title: Management for males whose female partners are diagnosed with genital chlamydial infection.
abstract: The purpose of this study was to investigate the infection rate of asymptomatic men whose female sexual partners were diagnosed as having genital chlamydial infection and discuss the management for them. The subjects were asymptomatic men whose female sexual partners were diagnosed with genital chlamydial infection at other obstetric and gynecological clinics. Microscopic findings of urinary sediment and the results of a nucleic acid amplification test of the first-voided urine specimen were retrospectively examined in those men who visited our clinics. A total of 267 men were included and analyzed. The infection rate for urinary Chlamydia trachomatis in asymptomatic men was 36.3% (97 of 267). In the analysis of urinary sediment, 35 of the 267 (13.1%) had pyuria and 82.9% (29 of 35) in the men with pyuria were positive for urinary C. trachomatis in. Even in men without pyuria, the urinary C. trachomatis-positive rate was 29.3% (68 of 232). When such men have pyuria in the clinic, prompt treatment is the appropriate approach. If the men are without pyuria, testing for urinary C. trachomatis should be performed. Prompt treatment before doing any clinical evaluation can be an option in couples with trouble.
authors.affiliation: Department of Urology, Sapporo Medical University School of Medicine, Chuo-ku, Sapporo, Japan. stakahas@sapmed.ac.jp
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takahashi
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kurimura
authors.forename: Jiro
authors.initials: J
authors.lastname: Hashimoto
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sunaoshi
authors.forename: Koichi
authors.initials: K
authors.lastname: Takeda
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Suzuki
authors.forename: Ryoji
authors.initials: R
authors.lastname: Furuya
authors.forename: Keisuke
authors.initials: K
authors.lastname: Taguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Satoh
authors.forename: Akihiko
authors.initials: A
authors.lastname: Iwasawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Hayashi
authors.forename: Takaoki
authors.initials: T
authors.lastname: Hirose
authors.forename: Taiji
authors.initials: T
authors.lastname: Tsukamoto
mesh_terms: D000293:Adolescent; D000328:Adult; D058345:Asymptomatic Infections; D002690:Chlamydia Infections / Q000175:diagnosis / Q000635:transmission* / Q000652:urine; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011776:Pyuria / Q000382:microbiology / Q000652:urine; D012747:Sexual Partners