title: Watering can perineum--a forgotten complication of gonorrhoea.
abstract: In the modern era of broad spectrum antibiotics, urethral fistulae (watering can perineum) is one of the forgotten sequelae of chronic gonococcal infection. We report a 20-year-old unmarried male with gonococcal urethritis and two sinuses in the scrotum (watering can perineum). The micturating and retrograde urethrogram revealed mucosal irregularity and extravasation of contrast medium at the junction of bulbous and membranous urethra. Recent worldwide emergence of multidrug resistant strains of gonococci give rise to alarm. In the present scenario of HIV pandemic, ineffective treatment of patient or partner with gonorrhoea may result in development of these complications.
authors.affiliation: Department of Dermatology and STD, Lok Nayak Hospital, New Delhi, India. anshulpandhi@hotmail.com
authors.forename: D
authors.initials: D
authors.lastname: Pandhi
authors.forename: B S N
authors.initials: BS
authors.lastname: Reddy
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D017577:Cutaneous Fistula / Q000209:etiology*; D006069:Gonorrhea / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D010502:Perineum; D012611:Scrotum; D014525:Urethral Stricture / Q000209:etiology*; D014526:Urethritis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone