Overview
Gonococcal paraurethral gland abscesses are a rare complication of Neisseria gonorrhoeae infection. These abscesses can occur in the glands surrounding the urethra.Diagnosis
Diagnosis is typically based on clinical presentation, including localized pain, swelling, and tenderness in the periurethral area.
A history of recent unprotected sexual contact may be suggestive.
Gram stain and culture of purulent material from the abscess or urethra can confirm N. gonorrhoeae* 1.Management
Treatment involves incision and drainage of the abscess 1.
Antibiotic therapy directed against N. gonorrhoeae* is indicated. Recommended regimens often include ceftriaxone 1.
Adjunctive treatment with broad-spectrum antibiotics may be used in cases of suspected or confirmed secondary bacterial infection 1.Key Recommendations
Incision and drainage of the abscess is a primary management step 1. (Evidence: Weak)
Antibiotic therapy targeting Neisseria gonorrhoeae, such as ceftriaxone, should be administered 1. (Evidence: Weak)
Consider broad-spectrum antibiotics if secondary infection is suspected 1. (Evidence: Weak)References
1 Camby Y, Gordeeff C, Cardaillac C, Hermieu JF, Thubert T. Midurethral sling infectious complications: A systematic review. The French journal of urology 2024. link