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Published on: March 8, 2012
Human papillomavirus prevalence and type distribution in male anogenital sites and semen
Carrie M Nielson1, Roberto Flores, Robin B Harris
1Arizona Cancer Center and Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA.
Background:
Human papillomavirus (HPV) is sexually transmitted and causes cervical cancer. Although HPV can infect men and women, little is known about infection in men. Specifically, the prevalence of type-specific HPV infection and the distribution of infections by anogenital anatomic site in men are incompletely characterized.
Methods:
We tested 463 men ages 18 to 40 years for HPV at the glans/corona, penile shaft, scrotum, urethra, perianal area, anal canal, and in a semen sample. Eligible men acknowledged no history of genital warts and had sexual intercourse with a woman within the past year. HPV testing by PCR and reverse line blot genotyping for 37 types was conducted on each of the specimens from the seven sampling sites.
Results:
When HPV results from any sampling site were considered, 237 (51.2%) men were positive for at least one oncogenic or nononcogenic HPV type, and another 66 (14.3%) men were positive for an unclassified HPV type. The types with the highest prevalence were HPV-16 (11.4%) and 84 (10.6%). External genital samples (glans/corona, shaft, and scrotum) were more likely than anal samples to contain oncogenic HPV (25.1% versus 5.0%). HPV-positive penile shaft and glans/corona samples were also more likely to be infected with multiple HPV types than other sites.
Conclusions:
More complete anogenital sampling and sensitive detection for 37 HPV types resulted in a higher HPV prevalence in primarily asymptomatic men than reported previously. The penile shaft was the site most likely to be HPV positive and harbored the greatest proportion of multiple type and oncogenic infections. These results have implications for research of HPV among men and transmission between partners.
Insights
Human papillomavirus (HPV) is common in asymptomatic men, with over half testing positive. The penile shaft showed the highest prevalence of HPV, including multiple and oncogenic types.
Area of Science:
- Virology
- Epidemiology
- Men's Health
Background:
- Human papillomavirus (HPV) is a common sexually transmitted infection.
- HPV is a known cause of cervical cancer, but its prevalence and distribution in men are less understood.
- Understanding HPV infection in men is crucial for public health and partner transmission research.
Purpose of the Study:
- To determine the prevalence of type-specific HPV infection in men.
- To characterize the distribution of HPV infections across different anogenital anatomic sites in men.
- To investigate the types of HPV prevalent in a male population.
Main Methods:
- Tested 463 men (ages 18-40) for 37 HPV types using PCR and reverse line blot.
- Collected specimens from seven sites: glans/corona, penile shaft, scrotum, urethra, perianal area, anal canal, and semen.
- Included men with recent sexual activity with a woman and no history of genital warts.
Main Results:
- 51.2% of men tested positive for at least one HPV type; 14.3% for unclassified types.
- HPV-16 (11.4%) and HPV-84 (10.6%) were the most prevalent types.
- External genital sites (penile shaft, glans/corona, scrotum) were more likely to harbor oncogenic HPV (25.1%) compared to anal sites (5.0%).
Conclusions:
- Comprehensive anogenital sampling reveals higher HPV prevalence in asymptomatic men than previously reported.
- The penile shaft is the most common site for HPV infection in men, including multiple and oncogenic types.
- Findings impact HPV research in men and understanding of sexual transmission dynamics between partners.
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