INTRA URETHRAL WART MANAGED WITH IMIQUIMOD - A CASE REPORT

Anogenital warts refer to the pedunculated, papular or macular lesions of the anal and or genital mucosa and its adjoining area caused by human papillomavirus (HPV) infection. The diagnosis of anogenital warts is mainly based on the history of exposure, clinical appearance, and  epidemiological proof of the warts in the sexual contact.  Patient may have intra-urethral warts in the absence of  external warts. The choice of therapy of the intra-urethral warts depends on the morphology and extent of the warts, the experience of the caregiver and the preference of the patient. We evaluated whether or not imiquimod can rapidly, safely, and effectively eradicate the urethral condylomata. A 27 year old male presented with intra-urethral wart of 1 year  duration. He was treated with Imiquimod 5 cream thrice weekly application. There was a dramatic response with  evidence of clearance to about 90 in 3 weeks. We continued the drug for upto 12 weeks. The lesions cleared  completely. Urethroscopic examination was done to rule out the presence of remnant warts intraurethrally. The case is under follow-up with no macroscopic recurrence for 4 months.