Symptoms of gonorrhea on the glans penis

Written by Zhai Yu Juan
Dermatology Department
Updated on September 02, 2024
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Gonorrhea is a sexually transmitted disease caused by the infection of Neisseria gonorrhoeae. There are differences in symptoms between infected men and women. In men, gonorrhea generally presents as acute urethritis. Most patients infected with Neisseria gonorrhoeae will experience redness and swelling at the urinary meatus, pain during urination, difficulty in urinating, and a pasty phenomenon at the urinary meatus, accompanied by purulent discharge. Some patients may not show obvious symptoms, only experiencing itching and stinging on the glans penis.

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Is vestibular adenitis gonorrhea?

Bartholin's gland inflammation is not gonorrhea. Gonorrhea is a type of sexually transmitted disease, mainly caused by infection with streptococcus. Clinically, it presents with yellow-green vaginal discharge and itching of the vulva. This can generally be diagnosed by taking a secretion sample for testing at a hospital. Treatment for gonorrhea must also be conducted at a hospital after confirming the presence of streptococcus, typically through topical medications and intravenous anti-inflammatory drugs. Bartholin's gland inflammation occurs when the duct of the Bartholin's gland becomes blocked, forming a cyst that leads to inflammation and swelling at the site of the Bartholin's gland, as well as localized pain in the vulva. This condition can severely affect daily activities and walking for some patients. Treatment for Bartholin's gland inflammation generally starts with medication. If chronic inflammation leads to cyst formation, procedures such as fistulotomy or cyst excision may be performed as treatment. These two are not the same condition.

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Is vestibular adenitis the same as gonorrhea?

Bartholin's gland inflammation is not limited to gonorrhea; these are two different diseases. Bartholin's gland inflammation refers to the condition where pathogenic microorganisms enter the Bartholin's glands through their external openings, causing inflammation of these glands. Gonorrhea, on the other hand, is a sexually transmitted disease caused by a specific pathogenic microorganism, primarily transmitted through sexual contact. These two are not equivalent; therefore, they require different treatments.

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How to diagnose and treat a patient with AIDS who also has gonorrhea?

Patients with AIDS who are also infected with gonorrhea need simultaneous treatment and management. If the AIDS is still in its early stage and the CD4 cells are in a high state, gonorrhea can be treated first, as its treatment is relatively straightforward, primarily involving the use of potent antibiotics. Usually, a course of treatment lasting about one to two weeks can essentially cure it. After curing gonorrhea, anti-HIV treatment can be administered, which tends to be more effective. Both gonorrhea and AIDS are sexually transmitted diseases and can easily co-infect.

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What causes asymptomatic gonorrhea?

Most patients with gonorrhea have clinical manifestations, and only a few with mild or chronic infections may not exhibit obvious symptoms. Gonorrhea is caused by an infection with Neisseria gonorrhoeae, commonly known as gonococcus. It primarily manifests as a purulent infection of the urinary and reproductive systems, and can also lead to pharyngeal, rectal, and disseminated gonococcal infections. It has a short incubation period, is highly contagious, and can lead to various complications and sequelae. Gonorrhea is mainly transmitted through sexual contact, with the patient being the source of infection. In rare cases, it can be contracted through contact with secretions containing gonococci or contaminated items, such as clothing, bedding, towels, bathtubs, and toilet seats. Females, including young girls, due to the short length of the urethra and genitalia, are easily infected. It is often through shared family use of bath items and towels that infection occurs. Newborns can be infected through the birth canal of a mother with gonorrhea, leading to neonatal gonococcal conjunctivitis. Pregnant women infected with gonorrhea may transmit the bacteria to the amniotic fluid, potentially infecting the fetus.

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Can gonorrhea relapse?

Gonorrhea (gonococcus) is caused by a bacterial infection. If it is an initial infection of gonococcus, it can be completely cured using sensitive antibiotics in the prescribed treatment course at a standard hospital. However, if the medication is used irregularly or intermittently by oneself, this can easily lead to drug resistance in gonococcus. Therefore, if drug resistance in gonococcus occurs, the effectiveness of the treatment is relatively poor. Hence, it is crucial to receive treatment at a standard hospital through formal medical procedures. Of course, if it is recurrent gonococcal infection, repeated infections may require a longer treatment course.