Multiple recurrent condylomata acuminata of the peni

Condylomata acuminata of the penis are a type of anogenital venereal warts characterized by exophytic growths on the skin of the external genitalia and the mucosa of the urethra. They are caused by human papillomavirus (HPV) types 6, 11, 16, 18, 31, 33, and 35, with types 6 and 11 being the most pathogenic. The virus is primarily transmitted sexually, entering the bloodstream through mucosal or skin defects during unprotected intercourse. The presented clinical case highlights the necessity of combining surgical treatment with local and systemic pharmacotherapy in a young patient with multiple recurrent condylomata acuminata of the glans and foreskin that were resistant to conservative treatment. A combination of prolonged antiviral therapy and topical application of podophyllotoxin proved insufficient, leading to widespread penile involvement. Persistent disease progression was attributed to infection with HPV type 6. The surgical intervention included circumcision, frenuloplasty, excision of residual warts on the glans, and electrocauterization of affected skin areas, followed by antiviral therapy with interferon, which resulted in complete clinical recovery. No recurrence was observed within six months.

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Publication Details

Journal
Urology reports (St - Petersburg)
Published
2024-12-12
DOI
https://doi.org/10.17816/uroved633629
Primary Topic
Genital Health and Disease
Type
article
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article

Multiple recurrent condylomata acuminata of the peni

N.N. Kharitonov, Nikolay P. Kushnirenko, V. K. Karandashov, M.V. Paronnikov et al.
Urology reports (St - Petersburg)
Genital Health and Disease
article

Multiple recurrent condylomata acuminata of the peni

N.N. Kharitonov, Nikolay P. Kushnirenko, V. K. Karandashov, M.V. Paronnikov, Vladimir V. Protoshchak, А Е Горбунов, P. A. Babkin, Nikolai Yu. Iglovikov
article en

Abstract

Condylomata acuminata of the penis are a type of anogenital venereal warts characterized by exophytic growths on the skin of the external genitalia and the mucosa of the urethra. They are caused by human papillomavirus (HPV) types 6, 11, 16, 18, 31, 33, and 35, with types 6 and 11 being the most pathogenic. The virus is primarily transmitted sexually, entering the bloodstream through mucosal or skin defects during unprotected intercourse. The presented clinical case highlights the necessity of combining surgical treatment with local and systemic pharmacotherapy in a young patient with multiple recurrent condylomata acuminata of the glans and foreskin that were resistant to conservative treatment. A combination of prolonged antiviral therapy and topical application of podophyllotoxin proved insufficient, leading to widespread penile involvement. Persistent disease progression was attributed to infection with HPV type 6. The surgical intervention included circumcision, frenuloplasty, excision of residual warts on the glans, and electrocauterization of affected skin areas, followed by antiviral therapy with interferon, which resulted in complete clinical recovery. No recurrence was observed within six months.

Urology reports (St - Petersburg)Vol. 14(4)
S. M. Kirov Military Medical Academy (RU)
Openalex Percentile: Top 54%
Genital Health and Disease
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