Acute urinary retention secondary to urethral inflammation from a vaginal contraceptive suppository in a 17-year-old boy.
We report the case of a 17-year-old boy who developed acute urinary retention following unprotected intercourse. His partner employed for the first time a nonoxynol-9-based commercial vaginal contraceptive insert. During intercourse the patient felt severe burning pain in the urethra. He was subsequently unable to void. Flexible cystourethroscopy revealed gross mucosal erythema and inflammation in the distal urethra and navicular fossa. We discuss the clinical management and review relevant literature.
Saborio
D V
DV
Department of Surgery, Harlem Hospital Center, College of Physicians and Surgeons of Columbia University, New York, NY 10037, USA.
Kennedy
W A
WA
Hoke
G P
GP
D000208:Acute Disease; D000293:Adolescent; D003271:Contraceptive Agents, Female / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D017137:Nonoxynol / Q000009:adverse effects*; D013089:Spermatocidal Agents / Q000009:adverse effects*; D013488:Suppositories; D014526:Urethritis / Q000139:chemically induced* / Q000150:complications; D016055:Urinary Retention / Q000209:etiology*
D003271:Contraceptive Agents, Female; D013089:Spermatocidal Agents; D013488:Suppositories; D017137:Nonoxynol