Genital warts in men: treatment and diagnosis in St. Petersburg

Condylomas are overgrowths of the skin, as well as the appearance of formations on the mucous membranes. Such neoplasms are inflammatory in nature. The causative agent of this disease is a virus, namely the human papillomavirus. There is no need to independently treat condylomas in men. It's better to see a doctor.

A similar virus can infect a wide variety of areas of human skin, so it is necessary to immediately treat condylomas in men. To date, about a hundred varieties of this virus have been identified. Often the human papillomavirus is the cause of uterine dysplasia in women, the appearance of warts in humans and condylomas.

Prices for services

Initial appointment with a urologist FOR MEN + ultrasound of the prostate gland (assessment of complaints, medical history, if necessary, rectal digital examination, ultrasound of the prostate gland in men)

Primary appointment – visiting a doctor of a specific specialty for the first time. Includes a conversation with the patient, an initial examination, anamnesis, if necessary, a digital rectal examination, and an ultrasound of the prostate gland. The price is valid from 02/01/2021 The price is not valid for appointments at the branches of Bolshevikov Ave. and Prosveshcheniya Ave. Make an appointment

700 ₽ 900 ₽

Initial appointment with manager Department of Urology Rylchikov I.V. + Ultrasound (includes a conversation with the patient, initial examination, medical history, if necessary, rectal digital examination, ultrasound of the prostate gland)

Primary appointment – visiting a doctor of a specific specialty for the first time. Make an appointment

1170 ₽ 1500 ₽

Repeated appointment with the urologist

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550 ₽ 700 ₽

When examining a patient with genital warts:

nipple-shaped “outgrowths” that are “soft” to the touch;
single, multiple or confluent formations;
from pale pink to light brown;
resemble “cauliflower” type growth;
range from 1 mm to 20 mm in diameter.

The localization of condylomas in men can be different - on the skin of the perineum, the head of the penis (usually in the area of the head and urethra), in the perianal region and in the anus, as well as in the scrotum.

Why are condylomas dangerous?

Condylomatosis can be called a benign disease.

It is important to eliminate the growths in time, otherwise their area may increase.

Injury and complications may develop.

A bacterial infection can be associated with papillomavirus.

This will lead to the development of inflammation, which is called balanitis or balanoposthitis.

When the formations are localized in the lumen of the urethra, infection causes urethritis.

It manifests itself as pain when passing urine.

Damage to the mucous membrane by inflammation causes strictures to appear.

These are connective tissue cords that appear in the lumen of the canal and tighten it.

As a result, a person experiences difficulty in excreting urine and new infectious processes.

Condylomas of the anal area cause damage to the mucous membrane of the anus.

If a bacterium gets on an open wound surface, paraproctitis develops.

This is an inflammation of the anal area of a purulent nature.

Characteristic symptoms are bleeding during bowel movements and severe pain.

Condylomatosis has a rather unaesthetic appearance.

This provokes psychological discomfort in men and entails a decrease in libido.

Problems arise during sexual intercourse.

The most dangerous complication is the development of a malignant neoplasm at the site of the condyloma.

An oncological process, cancer of the glans penis, develops.

Symptoms

The incubation period ranges from 2 weeks to 3-6 months, in some cases it can be reduced to several days or increased to several years, depending on the reactivity of the body.

At the site where genital warts appear, the patient may notice the following symptoms:

itching and burning;
secretion from formations;
discomfort (during friction against underwear, the act of urination or defecation);
swelling, change in color, bleeding due to trauma.

If genital warts are located in the anus, the patient may complain of distension in the rectum, pain during bowel movements, traces of blood or mucus.

Symptoms and signs of condylomas

In most cases, condylomas are localized on the surface of the genital organs. Growths belong to the group of benign neoplasms that have a risk of degenerating into malignant ones. About three hundred million people are infected around the world. Women are more likely to suffer from manifestations of the virus, while men remain sources of infection. What condylomas look like depends on the specific type of HPV.

