Non-specific urethritis (NSU)

nsu

Non-specific urethritis (NSU) is one of the most common sexually transmitted infections in men.

‘Urethritis’ means ‘inflammation of the urethra’ (the tube inside the penis that urine comes down). ‘Non-specific’ means the exact cause of the inflammation isn’t known, but it is caused by bacteria (often chlamydia) picked up during sex from a partner’s mouth, rectum or penis.

Sometimes doctors refer to it as non-gonococcal urethritis or NGU.

  1. Symptoms
  2. How it's passed on
  3. Tests and treatment

Symptoms

There may be no symptoms but up to three weeks after becoming infected you might get a whiteish discharge from your penis.

You might also feel an itching or burning inside your penis, especially when urinating.

How it's passed on

NSU is usually caused by bacteria. They live inside a man’s mouth, penis or rectum and get into his partner’s penis when they have unprotected oral or anal sex. He might also carry the bacteria on his fingers to his penis after touching an infected part of his own or someone else’s body.

Using condoms cuts the risk of NSU. Sometimes NSU is inflammation caused by friction from masturbation and sex, or even a reaction to things like soap.

If a man has HIV, having untreated NSU makes it more likely he’ll pass on HIV during unprotected sex.

Tests and treatment

There’s a urine test for NSU or a sample can be taken from the opening of the penis using a swab (small cotton bud). This might be uncomfortable for a second or two.

A course of antibiotics will cure NSU. Sex should be avoided until you have finished your treatment to avoid passing it on. Sexual partners also need to be checked - a clinic can contact them anonymously. Untreated NSU sometimes causes serious problems such as arthritis or infertility.

Most people get tested and treated for infections like NSU at sexual health (or ‘GUM’) clinics. It is free and confidential - no one else, including your GP will be told about your visit. Some GP surgeries also test for and treat these infections.

The more people you have sex with, especially unprotected sex, the more chance you have of getting infections like NSU. You can have them without knowing so regular check-ups are a good idea, especially if you are starting a new relationship and/or you want to stop using condoms with your partner.

 


The Information Standard: Certified member

This article was last reviewed on 20/1/2011 by T. Kelaart

Date due for the next review: 1/3/2014

Content Author: R. Scholey

Current Owner: Health Promotion

More information:

Hunter, H. Color Atlas and Synopsis of Sexually Transmitted Diseases (second edition)  McGraw-Hill, Handsfield, 2001

McMillan A, Scott GR. Sexually Transmitted Infections (second edition), Churchill, Livingstone, 2000

BASHH NGU guidelines, BASHH

BASHH NSU guidelines, BASHH (2007)

British Association for Sexual Health and HIV, Clinical Effectiveness Group, UK National Guideline on the Management of Nongonococcal Urethritis, (2007, Updated Dec 2008)

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