CU 51. Point - shaped electrode ablation for treatment of urethral condyloma acuminatum

Condyloma acuminatum (CA), caused by the human papillomavirus (HPV) infection, is currently one of the sexually transmitted diseases of higher incidence. The most common sites for condyloma in males are the balanopreputial sulcus, frenulum and the glans' mucosa. Urethral condylomata acuminata is relatively uncommon, found only in 5% of patients which in 80% of cases develop less than 3 cm from the meatus.

The recurrences of urethral condylomata acuminata are more frequent compared with external genital warts.

Genital warts in clinical practice within the urethra is rare, previously the use of local drug treatment and transurethral vaporization treatment, but more complications, recurrence rate was high. Transurethral point-shaped electrode fulguration using a special electrode on the wart, burning, surgical trauma, the recurrence rate is low, to make up for the lack of previous treatment. September 2005 to May 2009, we through the urethra punctate electrode electrocautery treatment of urethral condyloma patients 65 cases, more effective, are as follows.

Most common sexually transmitted disease (STD) after chlamydia and gonorrhea. The most common sites for condyloma in males are the balanopreputial sulcus, frenulum and the glans' mucosa. Lesions may even extend into the vagina, bladder, cervix, rectum, and urethra. Urethral condylomata acuminata is relatively uncommon.

Cluster condyloma is currently one of the sexually transmitted diseases of higher incidence. The most common sites for condyloma in males are the balanopreputial sulcus, frenulum and the glans' mucosa. Associated to penis condyloma there can be urethral lesions in 5% of patients which in 80% of cases develop less than 3 cm from the meatus. This paper presents a series of 14 cases of cluster intraurethral condyloma managed by transurethral electrofulguration. The technique consists in the introduction of a coagulation probe through the urethrotome and the application of electrofulguration to the condyloma base. Results have been satisfactory although relapse has occurred in 2 cases (14%), and in one of them the procedure had to be repeated up to 3 times. There has been no complications such as stenosis in the loop resections. The authors conclude that due to the difficulties in the medical management of these lesions, the use of invasive techniques, of which transurethral electrofulguration of the condyloma base with endoscopic urethrotome is the choice because of its simplicity and effectiveness, is justified..