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[Urethral condylomas. A therapeutic challenge]
P Schneede1, P Münch, F Ziller
1Klinik für Urologie, Klinikum der Universität München, Marchioninistrasse 15, 81377 München, Grosshadern.
Background And Objective:
Very diverse treatment recommendations exist in the literature on HPV lesions of the urethra. There are no treatment guidelines from the specialist societies. Both these factors have led to a very wide spectrum of heterogeneous treatment strategies in hospitals and medical practices of various specialties. Primary and secondary treatment of urethral condylomata by practitioners as well as a specialized HPV center was evaluated.
Patients/Methods:
One hundred and five patients with condylomata of the urethra were studied. Most had been previously treated, often several times, by a variety of specialists. We treated all regardless of prior treatment status with laser therapy.
Results:
A high percentage of patients treated with different methods in medical practices but also at our high-technology center sometimes showed serious treatment complications and numerous recurrences. Most established methods of treatment for condylomata on the external genitalia are not necessarily applicable to the urethra.
Conclusions:
About 20% of urethral condylomata can only be reached by endoscopy. Co-existing urethral malformations as well as complications of therapy are reasons for early cooperation with the urologist or HPV center.