If a man complains of discharge from his penis, the provider
uses the urethral discharge algorithm. This slide shows one
possible algorithm for this syndrome.
The provider first examines the man to confirm that he has
a discharge and to see if any other signs of STDs are present,
such as a genital ulcer or swollen glands. If there is no discharge
on the external genitalia, including the inner surface of the
foreskin and areas normally covered by the foreskin, the provider
can ask the patient to try to squeeze discharge from the penis.
If the client does have discharge, he should be treated for
gonorrhea and chlamydia. Also, the man should be advised to
return for re-evaluation if the symptoms persist.