Urethritis herpeticaA60.0
DefinitionThis section has been translated automatically.
Herpes simplex infection of the urethra.
ManifestationThis section has been translated automatically.
Men are more frequently affected than women.
Clinical featuresThis section has been translated automatically.
Vitreous and mucous secretion, pulling pain radiating into the perineum, inguinal region and testicles. Herpes simplex eruptions possible on glans, prepuce and vulva.
External therapyThis section has been translated automatically.
Seated baths with disinfecting additives such as potassium permanganate (light pink) or quinolinol (e.g. Chinosol 1:1000 or R042 ) or brushing with disinfecting solutions such as Polyvidon-Iodine solution (e.g. Braunovidon Lsg.). Careful hygiene and insertion of gauze strips may be necessary.
Internal therapyThis section has been translated automatically.
- Aciclovir (e.g. Zovirax Filmtbl.) 5 times/day 200 mg p.o. every 4 hours for 5 days. Alternative: Famciclovir (Famvir 250 filmtbl.) 3 times/day 250 mg p.o., see also Herpes simplex virus, diseases.
- For HIV infection: Aciclovir 10 mg/kg bw i.v. every 8 hours for 7 days. In the absence of response, increase the dose to 30 mg/kg bw i.v. 3 times/day.
- Foscarnet as the last resort: 40 mg/kg bw 3 times/day for 7-10 days (central venous access required, sufficient hydration).