A clinico-demographic profile of 110 male patients with genital ulcer(s)

Piyush Kumar, Avijit Mon, Satyendra Nath Chowdhury, Nilay Kanti Das, Pijush Kanti Datta, Ramesh Chandra Gharami

Abstract


Objective To assess the magnitude of male genital ulcer (MGU) and its clinico-demographic profile in patients attending dermatology OPD and STI clinic of a tertiary care hospital in the eastern part of India.

 

Methods The study was institution-based cross-sectional descriptive study conducted over a period of one year. All the male patients presenting to Dermatology OPD and STI clinic with complaints of genital lesions were screened for genital ulcer/s. Those having genital ulcer and giving consent for participating in the study were included in the study. At the end of study period, data were analyzed.

 

Results 110 patients with MGU among 22,528 male patients attending Dermatology OPD and STI clinic were included in study and relative prevalence rate was calculated as 4.88 per 1000. Non-sexually transmitted ulcers (non-STU) [65.5%] were leading cause of MGU. Among sexually transmitted ulcers (STU), genital herpes was the most common disease. Dermatitis-related ulcer, scabies related ulcer, and Zoon’s balanitis (plasma cell balanitis) were most common non-STU. Positive history of sexual exposure was found in around 53.2%, 97.4% and 22.2% of MGU, STU and non-STU, respectively. Commercial sex workers were the major sex partner in both STU and non-STU groups.

 

Conclusion Non-sexually transmitted ulcers were more common than sexually transmitted ulcers. History of sexual exposure was seen in both STU, and non-STU. Hence, history of sexual exposure should not bias clinician towards making a diagnosis of STU.

 


Keywords


Genital ulcer, sexually transmitted ulcer, non-sexually transmitted ulcer

Full Text:

PDF

References


Cohen DE, Mayer K. Genital ulcer disease. In: Klausner JD, Hook EW, editors. Current Diagnosis and Treatment of Sexually Transmitted Diseases, 1st edn. New York: The McGraw-Hill; 2007. P. 19-26

Behets FM, Brathwaite AR, Hylton-Kong T, Chen CY, Hoffman I, Weiss JB et al. Genital ulcers: etiology, clinical diagnosis, and associated human immunodeficiency virus infection in Kingston, Jamaica. Clin Infect Dis. 1999;28:1086-90.

Ross MW. Psychological perspectives on sexuality and sexually transmissible diseases and HIV infection. In: Holmes KK, Sparling PF, Stamm WE, Piot P, Wasserheit JN, Lawrence Corey et al., editors. Sexually Transmitted Diseases, 4th edn. New York: McGraw-Hill; 2008. P. 137-48.

Bunker CB. Diseases and disorders of male genitalia. In: Wolff K, Goldsmith LA, Katz S, Gilchrest B, Paller A, Leffell D, editors. Fitzpatrick’s Dermatology in General Medicine, 7th edn. New York: McGraw-Hill; 2008. 654-75.

Ballard RC. Genital ulcer adenopathy syndrome. In: Holmes KK, Sparling PF, Stamm WE, Piot P, Wasserheit JN, Lawrence Corey et al., editors. Sexually Transmitted Diseases, 4th edn. New York: McGraw-Hill; 2008. P. 1199-1208.

Gray RH, Wawer MJ, Brookmeyer R, Nelson K Sewankambo NK, David Serwadda D, Fred Wabwire-Mangen F et al. Probability of HIV-1 transmission per coital act in monogamous, heterosexual, HIV-1 discordant couples in Rakai, Uganda. Lancet. 2001;357:1149-53.

Royce RA, Sena A, Cates W Jr, Cohen MS. Sexual transmission of HIV. N Engl J Med. 1997;336:1072-8.

Thappa DM, Sigh S, Singh A. HIV infection and sexually transmitted diseases in a referral STD centre in south India. Sex Transm Inf. 1999;75:191.

Thappa DM, Kaimal S. Sexually transmitted infections in India: Current status (except human immunodeficiency virus/acquired immunodeficiency syndrome). Indian J Dermatol. 2007;52:78-82.

Paz-Bailey G, Rahman M, Chen C, Ballard R, Moffat HJ, Kenyon T et al. Changes in the etiology of sexually transmitted diseases in Botswana between 1993 and 2002: implications for clinical management of genital ulcer disease. Clin Infect Dis. 2005;41:1304-12.

Devi SA, Vetrichevvel TP, Pise GA, Thappa DM. Pattern of sexually transmitted infections in a tertiary care centre at Puducherry. Indian J Dermatol. 2009;54:347-9

Mohanty J, Das KB, Mishra C. Clinical profile of sexual transmitted diseases in Cuttack. Indian J Dermatol Venereol Leprol. 1995;61:143-4.

Behets FMT, Andriamiadana J, Randrianasolo D, Randriamanga R, Rasamilalao D, Chen CY et al. chancroid, primary syphilis, genital herpes, and lymphogranuloma venereum in Antananarivo, Madagascar. Clin Infect Dis. 1999;180:1382-5.


Refbacks

  • There are currently no refbacks.


ISSN: 1560-9014