HPV Warts - Men
Treatment Duration
30
Suggested Sessions
2-4 times/year
HPV and warts
Warts are skin lesions caused by the HPV virus that many people describe in their original form as pimples or bumps and usually do not show any other symptoms.
The cells that can be affected are the epithelial cells, which are cells that cover the body, both internally and externally.
HPV is made up of about 200 different viruses that cause common papillomas, warts, genital warts, precancerous lesions and some types of cancers.
Transmission
The transmission of HPV is mainly through sexual intercourse.
But this does not mean that there are no other ways of transmission.
HPV is transmitted when there is contact between one person's skin and the damaged area in another.
Therefore, complete sexual intercourse is not necessary for the transmission of the virus.
Main areas of occurance
Genitals
Warts in the groin, testicles and penis.
Anus
Warts around the anus and inside the rectum.
Mouth
Warts on the lips, tongue, gums and throat.
Warts: ImagesYou can see pictures of warts on the mouth, genitals and anus, in men and women so that you can recognize them on your body or your sexual partner.
HPV can cause precancerous or cancerous lesions in the anus and mouth.
Diagnosis
The best way to detect an HPV infection is the HPV-Test, which is performed using the PCR technique.
This is a specialized test that detects the presence of HPV strains and indicates exactly which strain is responsible for the infection.
In addition, the presence of warts can be detected in the following ways:
1. Dermatological examination
Examination of the genitals, anus and oral cavity by a specialized dermatologist is considered necessary for the timely detection and treatment of warts.
2. Proctoscopy and Anal Pap test
- Proctoscopy
- Anal Pap test
Using a proctoscope, it is possible to examine the entire anal canal. It can be used to diagnose several conditions as well as therapeutic applications.
Arthroscopy - Proctoscopy
The use of the Pap test includes the insertion of a cotton swab into the anus, the rotation vigorously and the withdrawal, taking a sample from the entire wall of the anus. It is then sent to the laboratory for analysis by a cytologist.
Anal test pap3. High definition ortho - sigmoidoscopy (HRA)
A microscope and special staining techniques are used to locate the pre-cancerous areas, which are then biopsied for further analysis (rectal examination). HRA - High Resolution Anoscopy, is able to detect a larger number of abnormalities than the Pap test, but it is much more inconvenient, time consuming and expensive.
Diagnosis of warts
Diagnosis of warts
Treatment
Warts can be treated depending on the degree of their development in three ways.
Prescription formulations
They are usually used to treat small lesions, even if they are numerous.
They can even be combined with other methods of treating warts to enhance treatment.
Laser sublimation, Diathermy, Liquid nitrogen
All three are applied for the immediate destruction of warts.
The Laser excels as it offers greater control over the depth and extent of the damage being removed
Surgical removal
Surgical removal should be performed only in cases where there are extensive lesions and is performed using local or general anesthesia.
The frequency of this treatment is not great, but it certainly has to do with how much we will allow the visible warts to develop into large lesions.
"Even if treated, warts can recur"
HPV and gay men
The chances of developing warts on the penis and scrotum are the same as those of straight men. However, gay men, or men who have sex with men in general, are at significantly higher risk than the general population for developing warts in the anal area, as well as the most serious damage in the area that may follow.
Men who have sex with men are about 20 times more likely than heterosexual men to develop anal cancer, and HIV-positive men who have sex with men are even more likely (up to 100 times more likely than the general community).
Fingers and sex toys involved in anal sex as well as oral sex can transmit HPV.
Prevention
HPV is the most common sexually transmitted disease, as about 80% of the sexually active population will come in contact with at least one subtype of the virus once in a lifetime.
This does not mean, however, that the transmission of the virus cannot be restricted.
Vaccines have been developed to protect against the HPV virus, including strains that are more likely to cause anal cancer.
They are most effective if given before people become sexually active.
Some studies have shown that men who have already been exposed to the HPV virus could still benefit from the anti-HPV vaccines.
Even if someone has already been exposed to one or more of the strains of HPV that the vaccine targets, they may still benefit from protecting the body from other strains to which they have not yet been exposed.
Restriction of sexual partners.
The many different sexual partners greatly increase the chances of getting a wart virus infection.
Condoms can reduce the chances of transmission.
However, as the HPV virus can infect areas of the body that are not covered by condoms, they do not fully protect against the virus.
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Frequently Asked Questions
I have had pimples that look like warts on my genitals, what do I do?
The most important thing is that you do not need to panic, since you do not have a diagnosis at the moment and you are based on assumptions.
You may be suffering from a sexually transmitted disease but things can be much simpler such as having an irritation in the area or some other skin condition.
Any lesion that seems to have pus or yellow color, it is excluded to be a wart. In addition, the intense symptoms with a burning sensation or itching lead us to other diseases.
The diagnosis will be given to you by your dermatologist, who you should visit.
Warts have appeared on my body, while I have not had sex for months. How did I catch the virus?
HPV can be present in the body without symptoms for months or more, from the time of transmission.
But once the immune system is weakened, there is a possibility of damage.
This makes it difficult to understand when the virus was transmitted and by whom.
What should I watch out for during treatment?
There is a high probability that you will need to abstain from sexual activity for a period of time prescribed by your doctor.
Continuous self-examination should be performed throughout the treatment, for any new lesions.
It is important to emphasize that the genital areas should be depilated so that the possible recurrence of warts can be easily perceived.
But you need to be careful, because the razor and the wax, cause irritation to the skin, thus causing the warts to spread.
The safest solution in this case is laser hair removal.
Bibliography
- Kobayashi KI, Chanyasanha C, Sujirarat D. Parental decision-making on human papillomavirus vaccination for daughters in Japan [published online ahead of print, 2020 Apr 17]. Int J Adolesc Med Health. 2020;/j/ijamh.ahead-of-print/ijamh-2018-0140/ijamh-2018-0140.xml. doi:10.1515/ijamh-2018-0140
- Wieland U, Oellig F, Kreuter A. Anal dysplasia and anal cancer. English version [published online ahead of print, 2020 Apr 17]. Anale Dysplasien und Analkarzinom [published online ahead of print, 2020 Apr 17]. Hautarzt. 2020;10.1007/s00105-020-04562-x. doi:10.1007/s00105-020-04562-x
- Geltzeiler CB, Son J, Carchman EH, et al. Anal Intraepithelial Neoplasia Screening With Anal Pap Tests: Follow-up and Corresponding Histology. J Surg Res. 2019;244:117–121. doi:10.1016/j.jss.2019.06.029
- Chen CC, Chou YY. Predictive value of the anal cytology for detecting anal intraepithelial neoplasia or worse: A systematic review and meta-analysis. Diagn Cytopathol. 2019;47(4):307–314. doi:10.1002/dc.24078
- Mueller SM, Menzi S, Kind AB, et al. Sexually transmitted coinfections in patients with anogenital warts - a retrospective analysis of 196 patients. J Dtsch Dermatol Ges. 2020;18(4):325–332. doi:10.1111/ddg.14060
- Knight G, Roberts B. Awareness of oral and genital human papillomavirus (HPV) infection in young adolescents prior to gender-neutral vaccination [published online ahead of print, 2020 Apr 2]. BMJ Sex Reprod Health. 2020;bmjsrh-2019-200410. doi:10.1136/bmjsrh-2019-200410