Urine as a specimen for diagnosis of sexually transmitted diseases

Am J Med. 1983 Jul 28;75(1B):93-7. doi: 10.1016/0002-9343(83)90078-5.


The case of specimen collection has led to the suggestion that urine might be a useful specimen for the isolation of sexually transmitted disease agents. It would only be an appropriate specimen for agents that infect the urethra, such as Neisseria gonorrhoeae or Chlamydia trachomatis. Comparative tests have shown that culture of urine for chlamydiae (from men with urethritis) or for gonococci from women is an insensitive procedure. Gonococci can be isolated from urine from men at rates essentially equivalent to culture of urethral swabs. If specimens can be processed promptly (to avoid bactericidal effects of urine), culture of urine can likely be useful for screening asymptomatic men for gonococcal infection.

Publication types

  • Review

MeSH terms

  • Adenovirus Infections, Human / diagnosis
  • Bacteriuria / diagnosis*
  • Chlamydia trachomatis / isolation & purification
  • Cytomegalovirus / isolation & purification
  • Cytomegalovirus Infections / diagnosis
  • Female
  • Gonorrhea / diagnosis*
  • Herpes Genitalis / diagnosis
  • Humans
  • Lymphogranuloma Venereum / diagnosis
  • Male
  • Mycoplasma Infections / diagnosis
  • Mycoplasmataceae / isolation & purification
  • Neisseria gonorrhoeae / isolation & purification
  • Sexually Transmitted Diseases / diagnosis*
  • Simplexvirus / isolation & purification
  • Trichomonas Infections / diagnosis
  • Trichomonas vaginalis / isolation & purification
  • Urine / microbiology*
  • Urine / parasitology