Genital warts are small, raised skin lesions that can look like the top of a
cauliflower. Though found in both sexes, males can develop warts on the testes,
penis, thighs, and groin area. It is caused by the very common human papilloma
virus (HPV), of which there are more than 100 types. Most do not cause
additional symptoms, but you may find the lesions itchy, painful, or bleeding at
times. The most problematic subtypes are HPV 16 and 18, which carry a high risk
of cancer. However, the most common subtypes are HPV 6 and 11. The virus is
transmitted through sexual contact, including vaginal, anal, and oral sex. You
can also find HPV lesions in/around the mouth, lips, anus, tongue, nose, eyes,
and throat. The HPV vaccine is an effective way to prevent the disease.
Vaccination of males with the HPV vaccine not only prevents the spread of HPV to
females, but also prevents other related diseases and cancers.
1.Examine your risk factors.
Some behaviors put you at a higher risk for an HPV infection. Ask yourself
the following questions since your doctor will most likely ask the same
questions when you go in for testing:
How many sexual partners do you have? The more partners, the more likely you
can acquire the virus.
Do you use condoms? This barrier helps reduce sexually transmitted diseases,
including HPV.
How old are you? Genital warts have a prevalence with adolescents, teenagers,
and young adults.
Do you have a severe infection or cancer, or are you taking drugs that damage
your immune system? Infections such as HIV/AIDS reduce the body's ability to
fight infections. Blood cancers such as leukemia alter our immune cells and
cause them to be dysfunctional. Drugs such as steroids reduce our immune system
over time.
Did you notice any skin damage to your genitals? Breaks in your skins such as
cuts give the virus an opportunity to enter your body.
Do you have an uncircumcised penis? Men who have not had their foreskin of
the penis removed are more likely to acquire HPV and pass it along to their
partners.
2.Distinguish your symptoms from other infections/conditions.
You may confuse warts for other conditions. It is best to schedule an
appointment with your doctor for proper diagnosis. Look for the following
characteristics to help you distinguish at home.
HPV warts are flesh-colored lesions. Redder, fluid-filled blisters are more
likely genital herpes.
HPV warts are not fluid filled and do not burst open. Genital herpes blisters
can open—forming a sore—and spill fluid before healing. An ulcer (open skin
lesion) on your penis can also signify the first stage of syphilis.
Though not always painless, pain and itchiness is more associated with herpes
and genital warts.
Other symptoms—including a red rash on the palms and soles, white patches in
the mouth and genitals, fever, hair loss, and sore throat—in addition to genital
warts may be secondary stage syphilis.
Multiple small bumps circumferentially around the base of tip of the penis
that are either flesh colored, red, yellow, pink, or translucent could be a
condition known as pearly penile papules and are completely harmless. This is
considered a normal variant of penile skin and is not contagious.
HPV warts are not dimpled. A dimple on the top of the wart can indicate a
viral infection known as mulluscum contagiosum. Mulluscum can be a sign of HIV
infection as well.
3.Ask about cytotoxic drug options.
These drugs can destroy the warts and prevent the spread of them. However,
they can also damage normal skin areas. If spilled or accidentally applied to an
unaffected area, immediately remove the drug on the area(s) with water and soap.
Side effects can include be pain, irritation, itchiness, and redness. Options
include:
Podofilox - This is the preferred treatment for lesions less than 10 cm². To
ensure correct usage (0.5ml or 0.5g), your doctor will show you how much and how
to apply the medication. Apply to the area using a cotton swab if liquid or
finger if gel. Repeat for three consecutive days twice a day followed by four
days of no treatment. Repeat this process for up to four weeks.
Podophyllin - This is a physician-applied medication for warts less than 10
cm². Your physician will apply to the affected area sparingly. Your doctor will
advise you to air dry the affected area to prevent it coming in contact with
your clothes. Initial treatment should be left on for 30-40 min. Subsequent
treatments can be from 1-4 hours, after which remove with soap and water. This
treatment can be applied weekly for up to six weeks.
This drug must not be used in pregnancy or possible pregnancy. Limit exposure
to a female partner.
5-Fluorouracil - Your physician may apply the first dose or provide a
prescription. Using a cotton swab apply it to the clean, affected area 1-3 times
per week. Use sparingly. Let the cream air dry to prevent contamination of your
clothes. After 3-10 hours (specified with your prescriptions), wash the area
with soap and water to remove it.
Trichloroacetic acid (TCA) and bichloracetic acid (BCA) are both
physician-applied treatments. Your doctor will apply the acid to the warts on a
cotton ball. Your doctor may advise weekly treatment for up to 4-6 weeks.
Sinecatechins - Your doctor may prescribe this green tea extract. Use your
finger to apply a small layer of 15% ointment to the affected area sparingly.
Repeat three times daily with your finger for up to sixteen weeks or till warts
have disappeared. Do not wash off and avoid sexual contact.
4.Inquire about immune response modifiers.
These medications will boost immune proteins in your body to help it get rid
of the wart. These medications are available in various types, including:[9]
Imiquimod - Your doctor will apply a 5% imiquimod cream to the area using
protective gloves and a pad. He or she will prescribe a prescription for the
cream afterward. At home, apply the cream before bed using disposable gloves or
disposable pads. After waking up in the morning (6-10 hours after applying
treatment), wash the area with soap and water to remove it. Apply three times
per week for the next sixteen weeks.
Interferon alpha - At the base of each wart, your doctor will inject 3
million international units (IU) of interferon. You will repeat this process
with the doctor three times per week for the next three weeks. For bigger warts
multiple injection may be done. The warts should disappear after 4-8 weeks. If
the warts remain after 12-16 weeks, your doctor may suggest a second treatment
course.
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