December 24, 1973

Urethritis in Young Adults

Author Affiliations

Peter Bent Brigham Hospital Boston

JAMA. 1973;226(13):1571. doi:10.1001/jama.1973.03230130059035

To the Editor.—  The article, "Acute Urethritis in Male College Students" (226:37, 1973) by McChesney et al points to a real problem that many physicians are seeing in epidemic proportions. It is quite clear now that T-strain mycoplasmas must be implicated in some way in nonspecific urethritis.We studied a large group of patients with urethritis and found that the T-stain mycoplasmas can be isolated from the cervix in a great proportion of women who have recurrent urethritis. In some men, then, recurrent urethritis appears to be a venereal disease and treatment of both partners is necessary to eradicate the offending organism.1We have found tetracycline, 2 gm/day, for a ten-day period to be necessary to prevent recurrence, and in the female patients an antifungal vaginal tablet should be used to prevent the occurrence of Monilial vaginitis, which is so common in women who take large doses of tetracycline.