Case Management

Male Urethritis Syndrome (MUS)

libeya

Mainly caused by gonorrhoea and/or chlamydia.

Symptom:

Urethral discharge or dysuria.

Diagnosis:

Medical history; sexual orientation, patient to milk urethra if no clear discharge.

If the discharge is present, treat it as follows;

Treatment:

Implementation of 4Cs

  1. Tabs Norfloxacin 800mg STAT
  2. Caps Doxycycline 100mg BD x 1/52
  3. If the partner has VDS add Tabs Metronidazole 400mg BD x 10/7

*Alternative treatment A

  1. Inj. Spectinomycin 2gm STAT
  2. Caps Doxycycline 100mg BD x 1/52
  3. If the partner has VDS add Tabs Metronidazole 400mg BD x 10/7
  4. Implementation of 4Cs

*Alternative treatment B

  1. Inj Ceftriaxone 250mg STAT
  2. Tabs Azithromycin 1gm STAT
  3. Tabs Metronidazole 2gm STAT