Condyloma


Condyloma are papillomatosis bulges which are located in genital, perigenital and perianal regions, both in men and women. It is a virus originated disease (Condyilomatosis ) which is caused by the human papilloma virus (HPV): more than 50 types of papilloma virus have been identified, but the most liable ones for this kind of pathology are HPV 11, 16 and 18. Condyloma are sexually transmitted and they are more likely to spread in highly humid conditions (Candidosis vaginal). Since Condiloma can be transmitted through sex without protective measures, in case their presence were to be found, the partner as well will have to be carefully examined and, if necessary, treated. The period of incubation varies from 3 weeks to 1 year after the sexual contact with the infected person, which makes dating and origin of contagion difficult to determine. Condyloma acuminata, in the beginning, show themselves as small threadlike or granular bulges and only later they take the form of branched or cauliflowerlike excrescences of a wartlike type. They look red, are not painful; losses of blood and pruritus can come along with them together with, in men, a decrease in the strength to urinate. Therapeutical treatment is divided in physical and chimical: the choice of the most suitable tecnique will be taken according to the virus type, the location and the extent of the wart. If not treated they can persist for several months and even years. Lesions can both increase in number and spread in zones which might as well be distant, and increase in extent and/or number. If treated, lesions can be relapsing more frequently during the first three months.

Physical therapy:
1 Cryotherapy (Liquid nitrogen)
2 Elettrocoagulation
3 CO2 Laser

Chimical therapy:
1 Interferon Injections
2 Aldara Cream
3 Podophyllotoxin and Podofillin
4 Trichloroacetic Acid


Tumors of the penis


This is an uncommon pathology. It can show itself as a nodular bulge or lesion, often ulcerated, mainly located at gland (cutis placed over the head of the penis) which causes liquid or blood to flow from the penis itself. Most favourable conditions for these tumoral forms to appear are:
1 Poor personal hygene
2 Lichen sclerosus

Choice of the therapy and recovery probabilities are related to the stage of the desease.

Surgery:
It is the most common treatment for all of the stages of the tumor of the penis, which can be removed by:
1 Wide local removal of the neoformation
2 Surgery laser
3 Total or partial removal of the penis depending on the tumoral stage
4 Radiotherapy
5 Chemotherapy


Abstract:
Holmium laser treatment of genital warts: an observational study of 1500 cases. 
Study of persistence and recurrence rates in 106 patients with condyloma and intraepithelial neoplasia after CO2laser treatment. 
Treatment-seeking, aspects of sexual activity and life satisfaction in men with laser-treated penile carcinoma. 
Peniscopically controlled CO2 laser excision for conservative treatment of in situ and T1 penile carcinoma: report on 224 patients. 
pT1 penile squamous cell carcinoma: a clinicopathologic study of 56 cases treated by CO2 laser therapy. 
Organ-preserving neodymium-yttrium-aluminium-garnet laser therapy for penile carcinoma: a long-term follow-up. 
Fluorescence-guided laser therapy for penile carcinoma and precancerous lesions: long-term follow-up. 
Laser therapy for carcinoma in situ of the penis. 
Treatment of condylomata acuminata with the neodymium laser. 
Sexual function and satisfaction in men after laser treatment for penile carcinoma. 
Carbon dioxide laser vaporization of condyloma acuminata. 
Nd:YAG laser treatment of early stage carcinoma of the penis preserves form and function of penis.