When suffering from chronic gonorrhea, Neisseria gonorrhoeae invades the bulbous, membranous, and prostatic areas of the male urethra backwards, causing chronic inflammation in these areas. The condition is also highly inconsistent, usually without special symptoms, and only when the patient's resistance is reduced (such as diarrhea, high fever, alcohol abuse, or excessive fatigue), can symptoms of urethritis occur. During urination, there is a mild burning sensation, stinging sensation, itching, or urgent urge to urinate in the urethra. Sometimes there is severe pain in the prostate area, and there is no significant increase in urethral discharge. It is only when waking up in the morning that the urethral opening shows signs of "survival". Pressing the deep part of the urethra with fingers, a small amount of thin mucus can be seen flowing out. If the perineum and prostate area are compressed, tenderness is significant and radiates to the anterior end of the penis, sacrum, and testicles. When prostatitis or cystitis is obvious, it often causes spasmodic urinary pain at the end of urination, blood in the end of the urine, and urinary disorders. If the lesion is limited to the urethra, it can cause painful ejaculation, bloody semen or purulent semen.
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