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Urology  (Expert Forum)
 | 
Diagnosed with NSU
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Diagnosed with NSU

by cefk, Jan 03, 2004 12:00AM
I was diagnosed with non-specific urethritis and have begun antibiotics; I have also contacted my sexual partners of the last month.  However, I have not yet reached one man, and I am concerned about effects on him.  We had an encounter in the week before my diagnosis in which he very briefly began oral sex on me (I was inserting; he was receiving).  I assume that he would develop some type of sore throat as a symptom.  

My questions are:

1.  What will the end result be if he is untreated, having "received" in his mouth? (What are the effects of this means of infection?)  All that I have read only details effects if the infection is in the urethra of the penis itself; but what if one contracts it in the mouth?

2.  Would a throat infection on his part develop into "urethritis" in his penis, or must the infection be in direct contact with the penis for that to develop?

3.  Even though I was diagnosed through a swab of the urethra (while a throat swab was negative), could I have transmitted the bacteria by giving oral sex to a man (who inserted in my mouth?)

Thanks

by Kevin Pho, MD, Jan 05, 2004 12:00AM
To answer your questions:

1) It would depend on what the cause of the urethritis is.  Most cases of chlamydial urethritis is normally passed via vaginal or anal intercourse - it is less likely transmitted orally.  Oral ulcers and lesions from the infection may be possible.  



2) Again, this is dependent on the type of urethritis.  If the urethritis was due to chlamydia, it is unlikely that a throat infection can develop on the penis.  



3) If the urethritis is caused by chlamydia,d uring oral sex, it is possible but unlikely for chlamydia to be transmitted from mouth-to-penis and penis-to-mouth contact, and though less so, from vagina-to-mouth or anus-to-mouth contact. Transmission is not known to occur from mouth-to-vagina and mouth to anus contact. Chlamydia is less likely to be transmitted during oral sex because the bacteria that cause chlamydia prefer to target the genital area rather than the throat.  If the organism isn't chlamydia, I would again say that it is certainly possible that transmission could occur.  



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Thanks,

Kevin, M.D.

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