If we talk about symptoms, the disease may not manifest itself for a long time. As soon as changes occur in the body that reduce a person’s immune barriers, condylomas begin to cause obvious discomfort. It manifests itself in:

mild itching;
redness of the skin;
formation of small tubercles.

The growths gradually grow and take the form of a papule, spot or cockscomb. The number of genital warts may increase, and the itching may become stronger.

Upon visual examination, growths are often confused with papules, papillomas or molluscum contagiosum. To make a correct and accurate diagnosis, an examination by a specialist and tests are required.

Are you experiencing symptoms of condylomas?

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Causes of genital warts in men

The etiological factor in the occurrence of genital warts in men is infection with the human papillomavirus.

Other reasons are:

decreased general and local immunity;
the presence of chronic foci of infection;
psycho-emotional stress;
STDs (mycoplasmosis, chlamydia, trichomoniasis, etc.);
chronic infectious and inflammatory diseases of the genitourinary system;
unprotected sexual intercourse, a large number of different sexual partners;
anal sex;
use of common personal and intimate hygiene items (washcloths, towels, underwear), etc.

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Complications

Condylomas themselves on the head, labia or other surfaces of the body are not as dangerous as complications after them. The infection rate is 80-90%.

The proliferation of genital warts can lead to:

the addition of a secondary infection (suppuration, inflammation);
fusion of the foreskin;
malignant tumors.

Therefore, it is impossible to postpone the removal of condylomas with a laser or other method. It is necessary to eliminate not only the warts themselves, but also to comprehensively strengthen the immune defense of your body.

Diagnostics

The problem of diagnosing and treating human papillomavirus is associated with the high growth and spread of incidence, significant contagiousness and oncogenic potential of human papillomavirus (according to WHO statistics, HPV was detected in more than 12% of cases in squamous cell carcinoma of the anal canal).

Diagnosis of genital warts in men includes:

collection of anamnesis of the disease and complaints made by the patient (duration, nature of formations, presence of accompanying symptoms);
consultation and examination of a urologist, dermatovenerologist, proctologist;
performing laboratory tests and PCR studies for DNA typing of the human papillomavirus and its quantity;
PCR or ELISA diagnostics of concomitant sexually transmitted diseases;
anoscopy, proctoscopy for localization of condylomas in the anus;
cytological examination of genital warts.

Treatment of condyloma in the anus

In the presence of anal genital warts, doctors at the Yusupov Hospital carry out a combination treatment that combines conservative therapy with surgical removal of anal warts. In most cases, treatment is symptomatic and restorative. Therapy aimed at eliminating the cause of the disease consists of destroying the papilloma virus in the human body. It is complicated by the polymorphism of the virus and is characterized by high cost. At the Yusupov Hospital, doctors treat anal warts at a price that is lower than in other metropolitan clinics.

Proctologists at the Yusupov Hospital use the following methods for treating anal warts:

Physical (cryodestruction, laser removal of polyps, diathermocoagulation, electrosurgical excision, radio wave surgery);
Chemical (destruction with trichloroacetic acid, feresol, solcoderm);
Immunological (alpha, beta and gamma interferons);
Combined (combined use of various physical, chemical and medicinal methods).

Doctors at the proctology department warn patients that the relapse rate with destructive methods is high due to the fact that the human papillomavirus persists in the clinically unaffected tissue that surrounds the condyloma. For this reason, patients are prescribed interferon or its inducers (Viferon, Gepon, Kipferon, Cycloferon Ridostin), as well as other activators of antiviral immunity (Immunomax) as adjuvant therapy in combination with surgical excision. In addition, examination and treatment are carried out in the presence of condylomas in the anus of both sexual partners. During the period of therapy, patients are advised to abstain from sexual intercourse. Barrier contraception should be used for six months after the end of treatment. The most effective are combined methods of treating anal genital warts, which are based on a combination of destruction of visible lesions with the administration of antiviral immunity activators (interferons and their inducers).

