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Acute urinary retention following self treatment of genital warts with imiquimod 5% cream
  1. O McQuillan,
  2. S P Higgins
  1. Department of Genitourinary Medicine, North Manchester General Hospital, Delaunays Road, Crumpsall, Manchester M8 5RB, UK
  1. Correspondence to:
 Dr Orla McQuillan
 Department of Genitourinary Medicine, North Manchester General Hospital, Delaunays Road, Crumpsall, Manchester M8 5RB, UK; orla.mcquillanmail.nmanhc-tr.nwest.nhs.uk

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A 17 year old woman attended the accident and emergency department at our hospital in acute urinary retention. Examination revealed a palpable bladder and painful ulceration of the skin around the vaginal introitus. A urinary catheter was inserted and she was admitted to the urology ward. There was concern that the genital ulceration might be due to herpes simplex virus infection and we were asked to review the patient.

The patient was known to us, having presented to the genitourinary medicine (GUM) clinic 4 months …

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