Mpox (monkeypox) causing penile lesions and acute urinary retention.

Area of Science:

• Urology
• Infectious Diseases
• Dermatology

Background:

• Mpox (monkeypox) is a viral disease with a diverse clinical presentation.
• Genital manifestations of mpox are increasingly recognized.
• Acute urinary retention (AUR) is a rare complication of mpox.

Observation:

• A homosexual man presented with penile lesions and AUR following sexual contact with an mpox-positive partner.
• The patient had no significant comorbidities.
• Initial management included urethral catheterization and broad-spectrum antibiotics.

Findings:

• Blood and urine cultures were negative.
• The patient was successfully weaned from the catheter.
• Conservative management led to a favorable outcome.

Implications:

• This case highlights the potential for mpox to cause significant urological complications.
• Early recognition and management of AUR in mpox patients are crucial.
• Further research is needed to understand the pathogenesis of mpox-related GU complications.