What are the common complications for gonorrhea patients? What principles should be followed in the treatment of gonorrhea

In recent years, there has been a significant increase in gonorrhea worldwide. Since 1975, gonorrhea has resurged in China, with a linear increase in patients year by year, making it the main cause of sexually transmitted diseases. In recent years, with the significant increase in syphilis cases, gonorrhea cases have shown a decreasing trend year by year. However, gonorrhea is still a common sexually transmitted disease in China, and it is also a Class B infectious disease that requires key prevention and control as stipulated in the Infectious Disease Prevention and Control Law of the People's Republic of China.

What are the common complications of gonorrhea?

1. Symptoms of gonorrhea combined with prostatitis: Sudden cessation of pus and decrease in pus in the urethra one or half day before the onset of acute prostatitis. 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. The touch diagnosis indicates testicular enlargement with severe touch pain. 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.

Seven 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, timely treatment should be given after diagnosis.

(2) Identify clinical types to determine if there are any comorbidities. Clear clinical classification is extremely important for precise guidance of treatment.

(3) Whether there is resistance to penicillin, tetracycline, etc. can help guide treatment correctly.

(4) Clarify whether there is a combination of Chlamydia or Mycoplasma infections, and when combined with Chlamydia or Mycoplasma infections, a combination drug treatment plan should be developed.