in the area around the genitals.
"If not treated promptly, gonorrhea can spread and cause serious complications such as orchitis, chronic urethritis, prostatitis, epididymitis, and even blockage of the vas deferens, leading to difficulty in having children. More worryingly, gonorrhea can also spread to other organs in the body, causing meningitis and arthritis," said Dr. Cuong.
Doctor talks to patient about sexually transmitted diseases
Genital warts, also known as genital warts, are tumors in the epidermis of the skin and mucous membranes caused by infection with the human papillomavirus (HPV). Genital warts come in many different forms. Some cases of genital warts can develop into swellings that resemble a cock's comb. These swellings can have sharp, serrated wings like a "cock's comb", or have a finger-like shape, thin and soft. This is a common virus in sexually transmitted diseases, and can be spread through sexual intercourse or skin contact, or objects containing the virus. In women, if infected with high-risk types, it can cause cervical cancer.
In the case of patient Q., the doctor prescribed antibiotics to treat gonorrhea, and at the same time, treated the "warts" with electrocautery. After 7 days of treatment, the patient's symptoms were gone, the fresh examination showed negative results for gonorrhea bacteria, and the genital warts had healed. The doctor further advised the patient about safe sex, oral sex can also cause gonorrhea. And advised the patient not to shave the "private area" because it can easily scratch the skin, creating conditions for the HPV virus to enter and cause genital warts. At the same time, the doctor advised patient Q. to consult a specialist about HPV vaccination.
For men, regular health check-ups should include genital examinations and tests to detect gonorrhea and genital warts early. If there are any suspicious symptoms such as painful urination, swelling, or the appearance of "strange spots" in the genital area, men should go to the doctor immediately for timely examination and treatment.
"However, prevention is the most important key in controlling and stopping the spread of gonorrhea and genital warts. Using proper protection during sex, such as condoms, helps reduce the risk of infection," Dr. Cuong shared.
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