By Anthony Wisdom

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Extra info for A Colour Atlas of Sexually Transmitted Diseases

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The early stages of urethritis or meatitis sometimes cause the edges of the urinary meatus to adhere so that the patient may notice difficulty in initiating urination, or that the urinary stream is split into several divergent pathways causing spraying; in patients who have experience of infection in the past this may be the first indication of trouble and the reason for attendance. Haematuria occasionally occurs: it is most frequently associated with cystitis, particularly with the condition known as acute haemorrhagic cystitis (see p.

The term rash is frequently used to indicate erythema of the prepuce (and usually of the underlying glans) which may result from any of the causes of balanoposthitis or may refer to conditions such as genital warts or herpes. Irritant erythema is often caused by candidiasis, fungal infection or hypersensitivity. Localized irritating papules may be caused by scabies (see p. 227) or irritant dermatoses such as lichen planus. The term cut usually refers to small fissures appearing at the preputial margin, often following intercourse, or it may be used to describe The symptom tends to be recurrent as the vicious damage —> scarring -^ increased liability to further is common when phimosis is present and is often ulcerative conditions.

The early stages of urethritis or meatitis sometimes cause the edges of the urinary meatus to adhere so that the patient may notice difficulty in initiating urination, or that the urinary stream is split into several divergent pathways causing spraying; in patients who have experience of infection in the past this may be the first indication of trouble and the reason for attendance. Haematuria occasionally occurs: it is most frequently associated with cystitis, particularly with the condition known as acute haemorrhagic cystitis (see p.

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