Genital warts in men appear on the mucous membranes of the genital organs when infected with human papillomavirus types 6 and 11. These seemingly harmless tumors can lead to serious complications. To prevent this, you should contact a specialist as soon as possible and remove the condylomas.
Genital warts in a man
At the Diana Clinic, patients can receive comprehensive medical care for diagnosing the HPV virus and removing genital warts in men.
What are condylomas on the penis
Condylomas are a type of warts localized in the anogenital area: anal folds, groin, testicles, penis. Pointed formations belong to the exophytic type - they grow upward and do not take root inside the tissues.
What do condylomas on the penis look like: they are small, soft, pink or flesh-colored formations that look like a cone. They appear in the form of single growths or their clusters. Below are several photos with different types of genital warts (condylomata acuminate), which differ from genital warts in the type of pathogen, their appearance and cellular structure. All photos are 18+, so they can be opened via the link.
- Keratolytic warts on the male penis - https://prntscr.com/vizvpe.
- Flat condyloma (growing inward) – https://prntscr.com/vizvst.
- Bowenoid papulosis on the penis - https://prntscr.com/vizvw3.
Condylomas in various places:
- Genital warts - https://prntscr.com/vizw6d.
- Condylomas on the coronal sulcus - https://prntscr.com/vizwac.
- Condylomas in the urethra - https://prntscr.com/vizwe2.
- Condylomas on the frenulum and foreskin - https://prntscr.com/vizwn2, https://prntscr.com/vizwra, https://prntscr.com/vizwuo, https://prntscr.com/vizwyb.
- Dark condylomas on the testicles and pubis - https://prntscr.com/vizx2x.
Why they are dangerous: condylomas can be precursors to malignant tumors - much depends on the type. Cancer of the penis and anus can be caused by human papillomavirus types 16, 31, 33, 18.
Most Commonly Detected HPV Types
Single genital condylomas, apart from aesthetic inconvenience, do not cause any other problems. Complications appear when they begin to grow. Symptoms: cracks, pain, bleeding, burning. Infections invade damaged tissues, causing secondary inflammation. In such cases, condylomas turn red, become covered with a whitish coating, and bleed. The formation of fistulas and the appearance of an unpleasant odor are possible.
Condylomas in the urethra interfere with normal urination, provoke the formation of strictures, and deformation of the bladder walls due to constant increased pressure. The virus can spread to the rectum. In such cases, inflammation, bleeding and pain during bowel movements are possible. Condylomas on the head and foreskin can cause phimosis.
Depending on the location, condylomas can interfere with sexual intercourse. They become injured and experience pain. An aesthetic defect provokes the development of an inferiority complex.
What can be confused with: condylomas are similar to pearlescent papules, but the latter are located around the coronary sulcus and are always in a chain. Overdeveloped sebaceous glands on the skin of the penis can also be mistaken for condylomas.
- Sebaceous glands – https://prntscr.com/vizyuu.
- Pearlescent papules - https://prntscr.com/vizz11.
Urologist-andrologist Evgeniy Aleksandrovich Volokhov tells how to distinguish condylomas from pearly papules
How are they transmitted? You can become infected through sexual contact through any type of contact. If a partner has condylomas in the vagina, on the labia, then upon skin-to-skin contact the pathogen will penetrate microcracks and abrasions. A condom does not always protect because it only covers the penis and not the whole thing. The pubis, perineum, and scrotum come into contact with the mucous membranes and vaginal secretions. It is theoretically possible to get the virus through household means, but it is unlikely. If you had sex with an infected partner once, then the probability of becoming infected is 60-75%.
A wart on an intimate place will not appear immediately. The virus will wait until the immune system weakens. The incubation period in men is 11-12 months.
Predisposing factors: smoking, a large number of sexual partners, vitamin deficiency, infectious diseases of the genital organs, chronic stress.
Types and their action
The entire range of therapeutic suppositories for papillomas is divided into two types. There are antiseptic suppositories prescribed to patients after diagnosing the sexual variety of papillomavirus, bacterial and fungal parasites. Used vaginally.
