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By Anthony Wisdom

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Microscope slides and cover slips. Platinum loop or other suitable swab, and culture swabs. Culture and/or transport media. Saline. Cleansing swabs. Gloves for examiner. Technique. The prepuce (if present) is reflected. In cases of balanitis or balanoposthitis the specimens are taken from the preputial sac. In suspected urethritis the glans penis is cleaned and the specimens taken from the urethral orifice with the platinum loop. For stained smears, the specimen is spread thinly on a glass slide and allowed to dry.

Frequent symptoms are irritation, swelling, pain or *rash\ Irritation (pruritus vulvae) of the labia majora or pubis is usually caused by parasitic infestation; pruritus is almost invariable in symptomatic candidiasis but may result from any of the other causes of vulvitis. Vulval swelling, which is often exacerbated by coitus, is commonly caused by candidiasis but may be associated with trichomoniasis, herpes, syphilitic chancres or trauma. ) may be intermittent or constant and is often related to urination or sexual intercourse.

Irritant erythema is often caused by candidiasis, fungal infection or hypersensitivity. Localized irritating papules may be caused by scabies (see p. 227) or irritant dermatoses such as lichen planus. The term cut usually refers to small fissures appearing at the preputial margin, often following intercourse, or it may be used to describe The symptom tends to be recurrent as the vicious damage —> scarring -^ increased liability to further is common when phimosis is present and is often ulcerative conditions.

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