Penile discharge explained

Penile discharge
Symptoms:Fluid from penis
Causes:Infections including gonorrhea, chlamydia, trichomoniasis

Penile discharge is fluid that comes from the urethra at the end of the penis that is not urine, pre-ejaculate or semen.[1] [2]

Common causes include infections due to gonorrhea, chlamydia, or trichomoniasis.[2] In gonorrhea the discharge may be white, yellow, or green.[3] [4]

A swab of the discharge is usually performed.[4]

Treatment depends on the cause. Spread of infection is reduced by also treating sexual contacts.

Risk factors include being sexually active men under the age of 25, having a recent new sexual partner, or having unprotected sex.

Definition and clinical features

Penile discharge is liquid from the urethra at the end of the penis that is not urine or semen.[1] The dripping of clear fluid (pre-ejaculate) when sexually excited is normal.[1]

There may be pain or burning when passing urine, soreness inside the penis or feeling of wanting to pass urine frequently.[5]

Causes

Common causes include infections due to gonorrhea, chlamydia, or trichomoniasis.[2]

Other causes include:

Evaluation

A swab of the discharge is usually performed.[4] Other investigations may include tests for HIV, hepatitis and syphilis.[5]

Men who have sex with men may also need to have throat and rectal swabs.[5]

Treatment

Treatment depends on the cause and any antibiotic prescribed depends on which infection is found.[5] Spread of infection is reduced by informing sexual partners so that they can also be treated, and not having sex (including oral or anal) until tests are completed and seven days have passed after treatment.[5]

Epidemiology

Risk factors include being sexually active men under the age of 25, having a recent new sexual partner, unprotected sex (without a condom), or having the presence of any sexually transmitted infection.[5]

Notes and References

  1. Web site: 2017. Penis Discharge. 27 December 2020. conditions.health.qld.gov.au. Queensland Government. en.
  2. Book: Dains. Joyce E.. https://books.google.com/books?id=VQ6BDwAAQBAJ&dq=penile+discharge&pg=PA377. Advanced Health Assessment & Clinical Diagnosis in Primary Care E-Book. Baumann. Linda Ciofu. Scheibel. Pamela. 2018. Elsevier Health Sciences. 978-0-323-59454-7. 6th. 372. en. 27. Penile Discharge.
  3. Web site: Gonorrhea - CDC Fact Sheet. cdc.gov. 6 December 2014.
  4. Book: Kahan. Scott. https://books.google.com/books?id=iDCuxfnbBgIC&pg=PA252. Signs and Symptoms. Miller. Redonda. Smith. Ellen G.. 2008. Lippincott Williams & Wilkins. 978-0-7817-7043-9. en. 126. Penile Discharge.
  5. Web site: Urethritis and Urethral Discharge in Men. patient.info. 6 December 2014.