Squamous Papilloma in the Penile Corona: What You Need to Know - Urology

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Squamous papilloma is a benign epithelial tumor that typically appears as a small, wart-like growth on the skin or mucous membranes. It is characterized by the proliferation of squamous cells, which are flat cells found in the outer layer of the skin. These growths can occur in various locations on the body, including the genital area, and are often associated with human papillomavirus (HPV) infection, although not exclusively.

In your case, the presence of squamous papilloma in the penile corona raises several important points. First, it is crucial to understand that squamous papillomas are generally considered benign and do not pose a significant health risk. They are not cancerous and typically do not metastasize. However, their association with HPV is noteworthy, as certain strains of HPV are linked to an increased risk of developing genital warts and, in some cases, cervical cancer in women. The fact that your girlfriend's HPV screening returned negative results is reassuring, as it suggests that there is no active HPV infection that could lead to further complications.

Regarding the symptoms, squamous papillomas may not cause any discomfort or pain, but they can sometimes be mistaken for other conditions, such as pearly penile papules or sebaceous gland hyperplasia, which are also benign. The appearance of these growths can vary, and it is not uncommon for individuals to have concerns about their nature, especially when they change in appearance or number.

As for treatment, if the squamous papilloma is asymptomatic and not causing any issues, many healthcare providers may recommend a watchful waiting approach. However, if the growth is bothersome or if there are concerns about its appearance, options for removal include surgical excision, cryotherapy (freezing), or laser therapy. Since your biopsy did not completely remove the lesion, it is advisable to follow up with your healthcare provider to discuss whether further intervention is necessary. They may recommend monitoring the area for any changes or considering additional treatment to ensure complete removal.

In terms of transmission, squamous papillomas themselves are not contagious. However, if they are associated with HPV, it is essential to understand that HPV can be transmitted through skin-to-skin contact, including sexual activity. Therefore, practicing safe sex and maintaining open communication with sexual partners about health status is crucial.

In conclusion, while squamous papilloma is generally a benign condition, it is essential to remain vigilant and consult with your healthcare provider regarding any changes in the growth or new symptoms that may arise. Regular follow-up appointments can help ensure that any potential issues are addressed promptly. If you have further concerns or questions, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance.