In some cases, however, gonococcal urethritis can be completely asymptomatic, in which case a significant risk for transmission to other individuals exists. Complete resolution of symptoms after several months is the usual clinical progression, but various complications may arise, such as prostatitis (acute or chronic), epididymitis, seminal vesiculitis and other local infections. Discharge is accompanied by dysuria, but without the sense of urgency and increased urinary frequency. At first, the discharge is mucoid or mucopurulent, but within the first 24 hours of symptom onset, it is evidently purulent and profuse and is the hallmark of male gonorrhea. Signs and symptoms, appearing after an incubation period of 1-10 days (although the mean onset is observed after 2-5 days), are urethral discharge followed by dysuria. Gonococcal urethritis - By far, the most important type of infection in males involves the urethra, in the form of acute anterior urethritis.gonorrhea mandates sexual contact, including rectal and orogenital, and several clinical forms of male gonorrhea have been described in the literature : African American or Hispanic ethnicity is a significant risk factor for the infection, as studies have found a 19-fold increased risk compared to Caucasians. It is most frequently diagnosed in the population of younger sexually active adults ( aged between 15-24 years). Gonorrhea, caused by a gram-negative diplococcus Neisseria gonorrhoeae, is a well-recognized sexually transmitted infection throughout the world, with incidence rates peaking in the United States and Eastern Europe.
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