What is the cause of the pain and pus discharge from the glans penis?

Gonorrhea is the common name for gonococcal urethritis. It is a common STD with a long history. It mostly occurs in young men and women. In men, the risk period is 2 to 14 days. It usually starts with mild discomfort in the urethral opening, followed by painful urination and purulent discharge a few hours later. When the disease spreads to the posterior urethra, frequent urination and urgency may occur, and the patient cannot hold back urine. Examination shows purulent light green urethral discharge and red and swollen urethral opening. Severe purulent discharge and pain on the glans penis may be gonorrhea.

Some patients complain of purulent and stinging discharge from the glans penis. This is generally considered to be gonorrhea. Gonorrhea causes stinging pain during urination and purulent discharge within 2 to 7 days after unprotected sexual intercourse. It is always accompanied by purulent coating adhering to the external urethral opening, which blocks the external urethral opening, causing poor urine clearance and significant stinging pain during urination.

In this case, the sample should be taken for smear and acid-fast staining. If the acid-fast staining shows Gram-positive bacteria and negative diplococci in the white blood cell count, it can be diagnosed as gonorrhea. If the smear is more accurate, and the appropriate drug sensitivity test is selected according to the smear result, the treatment effect will be better. At the same time, sexual intercourse should be strictly prohibited. Afterwards, one's clothes should be washed separately, ironed with hot water, and exposed to the sun to reduce the possibility of cross-infection or environmental contamination to relatives.

Clinical manifestations of complicated gonorrhea in men

(1) Gonorrheal prostatitis: It is a common symptom of post-gonorrheal urethritis. In addition to fever, painful urination, frequent and urgent urination, inability to hold urine, swelling of the anus and perineum, discomfort, pain radiating to the waist, and worsening after urination, there may also be erectile dysfunction such as impotence and premature ejaculation. During physical examination, male anal examination of the prostate will show significant tenderness and swelling, and in more severe cases, the median groove will disappear. Laboratory examinations show that there are many abscesses and increased soy lecithin in male prostate secretions, and chlamydia can be detected by microscopy and microscopy.

(2) Gonorrheal epididymitis: The disease has an acute onset. At the beginning, there is a traction pain in the scrotum or male testicles. It is idiopathic and aggravated, and radiates to the groin. There are systemic symptoms. The body temperature can rise to 39~40℃. Physical examination shows that the epididymal cyst is swollen and tender, and the scrotal skin is red and hot. In severe cases, the swollen spermatic cord and inguinal lymph nodes can be touched. Patients walk with their legs apart because of the pain of male testicular disease. In the late stage of the disease, it can cause hyperplasia of the connective tissue of the epididymal cyst, fibrosis and closure of the ejaculatory duct, and loss of reproductive function.

(3) Other complications: Men may also be more likely to develop parafrenulum and paraurethral gland inflammation, urethral cysts, cellulitis, cavernitis, gonococcal glansitis or balanoposthitis.