The main difference between destructive methods is that when they are used, condylomas are destroyed quickly, often simultaneously. When using other methods, they are eliminated within a few hours or weeks. As a rule, this time is comparable to the healing time of lesions after exposure to physical methods. According to various authors, the frequency of relapses does not depend on the choice of treatment method. Thus, the obvious advantages of physical methods are neutralized. To use physical destructive methods, special premises, expensive equipment, and trained personnel with certificates for this type of medical activity are required. All this limits the use of these methods in widespread practice, especially in small medical centers or in areas where the clinic has only dermatovenerological, gynecological or urological offices. In this regard, conservative treatment methods that can be applied by any practitioner are of particular interest.

Treatment of genital warts in men

At the moment, the most effective treatment for genital warts in men is their removal.

There are various methods of destructive treatment of genital warts:

laser removal;
electrocoagulation method;
chemical exposure using pharmacological drugs;
use of radio wave devices.

In cases of high relapse rates and severe immune depression, antiviral and immunomodulatory drugs can be used as adjuvant drug therapy. After removal of genital warts in men, it is recommended to observe sexual rest for about 2-3 weeks, use local antiseptics to treat the wound surface, then drugs aimed at improving the repair and regeneration of damaged tissues.

What types of condylomas are there?

There are several types of condylomas based on their shape:

Flat;
Pointed;
Wide.

Flat condylomas are flush with the skin and look like spots.

They are rare, but are considered the most dangerous.

Condylomas acuminata are growths.

They look like warts and rise above the surface of the skin.

Widespread condylomas are called condylomas, which are caused by the entry of treponema into the body.

Pointed formations are quite common.

Prevention

Vaccination;

An effective way to prevent infection with the human papillomavirus is timely vaccination, which is carried out with a quadrivalent vaccine (against HPV types 16, 18, 6 and 11).

Barrier contraception;

During sexual intercourse, the use of barrier methods of contraception (condoms) is strongly recommended.

PPP – regular sexual partner;

To eliminate the risk of infection, it is necessary to avoid casual sexual intercourse and frequent changes of sexual partners.

Compliance with the rules of personal and intimate hygiene;

It is recommended to use only personal hygiene products for personal care - washcloths, towels, underwear, and to minimize visits to public baths and saunas, as there is a risk of household infection with this viral disease.

Timely diagnosis and treatment of sexually transmitted diseases and genitourinary system infections
Vitamin therapy (as prescribed by a doctor);
Rejection of bad habits;
Elimination of chronic stress.

There are contraindications, consultation with a specialist is required!

When to see a doctor

If you begin to notice pointed bulges on your body that were definitely not observed before, we recommend that you immediately contact a specialist. You should not wait until the disease begins to cause complications. Removal of genital warts is recommended to take care of health and maintain aesthetic beauty. For example, burning out a tumor with a laser is one of the fastest and most effective methods. The procedure takes a few minutes. The patient may only feel a slight burning sensation, a feeling of warmth. The procedure is not accompanied by pain or severe discomfort. It is not hazardous to health. The laser beam hits a precisely targeted target. Healthy tissues are not affected. Therefore, laser cauterization does not leave scars or stains. A small brown spot then forms at the site of the condyloma. The dermis will heal within 5-10 days. A crust will appear on the surface that cannot be picked or scratched. It provides protection against bacteria and infection.

As soon as the site of the removed condyloma heals, the crust will fall off on its own. Immediately after the procedure, you should not take a bath, visit the sauna, pool, or be in the open sun. All water procedures are acceptable after 5-7 days.

You can receive complex treatment at JSC "Medicine" (clinic of Academician Roitberg) in the center of Moscow at the address: Mayakovskaya metro station, 2nd Tverskoy-Yamskaya lane, building 10. Leading specialists work here, who select an individual approach for each patient, taking into account characteristics of his illness.

