MetroVan Urology

These are probably uncommon causes of urethritis in males, but may be a cause of 'non-gonococcal non-chlamydial urethritis'. There are several different emperic treatment recommendations but a commonly used one is azithromycin 1 g single dose. These organisms are very difficult to culture and therefore specialized testing is required (this is not available in British Columbia). The BC Centre for Disease Control can, however, send urine for DNA PCR to Winnipeg to test for both bacteria under special circumstances.

Genital warts are caused by the HPV virus. Typically serotypes 6 and 11 but there are several others

External warts:

Urethral meatal warts:

1. Cryotherapy - every 2 weeks until eradicated. First choice if accessible
2. Podophyllin 10%-25% weekly until eradicated; applied, I for 1 minute, wash after 2-4 hours every 1-2 weeks
3. Fluorouracil gel 5% - 2 g of gel with urethral applicator LEFT in urethra for 30 minutes weekly; probably the best treatment for lesions not amenable to cryotherapy
4. Surgical removal if large