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.
Authors
- N.N. Kharitonov
- Nikolay P. Kushnirenko (ORCID: https://orcid.org/0009-0004-1960-4696)
- V. K. Karandashov (ORCID: https://orcid.org/0009-0001-5155-9491)
- M.V. Paronnikov (ORCID: https://orcid.org/0009-0005-1762-6100)
- Vladimir V. Protoshchak (ORCID: https://orcid.org/0000-0002-4996-2927)
- А Е Горбунов
- P. A. Babkin (ORCID: https://orcid.org/0000-0003-0829-2661)
- Nikolai Yu. Iglovikov (ORCID: https://orcid.org/0009-0006-2027-9573)
Institutions
- S. M. Kirov Military Medical Academy (RU)
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
- Field-Weighted Citation Impact
- 0.00