title: Sequential therapy for gonococci inflammation of paraurethral glands in males.
abstract: OBJECTIVE
  To approach the method of sequential therapy in gonococcal inflammation of the paraurethral glands around the external urethral orifice in males.
  
  
  METHODS
  Step one: ceftriaxone sodium (1 g intramuscularly (IM) once daily for 5 days) was used for all patients. Step two: refractory patients from step one were treated with incision and drainage, followed by administration of IM ceftriaxone sodium. Step three: patients' sinus tracts were cauterized with a monopulse CO(2) laser.
  
  
  RESULTS
  After step one, 34 patients recovered (recovery rate 70.83%). However, 14 patients were unaffected, and sinus tracts appeared in two patients. After step two, 11 of 14 patients recovered and three patients developed sinus tracts, two of whom had sinus tracts in step one that did not heal in step two. After step three, all patients with sinus tracts that had been treated with monopulse CO(2) laser therapy recovered in 2 weeks.
  
  
  CONCLUSIONS
  This sequential therapy can be used to successfully treat gonococcal inflammation of the paraurethral glands around the external urethral orifice in males.
authors.affiliation: Department of Dermatology, First People's Hospital of Changshu City, Changshu Hospital/Soochow University, Changshu, Jiangsu Province, P.R. China. csyyfwg@sina.com
authors.forename: Wenge
authors.initials: W
authors.lastname: Fan
authors.forename: Qingsong
authors.initials: Q
authors.lastname: Zhang
authors.forename: Zhijiang
authors.initials: Z
authors.lastname: Fan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002443:Ceftriaxone / Q000008:administration & dosage*; D004322:Drainage / Q000379:methods; D004334:Drug Administration Schedule; D005088:Exocrine Glands / Q000382:microbiology* / Q000601:surgery; D006069:Gonorrhea / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery; D006801:Humans; D007273:Injections, Intramuscular; D053685:Laser Therapy / Q000379:methods*; D054020:Lasers, Gas / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014526:Urethritis / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone