War On Warts

as a urologist i see a lot of patient with growths or bumps on the penis

some patients ask do I have cancer? do I need a biopsy? 

Most patients with a classic wart or HPV do not need a biopsy, patient who are uncircumcised or recurrent growths may consider a biopsy.

Freezing a wart with liquid nitrogen, cauterization, or topical treatments like aldara (imiquimod topical cream)

if you have a wart get to a doctor and have it treated.  A biopsy is not a  bad idea but no always necessary

thanks for all of stories and questions I hope this site can help you fight your personal war on warts. 

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Tags: aldara, Anal Warts, common wart, condyloma, fighting the war on warts, freezing warts, hpv, penile biopsy, penile pearly papules, penile wart, Penile Warts, warts, winning the war on warts

Penile warts are diagnosis that a trained doctor can make without a biopsy.  If patients have many warts or ones that look suspicious for other lesions like cancer I often biopsy a representative sample and freeze (with liquid nitrogen) or burn (electrocautery) or laser (C02 or YAG) the rest.  If a patient has warts on the foreskin and wants a circumcision I sent the tissue for biopsy. 

If your doctor didn’t send a biopsy and it didn’t come back that’s fine.  If it keeps coming back and there was never a biopsy ask your doctor to sent a piece to the lab or make sure they are convinced its not cancer.

I hope this post is helpful.  Go to our find a physician tab if you need an evaluation

Thanks,

Dr. A.

Tags: dermatologist, genital warts penis, gential warts, liquid nitrogen, long island, new york city, Penile Warts, urologist

Treating penile warts presents several problems to the patient and to the treating physician.  The ideal treatment would be non-invasive, non disfiguring, quick, painless and it would eliminate the risk of any wart recurrence.

The ideal treatment does not exist.

Most treatments offer some sort of balance between expedience, invasiveness, and recurrence.  The correct treatment really depends on patient preferences, patient medical history, and the doctor’s experience.

Treatment options include:

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Tags: aldara, condylox, cryotherapy, Penile Warts, wart treatment

My wart schpeel
I see a fair number patient consults for “rule-out HPV” or “rule-out warts.”  The typical scenario is the following:

A woman goes to her gynecologist for a routine Pap smear and is told that the results came back positive for HPV.  She is then told by her doctor to have her male partner “checked-out.”
What does all that mean and what really happened at that patient’s doctor visit?

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Tags: HPV Infection and transmission, Penile Warts, Wart infections