Him Too: A Case Report on Male Sexual Violence and Screening in Primary Care

Beth Ammerman, DNP, FNP-BC; Heather Jones, DNP, AGPCNP-C


Urol Nurs. 2020;40(1):36-39. 

In This Article

Abstract and Introduction


Males are victims of sexual violence at a rate almost as high as females; however, reports of male sexual violence are often left unscreened, unaddressed, and unacknowledged. genitourinary complaints without an obvious cause should trigger the primary care provider to consider sexual violence as part of a differential diagnosis.


Mr. Q, a Caucasian male in his mid-30s, presented to his primary care office with a vague chief concern of "urinary tract infection symptoms." Although he was a new patient to this particular provider in the office, his usual provider had seen him twice within that month for the same chief complaint. At both of these encounters, the examination was unremarkable, and urinalysis was negative for blood, leukocytes, and nitrates. Both times, he was sent home with reassuring comfort measures and instructed to increase his intake of oral fluids and cranberry juice. At the current visit, Mr. Q reported his specific symptoms were feelings of burning with urination and urethral pain. He denied constipation, abdominal pain, dysuria, pressure with urination, bowel changes, bowel or bladder urgency, frequency, chills/fever, urethral discharge, hesitancy, incontinence, hematuria, and nocturia, and no suprapubic, scrotal, back, or flank pain. He reported his appetite and elimination were otherwise normal.