HPV – Genital Warts – Condyloma What is HPV, Genital Warts or Condyloma?

HPV – Genital Warts – Condyloma What is HPV, Genital Warts or Condyloma?

Human Papilloma Virus (HPV) is a viral disease that is usually sexually transmitted to humans and can cause warts (also known as condyloma) in the genital area.

Why Is HPV Important?

HPV is a viral infection that is mostly transmitted through sexual intercourse. Its easy transmission makes it common. In men, although rare, it can cause cancers of the penis, scrotum (ovary) and around the anus. It gains importance because it is easily transmitted, can be seen widely in the society and can be a cause of cancer. HPV is also closely related to our society.
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In which region are genital warts and condyloma most common in men? Where are the warts on the penis?

More than 70 types of human papilloma virus have been defined, and about 30 of them are predisposed to the anogenital (anus and genital area) region. In men, it is most commonly located in the preputium (foreskin), frenulum, and coronal sulcus (the groove at the tip-head of the penis). A single lesion may be seen, or there may be multiple lesions spread over the entire genital area. It is also frequently observed around the rectum and anus in men, and it can spread to the last part of the intestine from here.

What is the Appearance of Genital Warts in Men? What Size Are Genital Warts On The Penis?

Lesions in the genital area in men are usually 2-10 mm in diameter. While it has been reported that 70-95% HPV types 6 and 11 and carcinogenic types are less common in condyloma acuminata lesions, which are the classical form of HPV infection, it has been reported that carcinogenic HPV subtypes (type 16 and 18) are generally found in asymptomatic lesions.

How is the diagnosis made in men? Which Path Is Followed?

Skin lesions due to typical HPV infection (cauliflower-like lesions) are easily recognized. Condoms are insufficient to prevent warts. For this reason, it is not recommended for couples to have intercourse even with condoms for the first 1 month under treatment.

Genital Warts, Penile Warts, Does HPV Virus Cause Cancer in Men?

There is a close relationship between genital HPV infection and genital cancer formation. Especially HPV type 16 has also been detected in scrotal cancers (scrotum, bag cancer) in men. It is also known to cause penile cancer. HPV, which can cause penile cancer in men, can also cause cancer in the rectum region, which is the last part of the anus and large intestine, when it settles around the anus and anus regions. Apart from this, HPV is also known to cause cancer of the palate, adenoid, tonsil, tongue, larynx and in some cases esophagus cancer in men, especially through oral sex. In short, Human papilloma virus is a serious risk factor for cancer formation in all regions where it can be transmitted. But the probability of developing cancer is very low. Less than one in 10000

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Lesions caused by HPV

Genital Warts, How is HPV Virus Transmitted and Spread in Men?

  HPV infection is most commonly transmitted during sexual intercourse. In recent years, there are many reports and publications showing that the incidence of this disease has increased gradually. The most important risk factors for HPV infection are age and number of sexual partners. The disease is most common during the active sexual period. It is a very contagious virus, it can only be transmitted by close contact of the genitals or even from public toilets. BUT IT DOESN'T MAKE A LESION IN EVERY CONTACT PERSON IF THE IMMUNE SYSTEM IS RESISTANT MAY NOT MAKE ANY COMPLAINTS. The incubation period (the time it takes for the warts to become visible after the virus enters the body) is a long period of 3 weeks to 7 months. Therefore, effective treatment is difficult. Treatment is much more difficult for couples who are married or have sexual intercourse. The most important difference that distinguishes this disease from other sexually transmitted diseases is that it DOES NOT CREATE COMPLAINTS that affect daily life. Most people know that they have these warts, but they are not aware of the seriousness of the condition. Therefore, he does not seek medical treatment. Can HPV be transmitted in other ways? There is no evidence that HPV can be transmitted from infected toilet seats, door handles, towels, soap, swimming pools or bathtubs, but according to our clinical experience, it has been seen that it is transmitted as a result of shared use of razors used for genital cleaning. Such a transition has not been demonstrated in clinical studies. However, it does not rule out the possibility of non-sexual pathways in the formation of some unexplained HPV lesions.

How to Treat Warts on the Genital Area and Penis in Men?

The treatment method of genital warts (condyloma) caused by HPV lesion in men may vary according to the location, number, size of the lesions, patient compliance, age and pain threshold. Antibiotics have no effect in the treatment of viral diseases. The aim of the treatment of this disease is to eliminate the visible and invisible lesions completely and to reduce the risk of recurrence and contagiousness. Destruction is possible by surgical removal, burning with cautery or carbon dioxide laser application, freezing with cryotherapy or burning with drugs in the form of cream or liquid in some groups of patients. Of these treatment methods, cauterization and treatment with plasma therapy are the most practical treatment modalities. The effect of creams and solutions is not seen immediately, it is applied by the patient several times a week. When it moves out of the lesion, damage to the normal tissue also occurs. Invisible lesions cannot be destroyed. The stain stays longer on the skin. In our center, the cauterization process is applied with methods that will not cause any pain, pain and interfere with the daily activities of the patients, and when necessary, a piece can be taken for histopathological examination.

Will I Carry HPV for Life?

The answer to this question is not clear. It was observed that 70% of people who were positive in HPV sensitive tests (polymerase chain reaction (PCR) and Hybrid Capture 2) were negative within the first year and 90% within 2 years. This is due to the effective immune response against HPV. It is not known exactly what this means: was the virus completely cleared from the body, or was it suppressed to very low numbers that were undetectable even with these sensitive tests? Since most people with an effective immune response against HPV do not develop lesions, complete suppression or suppression of HPV is not important.

Warts and other HPV lesions may recur in some people when the immune system is severely weakened for the rest of life.

Are Condoms Sufficient for Protection from HPV Contagion?

No, unfortunately, using condoms is not enough to protect against sexually transmitted HPV. Because Human papilloma virus can be transmitted from all skin areas that come into contact during sexual intercourse. In addition, it is not necessary to have a full sexual intercourse for the virus to be transmitted. If a person carrying the virus in the groin close to the genital area comes into contact with the external genital area of another person, the virus can also pass from skin to skin. Since condoms are not effective, there is no way of protection other than a single partner.

If You Have Genital Warts, HPV Virus; Do not shave or cut HPV lesions, genital warts or condyloma formations.

There is a blood test for the detection of HPV virus, but the results are not very successful, negative results do not mean 100% negative. The partners of people diagnosed with condyloma should also be examined and treated if necessary. Because an untreated partner can cause a constant re-infection of the infection.

Is HPV Vaccine (Gardasil or Cervarix) Applied to Men?

Yes, it is approved for use in men by the World Health Organization. It has over 90% protection against genital warts. Vaccination can be given after 9 years of age.

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As a result, although it is a treatable disease, it is a condition that should be taken seriously and treated. In addition, the partner must undergo a doctor's control.

https://www.sciencedirect.com/science/article/pii/S0264410X06005767