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Penile Warts


Presentation

  • Comments about these cases, in correlation with other factors are presented. The findings in this study confirmed the HPV involvement in penile warts.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: HPV is present in the urogenital tracts of men with gonorrhoea, penile warts and with genital dermatoses.[ncbi.nlm.nih.gov]
  • Patient number 1 presented a 3 cm diameter genital wart located on the penis. Patient 2 presented a 4cm diameter wart located on the pubis.[ncbi.nlm.nih.gov]
  • A 50 year old patient presented to us with genital warts for duration of 4 years.[sti.bmj.com]
Infertility
  • SUBJECTS: Patients attending the Genitourinary Clinic for treatment of sexually transmitted diseases including penile warts and males attending Kings' ACU for investigations of infertility.[ncbi.nlm.nih.gov]
  • These sequelae include pelvic inflammatory disease (PID), ectopic pregnancy, and infertility. Adolescent and young women are more likely to develop PID.[atsu.edu]
Suggestibility
  • CONCLUSIONS: The data suggest that urethral HPV infections, as indicated by the presence of HPV DNA in semen, are prevalent in males with and without genital warts.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: These findings suggest that extending the treatment margins 1 cm beyond the visible lesion is ineffective in eradicating the virus and preventing recurrence of warts.[ncbi.nlm.nih.gov]
  • Some studies have suggested that they are effective at reducing transmission. [10] Other studies suggest that condoms are not effective at preventing transmission of the low-risk HPV variants that cause genital warts.[en.wikipedia.org]
  • I would suggest you both read through the information in the archives chapter devoted to magnetic couples. You should find the information enlightening and reassuring.[thebody.com]
  • There have been reliable suggestions that some strains of HPV might be linked to cancer of the mouth and throat in the middle or later life, and this is now looking increasingly likely.[netdoctor.co.uk]
Genital Lesions
  • lesions are atypical in appearance; pigmented, indurated, or fixed; resistant to standard treatments; or occurs in patients who are older ( 40 years of age) or immunocompromised.[gpnotebook.co.uk]
  • No major differences were noted between cc groups with respect to the number of sexual partners in the previous month, and approximately two-thirds of both groups reported symptoms of genital lesions when specifically queried about lesions prior to examination[cirp.org]
  • Sometimes, they cause genital lesions known as condylomata acuminata or venereal warts. A subgroup of the HPVs that infect the anogenital tract can lead to precancerous changes in the uterine cervix and cervical cancer.[medicinenet.com]
  • lesions Intralesional steroids 12 Lichen planus Smooth, purple, polygonal papules and plaques History of pruritus; examination may reveal lacy white Wickham striae Topical or intralesional steroids 13 Molluscum contagiosum Pearly, flesh-colored to brown[aafp.org]
Penile Lesion
  • Biopsies of clinically healthy penile skin 1 cm from the nearest penile lesion (wart with/without surrounding acetowhite changes) were processed for histology and HPV DNA analysis. The penile wart was processed for HPV DNA analysis only.[ncbi.nlm.nih.gov]
  • Penile lesions. Figure 1. Lesions above the clitoris. Figure 2. Internal warts can affect the mucous membranes of the vagina, urethra, anus, and mouth.[aafp.org]
  • Noninfectious penile lesions. Am Fam Physician. 2010;81(2):167–174. 14. Lee R, Schwartz RA. Pediatric molluscum contagiosum: reflections on the last challenging poxvirus infection, part 1. Cutis. 2010;86(5):230–236. 15. Rodriguez MI, Leclair CM.[aafp.org]
Penile Lesion
  • Biopsies of clinically healthy penile skin 1 cm from the nearest penile lesion (wart with/without surrounding acetowhite changes) were processed for histology and HPV DNA analysis. The penile wart was processed for HPV DNA analysis only.[ncbi.nlm.nih.gov]
  • Penile lesions. Figure 1. Lesions above the clitoris. Figure 2. Internal warts can affect the mucous membranes of the vagina, urethra, anus, and mouth.[aafp.org]
  • Noninfectious penile lesions. Am Fam Physician. 2010;81(2):167–174. 14. Lee R, Schwartz RA. Pediatric molluscum contagiosum: reflections on the last challenging poxvirus infection, part 1. Cutis. 2010;86(5):230–236. 15. Rodriguez MI, Leclair CM.[aafp.org]
Premature Ejaculation
  • May 3 Someone from Asia said: poor blood circulation May 2 Someone from Thailand said: You should come out also what the bad implication we can get from these negative effects eg1.premature ejaculation--- brings about divorce or unhealthy marriage which[howtostopmasturbation.com]

Workup

  • Even though men play a key role in the transmission of HPV to women, and can develop forms of cancer caused by HPV, we have still limited information on HPV infection in men and on the appropriate diagnostic workup that must be applied to detect HPV infection[doctorsinitaly.com]
Human Papillomavirus
  • Abstract Infection with human papillomavirus (HPV) has been established to be a sexually transmitted disease, with a potential risk of intraepithelial neoplasia and invasive cancer, function of the genotype involved.[ncbi.nlm.nih.gov]
  • Abstract Fifteen semen specimens from 10 men with intrameatal penile warts attending a genitourinary clinic were tested by Southern blot hybridisation for the presence of human papillomavirus (HPV) DNA.[ncbi.nlm.nih.gov]
  • Author information 1 Clinical HIV Research Unit, Department of Medicine, University of the Witwatersrand, Johannesburg, South Africa. cindy.firnhaber@righttocare.org Abstract Few data exist regarding the human papillomavirus (HPV) types in penile warts[ncbi.nlm.nih.gov]
  • OBJECTIVE: To assess the presence of human papillomavirus (HPV) DNA in urethral and urine specimens from men with and without sexually transmitted diseases. DESIGN: Prospective study.[ncbi.nlm.nih.gov]
  • Alex Shteynshlyuger If you have any questions, to schedule a consultatio n for penile wart treatment or if you need a second opinion , please contact us or call 1-(646) 663-5545 Penile warts are usually caused by the HPV (Human papillomavirus).[newyorkurologyspecialists.com]

