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Mpox (monkeypox) causing penile lesions and acute urinary retention
  1. Natalia Hackett,
  2. Prabhat Narayan and
  3. Simon Huf
  1. Royal Berkshire NHS Foundation Trust, Reading, UK
  1. Correspondence to Dr Natalia Hackett; natalia.hackett{at}


This is the first ever reported case of mpox (monkeypox) causing penile lesions and acute urinary retention (AUR) in a homosexual man, who had intercourse with his confirmed positive mpox (monkeypox) partner. The patient did not have any significant comorbidities and was managed conservatively with an urgent urethral catheter and co-amoxiclav as per the microbiologist’s advice to cover for his skin soft tissue infection (SSI). His blood parameters, urine and blood cultures were all normal. He was successfully trialled without a catheter (TWOCd) in a few days and was discharged home with an outpatient follow-up plan in Andrology Clinic with a flow rate, postvoid residual (PVR), International Prostate Symptoms Score (IPSS) and pain score. He was also planned to be contacted by the sexual health team to ensure a holistic follow-up.

  • Public health
  • Sexual health
  • Catheterisation / catheter care
  • Urinary and genital tract disorders
  • Global Health

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  • NH and PN are joint first authors.

  • Twitter @nataliahackett, @Prabhat30181608

  • Contributors NH conceived of the presented idea, wrote the initial manuscript and made the editorial suggested edits with support from PN who re-formatted, added updated data and contributed urological expertise. SH helped supervise the project.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.