Sometimes a local antiseptic medication is prescribed for injection into the anus in order to have an antiviral and immunomodulatory effect on the woman’s body. Popular representatives of the category are Panavir, Viferon and Genferon.
Genital warts require a course of treatment aimed at suppressing the external symptoms of the disease and most of the active harmful cells. If therapy is not carried out effectively, a relapse will soon occur.
Immunomodulatory suppositories are distributed by manufacturers in rectal and vaginal form. They help get rid of genital warts and viral and fungal infections. The patient receives dual treatment at the local and systemic level. In some cases, patients require removal of growths using modern methods - cryodestruction, radioknife, electrocoagulation, dathermocoagulation, laser therapy, chemical destruction. Suppositories are prescribed after removal of condylomas to increase local immunity and prevent relapses as part of complex therapy.
We recommend reading:
- Why do papules on the body itch?
- Removal of condylomas using the Surgitron device
- How to treat condylomas with folk remedies
Causes
The cause of anogenital warts is the penetration of the human papillomavirus (HPV) through the skin barrier into the basal layer. Once in a cell, it can be benign, that is, inactive, or malignant when it begins to integrate into the genome.
From the basal layer, the virus moves upward, synthesizing viral proteins along the way. The basal and spinous layers thicken. The cells of the upper layers of condylomas die and become a source of infection.
In a dormant state, the virus does not leave the captured cell and does not synthesize anything. The body's immune system does not allow it to become active. With strong immunity, the virus regresses six months after infection. Such a virus cannot be detected in a laboratory, and it is impossible to infect a partner.
Folk remedies
Among the folk remedies for removing warts in the groin, the following are most often used:
- Tea tree oil, which is applied directly to the formation or added to bathing water.
- Castor oil (you need to lubricate the wart until it is completely destroyed).
- Aloe juice.
- Potato juice.
- Celandine.
- Herbal infusions, etc.
During the treatment period, you should refrain from intimate communication so as not to infect your partner or introduce an infection into the wound at the site of formation. In the future, to prevent a relapse, you will need to monitor genital hygiene, have one trusted partner, eat right and strengthen your immune system in every possible way.
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Diagnostics
Which doctor should I contact: first a urologist, then an immunologist.
A doctor can visually determine the type of anogenital wart, but to confirm the HPV type, it is necessary to take blood for PCR testing. To exclude the malignancy of the neoplasm cells, a sample is taken and the histological structure is determined. A non-invasive and painless analogue is cytology - the study of living tissues under a microscope.
Additional tests:
- Scraping from the urethra to test for sexually transmitted infections.
- Urethroscopy to exclude internal condylomas.
- Urine and blood analysis.
- Blood test for HIV, syphilis.
- Immunogram to determine the state of the immune system based on blood composition.
If necessary, the rectum is examined.
Indicators of a normal immunogram
Treatment of formations with medication
If condylomas appear in the groin in men, how to treat them
? To do this, the doctor will most likely prescribe complex therapy, which will include taking medications aimed at strengthening the immune system and suppressing the virus. Since there are currently no special drugs to treat the virus, therapy is carried out with broad-spectrum agents. In particular, therapy is prescribed using:
- Interferon;
- Laferobion;
- Viferon;
- intimate gels that will eliminate painful symptoms;
- ointments that are used to lubricate growths to remove them (Solcoderm, Solcoseryl, etc.).
The products must be used strictly as prescribed by the doctor. Preparations for removing growths at home must be used very carefully so as not to damage the healthy tissue around the growth. It is better to entrust the removal procedure to a professional.
Treatment of condylomas in men
It is impossible to guarantee a permanent cure for condylomatosis, since HPV, like herpes, is inside the cell and, in its dormant state, does not respond to antiviral and other drugs. But you can remove the tumors themselves and boost your immunity to prevent their recurrence.
A doctor can prescribe immunostimulants only after making sure that the patient does not suffer from cancer and finding out what immune complexes circulate in his blood. Medicines: “Realdiron”, “Altevir”, “Cycloferon”, “Amiksin”, suppositories “Genferon”. At the level of cellular immunity, Isiprinosin, Immunal, and Polyoxidonium work.
