Recurrence Time for Urological Conditions: Is It Back? - Urology

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Recurrence time of cauliflower (cervical cancer)?


I have heard that if there is no recurrence for three months, it is considered resolved.
Eight months ago, after the electrosurgery, my condition was very good.
However, a couple of days ago, I noticed two very small raised bumps that are not visible to the naked eye but can be felt.
I went to the clinic today for a follow-up, and the doctor said he couldn't be sure if it is warts or something related to the skin.
After eight months, is this a recurrence?

Lele, 20~29 year old female. Ask Date: 2017/08/17

Dr. Du Shixi reply Urology


Hello: It is possible for a recurrence to occur even after eight months.
I have encountered cases where genital warts recurred after several years.
If you are concerned, I recommend consulting a urologist at a hospital.
Wishing you good health.

Reply Date: 2017/08/17

More Info


When it comes to understanding the recurrence of urological conditions, particularly after a treatment such as electrocautery, it is essential to consider several factors. Your concern about the appearance of two small bumps after eight months of being symptom-free is valid, and it’s understandable to feel anxious about the possibility of recurrence.

Firstly, it’s important to recognize that the timeline for recurrence can vary significantly depending on the specific urological condition you are dealing with. For instance, conditions like superficial bladder cancer may have a higher recurrence rate and often require regular follow-ups, while other conditions may not recur as frequently. Generally, the first three months post-treatment are critical, but many healthcare providers consider a longer duration, such as six to twelve months, before concluding that a patient is free from recurrence.

In your case, since you have been symptom-free for eight months following the electrocautery procedure, this is a positive sign. However, the emergence of new lesions, even if they are small and not easily visible, warrants further investigation. The fact that your doctor is uncertain whether these bumps are warts (often referred to as "cauliflower" due to their appearance) or something else indicates that a definitive diagnosis is necessary.
It is crucial to have these new findings evaluated properly. Your healthcare provider may recommend a biopsy or further imaging studies to determine the nature of these bumps. A biopsy can provide a clear diagnosis, distinguishing between benign conditions (like warts or skin tags) and malignant ones.
In terms of recurrence, if these bumps are indeed related to your previous condition, it may indicate a recurrence. However, if they are benign, it could simply be a new, unrelated issue. The key is to follow up with your healthcare provider and possibly seek a referral to a specialist, such as a urologist or dermatologist, depending on the nature of the lesions.

Moreover, it’s essential to maintain regular follow-ups as advised by your healthcare provider. They may suggest a monitoring schedule that includes physical examinations and possibly imaging studies to ensure that any changes are caught early.
In summary, while being symptom-free for eight months is encouraging, the appearance of new lesions should not be ignored. It is advisable to pursue further evaluation to clarify the nature of these bumps. Early detection and intervention are critical in managing any potential recurrence effectively. Always communicate openly with your healthcare provider about your concerns and follow their recommendations for monitoring and treatment.

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