Urethral condyloma accuminata causing bladder outlet obstruction in pregnancy

BACKGROUND: Condyloma accuminata represents the most common sexually transmitted disease in the United States. Pregnancy can lead to enlargement of existing lesions or development of new lesions. CASE: A 31-year-old woman presented at 28 weeks' gestation with a complaint of difficulty voiding due to an obstructing urethral mass. In the weeks preceding presentation voiding had become progressively more difficult, leading to Valsalva voiding, the use of the Credé maneuver and the sensation of incomplete emptying. Excision in the office setting resulted in complete resolution of her symptoms with return to normal voiding. CONCLUSION: Resection of obstructive urethral condyloma can be a safe and effective treatment for bladder outlet obstruction during pregnancy with rapid return to normal voiding.