HPV Screening and Follow-Up for Urological Concerns - Urology

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Cauliflower problem


Doctor: I would like to ask about my recent electrosurgery.
The biopsy report indicated that the lesion was only 0.2 cm, which makes it difficult to determine if it is indeed a wart.
The doctor mentioned it could possibly be an unknown tumor, but it has already been removed.
The HPV screening at the clinic was normal, and the electrosurgery was performed on the same lesion.
I would like to know if the HPV screening and blood tests use the same testing methods.
If no suspicious masses are found within three months, is it sufficient to have regular check-ups at a gynecology or urology clinic? Thank you.

1234, 20~29 year old female. Ask Date: 2016/09/12

Dr. Fu Shizhang reply Urology


Regular check-ups are sufficient.

Reply Date: 2016/09/12

More Info


When it comes to HPV (Human Papillomavirus) screening and follow-up, especially in the context of urological concerns, it’s essential to understand the implications of your test results and the appropriate steps to take moving forward.
Firstly, regarding your question about the HPV screening and blood tests: HPV testing is typically done through a sample taken from the cervix during a Pap smear or through a specific HPV test. This is different from blood tests, which are used to check for other conditions or infections but do not directly test for HPV. HPV testing specifically looks for the presence of the virus in cervical cells, while blood tests may look for antibodies or other markers related to different health issues. Therefore, the methodologies and purposes of these tests are distinct.

In your case, since you mentioned having undergone a procedure (electrosurgery) to remove a lesion that was 0.2 cm in size, it’s important to follow up with your healthcare provider regarding the pathology results. If the lesion was not definitively diagnosed as HPV-related (such as condyloma or a more serious condition), your doctor may recommend continued monitoring. The fact that your HPV screening came back normal is a positive sign, indicating that there is no detectable HPV at the time of testing.

As for your follow-up care, if you do not notice any suspicious lumps or changes in your health over the next three months, it is generally advisable to maintain regular check-ups with either your gynecologist or urologist. The frequency of these visits can depend on your individual risk factors, previous medical history, and the specifics of your case. Regular follow-ups are crucial for early detection of any potential issues, especially since HPV can sometimes lead to more serious conditions over time.

In terms of prevention, it is important to practice safe sex, including the use of condoms, to reduce the risk of HPV transmission. Vaccination against HPV is also highly recommended, as it can protect against the most common cancer-causing strains of the virus. Even if you have already been diagnosed with HPV or have had lesions, the vaccine can still provide protection against other strains.

Additionally, maintaining a healthy lifestyle can support your immune system, which plays a crucial role in managing HPV infections. This includes a balanced diet, regular exercise, and avoiding smoking, as these factors can influence your body’s ability to clear the virus.

In summary, while your HPV screening results are normal, it’s essential to continue monitoring your health with regular check-ups. Understanding the differences between HPV testing and blood tests is crucial, and maintaining preventive measures can help manage your risk. Always consult your healthcare provider for personalized advice and follow-up care tailored to your specific situation.

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