PATTERN OF SEXUALLY TRANSMITTED INFECTIONS IN MALES IN INTERIOR SINDH: A 10-YEAR-STUDY
Abstract
Background: Sexually transmitted infections (STIs) are widespread in Pakistan and have not beenfully documented particularly in Sindh Province. The aim of this study is to determine the number and
clinical pattern of various types of STIs in general population of Larkana division and its surrounding
cities. Methods: A hospital based prospective study was carried out at Male-STD-Clinic in the
Department of Dermatology, Shaheed Muhtarma Benazir Bhutto Medical University Hospital Larkana
from January 2000 to December 2009. Results: Among 4,288 patients, 3,947 (92.04%) had the history
of extra marital sexual contact and simultaneously had developed the clinical signs of STIs; 341
(7.95%) had history of extra marital sexual contact but did not have the manifestation of STIs. Majority
of the patients (3,860, 90.01%) had the history of heterosexual contact with different partners, but only
few 171 (3.98%) of them had the history of homosexual contact. According the syndromic diagnosis
1930 (45.00%) patients had genital ulcer (including herpes genitals) with or without skin
manifestations, 690 (16.09%) had urethral discharge, 431 (10.05%) had genital warts, 349 (8.14%) had
lesions other than STIs related, 304 (7.08%) had more than one syndrome, 193 (4.50%) had scrotal
swelling, 46 (1.07%) had inguinal bubo, 3 (0.06%) were human immunodeficiency virus (HIV)
positive, and 1 (0.02%) had ophthalmia neonatorum. Based on the clinical and etiological grounds:
2560 (59.70%) had syphilis, 640 (14. 92%) had gonorrhoea, 399 (9.30%) had mixed infections, 40
(0.93%) had chancroid, 431 (10.05%) had genital warts, 40 (0.93%) had lymphogranuloma venerum
(LGV) and granuloma inguinale (GI), 3 (0.06%) were HIV positive, 208 (4.85%) had genital herpes,
120 (2.79%) had orchitis, 56 (1.30%) had non gonococcal urethritis (chlamydia were 19), and 1
(0.02%) had ophthalmia neonatorum. Conclusions Mode of transmission of STIs in this region is
mainly by heterosexual contact and syphilis is the commonest followed by gonorrhoea.
Keywords: Sexually Transmitted Infections, Hetrosexuality, Pattern, Sindh Province, Pakistan
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