How to treat anal condylomas

To remove genital warts, doctors use concentrated solutions of acids, alkalis, salts, hydrogen peroxide, solutions of hingamine and quinine, preparations based on lactic and salicylic acids, nitric and acetic acid, celandine and thuja juices. Solcoderm is especially effective. This is an aqueous solution, the active ingredient of which is the reaction products of acetic, lactic and oxalic acids, as well as metal ions with nitric acid. When solcoderm is applied topically to the affected areas, intravital fixation occurs (the structure of the neoplasm is preserved). Subsequently, the pathologically altered tissues become mummified. Healing occurs under the scab. This eliminates the formation of an open wound surface.

Podophyllotoxin is a cytotoxic drug. The drug is available in the form of 0.25, 0.3 and 0.5% solutions, as well as in the form of 0.15, 0.3 and 0.5% cream. It is more suitable for the treatment of genital warts, but is ineffective for the treatment of anal warts.

Doctors at the Yusupov Hospital prescribe to patients a 0.5% solution (condilin) registered in the Russian Federation or a 0.15% cream – Vartek. Patients can safely self-administer the drug. Some patients develop side effects in the form of local inflammatory reactions, skin redness, burning, itching, and soreness.

DNA inhibitors have a great therapeutic effect. 5-Fluorouracil is a pyrimidine antagonist. Proctologists prescribe it for the treatment of anal warts in the form of a 5% cream. Despite the fairly high effectiveness, availability and low cost of the drug, the use of 5-Fluorouracil in widespread practice is limited due to the high incidence of side effects. The drug is also contraindicated during pregnancy and breastfeeding. The cream of the required concentration is prepared by prescription in pharmacies according to a prescription prescribed by a doctor.

To prevent the re-formation of anal genital warts, proctologists prescribe interferon or its inducers. Immune drugs can increase the effectiveness of treatment and reduce the frequency of relapses. Combined immunotherapy is used in the treatment of persistent, difficult-to-treat anal genital warts. Proctologists use various techniques. Immune drugs are combined with laser therapy, cryodestruction, electrocoagulation, and solcoderm. Proctologists at the Yusupov Hospital use interferons registered in the Russian Federation: Viferon, Reaferon, Kipferon, Intron A, Realdron. Doctors prefer recombinant rather than human interferons.

For the treatment of anal condylomas, a low molecular weight derivative of imihidazoquinolinamine, imiquimod, is used topically in the form of a 5% cream 3 times a week or daily at night until the rash completely disappears. After using the drug, redness, swelling of the perianal area, and erosion sometimes occur.

Doctors influence antiviral immunity using an antiviral immunity activator - Immunomax. This is a herbal preparation that is available in the form of a lyophilized powder of 200 units in vials for injection. Proctologists remove anal condylomas from patients using one of the destructive methods or using Solcoderm and at the same time prescribe intramuscular injections of Immunomax. In 68% of patients, at the end of treatment, there is no re-formation of genital anal warts, and after additional destruction sessions, the effectiveness of combination therapy reaches 98%.

Isoprinosine is an immunomodulator that stimulates the body's antiviral defense. It normalizes deficiency or impaired function of cellular immunity. In addition to immunotropic, Isoprinosine has a direct antiviral effect. The drug is successfully used for the treatment of anal warts.

Therapy

Treatment of condylomas in men requires an integrated approach. It not only allows you to get rid of the visual manifestations of the disease, but also reduces the titer of the virus in the body. Since the disease is characterized by a recurrent course, it is important to promptly seek help from a doctor when new formations appear.

Therapy includes the following appointments.

Topical preparations in the form of ointments or creams. Their use helps prevent further spread and growth of condylomas.
The use of cytostatic drugs: special chemical compounds that eliminate tumors.
Chemical cauterization of condylomas.
Destruction of neoplasm using liquid nitrogen.
Electrocoagulation.
Laser destruction.
Surgical excision.

The Dr.AkNer Medical Center has modern equipment that allows you to quickly get rid of an unpleasant defect. You should not be afraid of treating condylomas in men in the groin; local anesthesia makes all interventions painless, so you will eliminate the external manifestations of the disease with minimal discomfort.

To prevent subsequent exacerbations, the doctor will prescribe antiviral and immunomodulatory drugs.