What are the signs and symptoms of gonorrhea in males?

Updated: Jun 15, 2021
  • Author: Shahab Qureshi, MD, FACP; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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In males, the major genitourinary symptoms of gonorrhea include the following:

  • Urethritis: The major manifestation of gonococcal infection in men; initial characteristics include burning upon urination and a serous discharge; a few days later, the discharge usually becomes more profuse, purulent, and, at times, tinged with blood

  • Acute epididymitis: Usually unilateral and often occurs in conjunction with a urethral exudate

  • Urethral strictures: Have become uncommon in the antibiotic era, but they can present with a decreased and abnormal urine stream, as well as with the secondary complications of prostatitis and cystitis

  • Rectal infection: May present with pain, pruritus, discharge, or tenesmus

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