Urethritis herpetica A60.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Herpes simplex infection of the urethra.

Manifestation
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Men are more frequently affected than women.

Clinical features
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Vitreous and mucous secretion, pulling pain radiating into the perineum, inguinal region and testicles. Herpes simplex eruptions possible on glans, prepuce and vulva.

External therapy
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Seated baths with disinfecting additives such as potassium permanganate (light pink) or quinolinol (e.g. Chinosol 1:1000 or R042 ) or brushing with disinfecting solutions such as Polyvidon-Iodine solution (e.g. Braunovidon Lsg.). Careful hygiene and insertion of gauze strips may be necessary.

Internal therapy
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  • Aciclovir (e.g. Zovirax Filmtbl.) 5 times/day 200 mg p.o. every 4 hours for 5 days. Alternative: Famciclovir (Famvir 250 filmtbl.) 3 times/day 250 mg p.o., see also Herpes simplex virus, diseases.
  • For HIV infection: Aciclovir 10 mg/kg bw i.v. every 8 hours for 7 days. In the absence of response, increase the dose to 30 mg/kg bw i.v. 3 times/day.
  • Foscarnet as the last resort: 40 mg/kg bw 3 times/day for 7-10 days (central venous access required, sufficient hydration).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020