Sequential therapy for gonococci inflammation of paraurethral glands in males

Abstract

Objective: To approach the method of sequential therapy in gonococcal inflammation of the paraurethral glands around the external urethral orifice in males. Methods: Step one: ceftriaxone sodium (1 g intramuscularly (IM) once daily for 5 days) was used for all patients. Step two: refractory patients from step one were treated with incision and drainage, followed by administration of IM ceftriaxone sodium. Step three: patients' sinus tracts were cauterized with a monopulse CO₂ laser. Results: After step one, 34 patients recovered (recovery rate 70.83%). However, 14 patients were unaffected, and sinus tracts appeared in two patients. After step two, 11 of 14 patients recovered and three patients developed sinus tracts, two of whom had sinus tracts in step one that did not heal in step two. After step three, all patients with sinus tracts that had been treated with monopulse CO₂ laser therapy recovered in 2 weeks. Conclusion: This sequential therapy can be used to successfully treat gonococcal inflammation of the paraurethral glands around the external urethral orifice in males.

Key words::

• ceftriaxone
• drainage
• gonococcal inflammation
• laser
• paraurethral glands
• sequential therapy

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.