Urethral discharge in men - risk assessment and evaluation of syndromic management

ABSTRACT

Sixty two patients presenting with urethral discharge were enrolled in the study. The high risk sexual behaviour in these individuals was assessed through standardized, anonymous, self completed questionnaire. The WHO algorithm for the syndromic management of urethral discharge in men was applied to these patients. The questionnaire was completed in full by 45[73%] and partly by 8[13%]. The high risk factors included paid sex or casual sex, and lack of condom use. According to the algorithm, 59 cases with clinically confirmed urethral discharge received the treatment, 55 individuals completed the follow up and 53 [96.3%] were clinically cured. The sensitivity of algorithm was 100% and its Positive Predictive Value was 97%. We conclude that high risk sexual behaviour exists in our population and syndromic approach in the management of men with urethral discharge is effective, acceptable and affordable. Its implementation particularly at the primary healthcare settings could have major impact in the control and prevention of sexually transmitted infections