Update on the Medical and Surgical Management of Urethral Condyloma
| Autor: | Armand Allkanjari, Scott P. Campbell, Aaron C. Lentz, Christopher Kim |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Male
medicine.medical_specialty Urology Endocrinology Diabetes and Metabolism 030232 urology & nephrology Disease Asymptomatic Genital warts 03 medical and health sciences 0302 clinical medicine Endocrinology Urethra Humans Medicine Sex organ 030219 obstetrics & reproductive medicine Modalities business.industry Standard treatment Obstetrics and Gynecology Plastic Surgery Procedures medicine.disease Surgery Sexual Dysfunction Physiological Psychiatry and Mental health Sexual dysfunction medicine.anatomical_structure Reproductive Medicine Condylomata Acuminata medicine.symptom business |
| Zdroj: | Sexual Medicine Reviews. 10:240-254 |
| ISSN: | 2050-0521 |
| Popis: | Introduction Condyloma acuminata (CA) of the urethra presents a management challenge due to high recurrence rates, difficulty in accessing urethral lesions, risk of stricture formation, and potential for sexual dysfunction. While standard treatment modalities are acceptable for some external genital condyloma, they are not always feasible or appropriate for urethral lesions. Objectives We sought to review the literature on epidemiology, presentation, diagnosis and treatment of urothelial CA with a focus on surgical treatment options. Methods We performed a comprehensive literature search of PubMed to identify all studies pertaining to urethral CA through November 2020. Results Urethral CA is a relatively rare, but challenging disease to manage with a considerable amount of treatment side effects and downstream morbidity associated. In our comprehensive review we have found a wide selection of treatment modalities ranging from minimally invasive strategies to surgical reconstructive techniques. Proper follow-up to monitor for disease recurrence at the 3–4 month mark is appropriate and will determine subsequent treatment strategies as needed. Future studies and treatment directions include novel drug delivery models to optimize minimally invasive topical drug efficacy. Conclusion Treatment of urethral CA should be approached in a step-wise fashion. Medical therapy would be an appropriate option for asymptomatic or minimally symptomatic patients with small lesions who desire to avoid any interventions. If patient is symptomatic, has extensive disease burden or has failed medical therapy intervention should be considered with options including PDT, laser ablation or surgical excision with or without urethral reconstruction. Appropriate selection depends on patient characteristics and preferences along with prior treatment history. Kim CJ, Campbell SP, Allkanjari A, et al. Update on the Medical and Surgical Management of Urethral Condyloma. Sex Med Rev 2021;xxx:xxx–xxx. |
| Databáze: | OpenAIRE |
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