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Urethral condyloma accuminata causing bladder outlet obstruction in pregnancy: a case report
Brent A Parnell1, Elizabeth J Geller, Mary L Jannelli
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Old Clinic 3230, Campus Box 7570, Chapel Hill, NC 27599-7570, USA. bparnell@med.unc.edu
Surgical removal of obstructive urethral condyloma (genital warts) during pregnancy safely resolves bladder outlet obstruction. This effective treatment allows for a rapid return to normal urinary function for expectant mothers.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Dermatology
Background:
- Condyloma acuminata, a common sexually transmitted infection, can present unique challenges during pregnancy.
- Hormonal changes in pregnancy may exacerbate existing lesions or lead to new condyloma formation.
Observation:
- A 31-year-old pregnant patient at 28 weeks gestation experienced severe voiding difficulties due to a urethral mass.
- Progressive obstruction led to compensatory voiding techniques and incomplete bladder emptying.
Findings:
- Office-based surgical excision of the obstructive urethral condyloma was performed.
- The procedure resulted in immediate and complete resolution of the patient's voiding symptoms.
Implications:
- Surgical resection of urethral condyloma is a safe and effective treatment for pregnancy-related bladder outlet obstruction.
- Prompt intervention can restore normal voiding function, improving maternal well-being during gestation.
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