Lm. David et al., URINARY SYMPTOMS, SEXUAL INTERCOURSE AND SIGNIFICANT BACTERIURIA IN MALE-PATIENTS ATTENDING STD CLINICS, Genitourinary medicine, 72(4), 1996, pp. 266-268
Objective: To assess the relationship between sexual behaviour, urinar
y symptoms, urinalysis and bacteriuria in men attending STD clinics. D
esign: A prospective study recording sexual behaviour, urinary symptom
s and collecting midstream urine specimens. Setting: Two West Midlands
STD clinics, UK. Subjects: 1086 new male patients. Results: 704 patie
nts had had sexual intercourse (SI) within 14 days of testing, 424 had
urinary symptoms and 122 had pyuria. All 13 patients with positive cu
lture had SI < 14 days before testing, urinary symptoms and pyuria. No
association was found between sexual orientation, type of SI, number
of sexual partners, condom usage and bacteriuria. Conclusion: Bacteriu
ria does not behave as an STD but SI may be a factor in acquiring bact
eriuria. Dysuria with or without urethral discharge is the most predic
tive symptom of bacteriuria. Pyuria has a high sensitivity for predict
ing bacteriuria among males.