Post Date June, 28 2023
The incubation period of gonorrhea is generally 2-10 days, with an average of 3-5 days. However, due to physical weakness, excessive sexual activity, the incubation period for alcoholics can be shortened, and the incubation period for those who use antibiotics can be extended. The symptoms of gonorrhea at this time are frequent urination, urgency, and painful urination. Urinary pain is a stinging or burning pain at the external opening of the urethra at the beginning of urination, which alleviates after urination.
The urethral opening is red, swollen, itchy, with slight stinging pain, followed by the discharge of thin mucus. In severe cases, it may cause slight swelling and difficulty urinating. After 24 hours, redness and swelling develop to the entire head of the penis and part of the urethra, and adhesive secretions from the urethra increase, overflowing from the urethral opening.
Male gonorrhea quickly causes redness, swelling, and pus discharge at the urethral opening, starting as serous secretions and gradually becoming yellow, sticky, purulent or bloody secretions. After waking up in the morning, there is a large amount of secretions. The urine is milky white and cloudy, with obvious anterior urine. Due to a large number of gonococcal infections and pus stimulation of the urethral opening, the urethral opening is everted.
What are the common complications of gonorrhea?
1. Symptoms of gonorrhea combined with prostatitis: Acute prostatitis often stops discharging pus or reduces pus in the urethra one or half day before onset. The patient has high fever, frequent urination, and pain. The rectal examination showed an enlarged prostate with tenderness. Urine is turbid and not treated in a timely manner, leading to the formation of an abscess in the prostate. Chronic prostatitis patients generally do not have obvious conscious symptoms. The first time they urinate after waking up, there is a sealing phenomenon at the urethral opening, and a small amount of white secretion is discharged when squeezing the penis. Examination of secretions can reveal epithelial cells, a few pus cells, and gonorrhea.
2. Symptoms of gonorrhea combined with seminal vesiculitis: Acute symptoms include fever, frequent urination, painful urination, ultimately cloudy and bloody urine, rectal examination, contact with swollen seminal vesicles, and severe tenderness. Chronic without conscious symptoms, rectal examination shows hard seminal vesicles and fibrosis.
3. Gonorrhea combined with orchitis symptoms: generally combined with acute urethritis, more on one side. Low fever, testicular swelling and pain, and reflex pain in the lateral groin and lower abdomen. Palpation shows enlargement of the epididymis with severe tenderness. Urine is often cloudy.
4. Male gonorrhea can be accompanied by urethral stricture: Recurrent cases of gonorrhea can cause urethral stricture, a few cases of vas deferens stenosis or infarction, secondary to seminal cysts and infertility.
What are the treatment principles for gonorrhea?
1. Early diagnosis and timely treatment are the first steps. A diagnosis should be established as soon as possible after the illness, and treatment should not be arbitrary before diagnosis. Secondly, immediate treatment should be given after diagnosis.