To stop the proliferation of condylomas and restore the affected tissue, oxolinic ointment, Aldara cream, Viferon ointment, Epigen spray or cream, and Panavir gel are prescribed.
An example of a course of drug treatment for viral condylomas:
- "Inosine pranobex" 500 mg three times a day for 20 days.
- After removal of formations: injections of interferon-gamma 500 thousand units. once a day for 5 days according to the “every other day” scheme. Viferon ointment or Genferon suppositories once a day.
- Imiquimod cream (analogue of Aldara) can be used for more than a month.
The course of treatment may take more than a month. The dynamics are monitored using an immunogram.
Cytotoxic agents
After examination and diagnosis, the doctor may prescribe Condilin solution for self-treatment of condyloma. This drug inhibits the growth of viral cells and promotes their necrosis. The first application is made by a doctor, then the patient treats the formations at home according to the prescribed scheme. This treatment may take more than 5 weeks.
Price of the “Kondilin” solution from 4500 rubles
An effective remedy is 5-fluorouracil cream. It is applied once a day at night for a week. The effectiveness reaches 90%, but the formation of weeping erosions and contact dermatitis is possible.
Chemical destruction
The active drug against condylomas is Solcoderm ointment. This is a mixture of acids that is applied by a doctor. The drug may cause severe burning and pain. After a few hours, the discomfort subsides, and within 3-4 days the condyloma mummifies and falls off. If necessary, repeat the treatment.
An effective drug is Mardil Zinc Max. It is safe and well tolerated by patients. Suitable for treating formations with a diameter of more than 0.5 cm.
Dermatovenerologist Sergey Gennadievich Lenkin talks about methods for removing condylomas on the penis
For the chemical destruction of condylomas, the Feresol solution is also used. It needs to be applied 1-2 times a week.
You cannot cauterize or smear condylomas without a doctor’s prescription and supervision. Celandine, onion, garlic and other folk methods are also dangerous to use. Neoplasms may begin to grow uncontrollably.
Surgical removal methods
The following methods are used to remove condylomas:
- Electrocoagulation. The technique is inexpensive, quite effective, but painful and traumatic, and therefore outdated. The condyloma dies under the influence of current, leaving a scar. Price from 300 rubles for one education.
- Cryodestruction. The neoplasm is frozen with liquid nitrogen, it swells and after 12-14 days falls off without a trace. Price from 300 to 650 rubles.
Advantages and disadvantages of genital wart removal using cryodestruction
- Cauterization with nitric or acetic acid. The method is unpopular due to the complexity of the targeted effect on condyloma. Often the solution gets on the surrounding tissues and corrodes them. Price from 350 rubles.
- Laser removal. The laser beam burns out the base of the wart, and the scar heals in about a week. Price from 300 rubles for education.
- Radio wave removal, which is often confused with laser. This is the most expensive, but at the same time the most painless and effective method. The price is from 600 to 1500 rubles per education, depending on its size.
Read more about radio wave removal of small condylomas
To remove large tumors, surgical methods are used: groups of condylomas are excised with a conventional, argon or plasma scalpel. The procedure is painful. Anesthesia and suturing are required. The rehabilitation period lasts about a month.
Subject to an integrated approach - ointments + immunomodulators + local removal - the effectiveness of treatment is 80%. After treatment, it is important to use barrier contraception methods for six months.
Circumcision (circumcision) is not a treatment, but it reduces the risk of recurrence of condylomas. Below is the opinion of a doctor from the site https://uro-forum.ru/viewtopic.php?t=3299:
The result of the combined treatment (the scabs will disappear) – https://prntscr.com/vj0e99.
Summary table of treatment methods for perineal and genital warts
When to use candles
Condylomas are localized in the intimate area and require specific treatment. The best option is suppositories. The medication will not help get rid of the disease, but will suppress activity and get rid of growths for the next 2-3 months. Therapy for papillomavirus should be comprehensive; it is developed by the attending physician, taking into account the characteristics of the course of the disease.
