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[Intraurethral condyloma acuminatum: a case report].
Hiroshi Kameoka1, Yasuyuki Kojima, Tuyoshi Okuni
1Kameoka Clinic.
Hinyokika Kiyo. Acta Urologica Japonica
|August 6, 2004
Summary
Meatal bleeding in a man was caused by condyloma acuminata (genital warts). Recurrent warts appeared inside the urethra, requiring further treatment.
Area of Science:
- Urology
- Dermatology
- Oncology
Background:
- Genital warts, caused by human papillomavirus (HPV), are common sexually transmitted infections.
- Condyloma acuminata can present as papillary growths on external genitalia and mucous membranes.
- Meatal bleeding can be a symptom of various urethral conditions, including tumors.
Observation:
- A 47-year-old man presented with meatal bleeding and visible papillary tumors at the urethral meatus.
- Initial resection and histological examination confirmed condyloma acuminata.
- Despite no visible recurrence externally, a subsequent urethroscopy revealed a new papillary tumor within the navicular fossa.
Findings:
- The internal urethral tumor was also pathologically diagnosed as condyloma acuminatum.
- This case highlights the potential for intraurethral recurrence of condyloma acuminata.
- The navicular fossa is a potential site for HPV-related lesions within the urethra.
Implications:
- Urethral condyloma acuminata can occur even after external lesion removal.
- Endoscopic surveillance may be necessary for patients with a history of genital warts presenting with urological symptoms.
- Accurate diagnosis and complete resection are crucial for managing urethral condyloma acuminata to prevent recurrence.