On 20/7, Doctor Nguyen The Thinh, from the Department of Renal-Urology and Andrology at E Hospital, Hanoi, reported that a patient sought medical attention after noticing a stronger-than-usual ammonia smell from his genitals. This was followed by a persistent yellowish-white discharge from the urethral opening of his penis, accompanied by swelling of the urethra and increasingly painful urination.

The man, an office worker, had been dating his girlfriend for over one year, and they had not been intimate before. About two weeks prior, they had their first intimate encounter. A few days later, he noticed unusual symptoms and went to the hospital for examination.

Doctors suspected acute urethritis caused by a sexually transmitted agent and ordered a PCR test on a urine sample. The results were positive for gonorrhea bacteria. The patient received antibiotic treatment according to the correct protocol and was advised to abstain from sexual activity during the treatment period.

Gonorrhea is caused by the bacterium Neisseria gonorrhoeae. This bacterium commonly appears in the vagina, cervix, eyes, mouth, anus, and especially in the male urethra. The disease can affect individuals of all ages but is most prevalent among men and women of reproductive age.

Common symptoms in men include penile discharge due to infection, with the amount of discharge varying based on infection severity. Gonorrhea can also affect the rectum, causing anal itching, bleeding, diarrhea, and painful bowel movements. Early symptoms are often unclear, making diagnosis difficult. If the infection spreads to surrounding areas like the scrotum and testicles, men risk developing epididymitis, accompanied by groin pain, which can lead to infertility.

Other complications of gonorrhea include an increased risk of spreading the infection or contracting HIV. The bacteria can spread to the bloodstream and other body parts, such as the joints, causing swelling and pain, or to the eyes, affecting vision.

To prevent the disease, individuals should engage in monogamous relationships and avoid multiple partners. Practicing genital hygiene before and after sexual activity is also recommended.

Thuy Quynh