[Genitourinary medicine] Introduction

Also called sexual health medicine, or GUM.

GUM physicians specialise in sexually transmitted diseases (venereal diseases), and diseases of the genitalia and urinary tracts.

There is significant overlap with urology, andrology, obstetrics and gynaecology, infectiology, and dermatology.

 

Etymology

Ancient Greek οὖρον (ouron) = urine
Latin genitālis  = relating to generation or birth.

 

History taking

 

Physical examination

The examination technique differs depending on gender.

• Male urogential examination
• Female urogenital examination

 

Sexually transmitted pathogens

• Candida species
• Chlamydia trachomatis
• Gardnerella vaginalis
• Hepatitis B virus (HBV)
• Hepacivirus C  (HCV)
• Herpes simplex virus (HSV)
• Human Immunodeficiency Virus (HIV)
• Human PapillomaVirus (HPV)
• Human T-lymphotropic virus
• Klebsiella granulomatis
• Marburg virus 
• Molluscum contagiosum virus
• Neisseria gonorrhoeae
• Pthirus pubis
• Sarcoptes scabiei
• Tinea species
• Treponema pallidum
• Trichomonas vaginalis
• Trichophyton species 

 

Diseases:

• Coldsores
• Molluscum contagiosum
• Genital warts
• Anal warts
• Bacterial vaginosis
• Candidiasis
• Trichomoniasis 
• Vaginismus
• Pelvic inflammatory disease
• Urethritis 
• Cervicitis
• Hydrocele
• Scabies
• Pubic lice
• Ringworm 
• Lichen sclerosus
• Chancroid
• Granuloma inguinale
• Lymphogranuloma venereum
• Syphilis
• Viral hepatitis
• HIV infections and acquired immunodeficiency syndrome (AIDS)