Treatment

  • Podophyllotoxin can therefore be used safely and effectively for home treatment monitored at an outpatient clinic and provides a useful alternative to treatment with podophyllin at overburdened genitourinary medicine clinics.[ncbi.nlm.nih.gov]
  • BACKGROUND AND OBJECTIVES: Anogenital warts frequently recur following ablative treatment, and in the female, has been attributed to the presence of latent HPV infection outside the treatment margins.[ncbi.nlm.nih.gov]
  • Based on the response of individual warts to the 2 treatment regimens, the clearance rate was 42.6% (20/47) for the PE treated group and 25% (15/56) for the PB treated group after 1 week treatment (ns).[ncbi.nlm.nih.gov]
  • The costs of drug treatment (excluding staff time) are at least pounds 10.00 less for podophyllin than podophyllotoxin.[ncbi.nlm.nih.gov]
  • SUBJECTS: Patients attending the Genitourinary Clinic for treatment of sexually transmitted diseases including penile warts and males attending Kings' ACU for investigations of infertility.[ncbi.nlm.nih.gov]

Prognosis

  • Google Scholar 12 : Thickness, cross-sectional areas and depth of invasion in the prognosis of cutaneous melanoma. Ann Surg 1970 ; 172 : 902.[auajournals.org]
  • Prognosis Genital warts are benign growths and are not cancerous by themselves. Repeated HPV infection in women, however, appears to increase the risk of later cervical cancer.[medical-dictionary.thefreedictionary.com]
  • Prognosis Genital warts may go away on their own or with treatment. It is common for them to return.[drugs.com]
  • Outlook (Prognosis) Many sexually active young women become infected with HPV. In many cases, HPV goes away on its own. Most men who become infected with HPV never develop any symptoms or problems from the infection.[stlukes-stl.com]

Etiology

  • Etiology The etiology of most cases of NGU is not known however, Chlamydia trachomatis serovars D-K is a frequent cause (15%--55% of cases). The prevalence differs by age group, with fewer infections associated with this organism among older men.[atsu.edu]
  • Etiology Genital warts are caused by several of the epidermotropic human papillomaviruses (HPVs). HPV-6 and HPV-11 most commonly are isolated; however, many of the more than 60 types of HPV may cause condyloma.[emedicine.medscape.com]
  • Etiology There are 100 known types of HPV. Some cause common skin warts . Some infect primarily the skin and mucosa of the anogenital region.[merckmanuals.com]
  • Etiology HPV types 6 and 11 cause 90% of condyloma acuminatum, with other low-risk (noncarcinogenic) HPV types (including HP 40, 42, 43, 44, 54, 61, 70, 72, 81, and CP6108) accounting for the remaining 10% of cases.[clinicaladvisor.com]

Epidemiology

  • HPV DNA in the urethral swab and urine specimens may represent different aspects of the epidemiology of HPV in the male genital tract.[ncbi.nlm.nih.gov]
  • Given the lack of systematic reviews focusing on the epidemiology of AGWs in the literature, the objective of this study was to review the recent published literature on the global epidemiology (incidence and prevalence) of AGWs in the general adult population[bmcinfectdis.biomedcentral.com]
  • Summarizes recent epidemiologic data regarding condyloma acuminatum and HPV infection in the United States.) Chin-Hong, PV, Husnik, M, Cranston, RD.[clinicaladvisor.com]
  • "Condylomata acuminata (anogenital warts) in adults: Epidemiology, pathogenesis, clinical features, and diagnosis". UpToDate. Retrieved 2018-01-01.[en.wikipedia.org]
  • Epidemiology Humans are the only known host and infection is almost always via sexual contact. There are about 300,000-500,000 reported cases/year in the U.S.[atsu.edu]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology The pathophysiology of infection with any HPV type begins with inoculation of virus into the epithelium through microabrasions. HPV infects basal keratinocytes; HPV then replicates in those cells and integrates into the host DNA.[clinicaladvisor.com]
  • Pathophysiology Human papillomavirus (HPV) invades cells of the basal layer of the epidermis, penetrating skin and mucosal microabrasions in the genital area. A latency period of 3 weeks to 9 months may ensue.[emedicine.medscape.com]

Prevention

  • CONCLUSIONS: These findings suggest that extending the treatment margins 1 cm beyond the visible lesion is ineffective in eradicating the virus and preventing recurrence of warts.[ncbi.nlm.nih.gov]
  • Currently, an HPV vaccine is available to prevent HPV warts but it is only effective for men and women who have not been infected. The treatment for penile warts involves ablation or removal of genital warts .[newyorkurologyspecialists.com]
  • Centers for Disease Control and Prevention website. Available at: . Updated January 28, 2011. Accessed August 2, 2018. Human papillomavirus (HPV). Centers for Disease Control and Prevention website. Available at: . Updated April 5, 2018.[lahey.org]
  • United States Preventive Services Task Force website. Available at: . Published March 2015. Accessed March 28, 2015. Saslow D, Soloman D, et al.[cancercarewny.com]
  • So the best way to prevent it is to not have sex (vaginal, oral, or anal). If someone does decide to have sex, using a condom every time for sex (vaginal, oral, anal) helps prevent HPV and other STDs.[kidshealth.org]

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