The virus can be identified by its appearance - they look like small nodules attached to the body with the help of a string-like leg. Size – 1-2 mm or more. The gynecologist makes a presumptive diagnosis during examination and then the patient requires a thorough examination. The complex includes a method for detecting pathogen DNA fragments - PCR. The method helps to detect not only the infection, but also the stage of the disease and the type - oncogenic or benign.
For the study, scrapings are taken from the patient's cervical and urethra, blood is collected, and a smear is taken from the vagina. If a virus infection is suspected, secretions from the prostate and a swab from the walls of the urethra are taken from men. Additional diagnostics are carried out for other urogenital infections. It is important to correctly establish the cause of the appearance of growths, since genital warts are often confused with latina, which are a symptom of syphilis.
Suppositories for genital papillomas are used in two ways:
- rectal - to achieve a systemic effect, since drugs are quickly absorbed into the blood through the thin layer of the intestine, which increases their effectiveness and bioavailability;
- vaginal - used exclusively for local treatment of growths.
The drugs should not be used without a doctor's prescription. Self-medication can worsen the patient’s condition and cause activation of the virus, side effects, and complications.
Prevention
There is a vaccine against oncogenic strains - Gardasil, but it is effective only for uninfected men under the age of 26 years. The Gardasil-9 vaccine protects against non-oncogenic strains. Vaccination is carried out in 3 stages. Efficiency is 97%.
Other preventive measures:
- Monogamous sexual relationships.
- The use of barrier contraceptives, treatment of the groin area with antiseptics after questionable intimate contacts.
- Refusal to have sex if there is damage to the skin of the anogenital area.
- Strengthening the immune system: a course of taking natural vitamins, tinctures of echinacea or eleutherococcus, a balanced diet, quitting smoking and alcohol abuse.
Strong immunity will not allow the virus to penetrate the DNA of cells.
What does papilloma look like in intimate places?
Not everyone can differentiate papilloma from warts or other dermatological neoplasms. Clinicians do not distinguish the characteristics of growths in men and women.
Papilloma in intimate places looks like a small growth above the surface of the skin. The size varies from 0.5 mm to several cm. Mucosal growths can be entire clusters of growths resembling a cockscomb.
The following types of growths in the groin area are distinguished::
- Simple - benign growths with a tendency to grow and change structure;
- Thread-like - dense growths appear first, which gradually stretch out and resemble threads;
- Flat - towering neoplasms with a dense structure, growing in groups;
- Genital condylomas are growths that resemble papillae and are localized in multiple or single formations.
First, a small papule appears on the skin, after which it grows and its surface becomes rough. The color of the neoplasm varies from pink to brown.
This is interesting: HPV and condylomas are the same thing
Papilloma differs from other dermatological growths by the following criteria:
- localization in skin folds;
- the appearance of burning and itching at the base of the growth;
- elimination only by surgical method (self-amputation is excluded);
- fastening on a thin leg;
- trend towards increasing size.
The main difference is the risk of malignancy and degeneration of dermal cells into cancer.
Only the attending physician can accurately determine the nature of epithelial neoplasms!
Symptoms
Genital warts appear:
- the presence of single or multiple warts on the skin of the genitals or anal area;
The photo shows multiple genital warts on the penis - itching, constant feeling of discomfort in the affected area;
- pain during sexual intercourse;
- bleeding, weeping when warts are injured;
- cramps and pain are possible when urinating if condylomas are located in the urethra;
- pain during defecation, blood in the stool when warts are located in the anal canal.
Possible consequences of condylomatosis
All men who are carriers of HPV should know whether condylomas are dangerous. After all, ignoring them leads to serious consequences. Being constantly exposed to external factors, papillomas can become injured. And damage to growths leads to:
- Their degeneration into malignant tumors.
- Spread of the virus to nearby healthy skin, which leads to the appearance of additional papillomas.
- Attachment of a bacterial infection through open wounds. As a result, urethritis, balanoposthitis, and paraproctitis develop.