Cauliflower Warts: Symptoms, Diagnosis, and Care

Cauliflower (Condylomata Acuminata)

Hello, Director Ke.
I would like to ask: Recently, while showering, I noticed something resembling warts at the junction of the frenulum and the glans.
I consulted a dermatologist nearby, and the doctor mentioned that this area is prone to growths similar to pearly penile papules.
He could not make a definitive diagnosis and advised me to observe it for one to two weeks to see if there are any signs of proliferation.
Since that day, I have been keeping the area dry after using the restroom or showering.
It has now been over two weeks, and I have noticed that not only has it not increased, but it has actually decreased in size.
There is now only a small, slightly translucent, raised area about 0.3 cm long that is not easily noticeable.
Upon my follow-up visit, the doctor said it likely isn't warts, as it wouldn't have decreased otherwise, and advised me to continue monitoring it.
Is it possible that this condition could be warts? Could keeping the area dry actually contribute to its reduction?

Xiao Cai, 20~29 year old female. Ask Date: 2019/01/23

Dr. Ke Fangxu reply Surgery

To confirm whether it is genital warts, the most direct method is to perform a biopsy or review your sexual history to see if you have engaged in unprotected sexual intercourse.
Of course, if you are a virgin, this possibility can be ruled out.
Genital warts are essentially a disease that tends to proliferate continuously; if the lesions are gradually decreasing, it is more likely that it is not genital warts.

Reply Date: 2019/01/23

More Info

Cauliflower warts, also known as genital warts, are caused by certain strains of the human papillomavirus (HPV). They typically appear as small, fleshy growths that can resemble cauliflower due to their irregular surface. These warts can occur in various locations, including the genital area, and can be a source of concern for many individuals.

Symptoms
The primary symptom of cauliflower warts is the appearance of growths in the genital area. These warts can vary in size and may be raised or flat. They are often painless but can cause discomfort, especially if they become irritated. Other symptoms may include itching or burning sensations, particularly if the warts are located in sensitive areas. In some cases, individuals may also experience bleeding if the warts are scratched or irritated.

Diagnosis
Diagnosis of cauliflower warts typically involves a physical examination by a healthcare provider. In many cases, the appearance of the warts is sufficient for a diagnosis. However, if there is uncertainty, a biopsy may be performed to rule out other conditions. It's important to differentiate between cauliflower warts and other skin lesions, such as pearly penile papules or other benign growths, which may appear similar.

Care and Management
Management of cauliflower warts can vary based on the individual's circumstances and preferences. In many cases, if the warts are not causing significant discomfort or concern, a "watchful waiting" approach may be recommended. This involves monitoring the warts for any changes in size, number, or appearance.
In your case, it is encouraging that the growth has decreased in size and is no longer multiplying. This could indicate that the body is effectively managing the HPV infection, leading to a reduction in wart size. Maintaining dryness and good hygiene can help prevent irritation and may contribute to the reduction of the warts.
If the warts do not resolve on their own or if they become bothersome, several treatment options are available, including:
1. Topical Treatments: Prescription creams or solutions, such as imiquimod or podophyllin, can be applied directly to the warts to help reduce their size.

2. Cryotherapy: This involves freezing the warts with liquid nitrogen, which can cause them to fall off over time.

3. Electrosurgery: This method uses electrical currents to destroy the warts.

4. Laser Treatment: In some cases, laser therapy may be used to remove larger or more persistent warts.

5. Surgical Removal: For warts that do not respond to other treatments, surgical excision may be necessary.

Conclusion
Based on your description, it seems that the growth you observed may not be cauliflower warts, especially since it has decreased in size and is not multiplying. It is always best to follow up with your healthcare provider for ongoing monitoring and to discuss any concerns you may have. If you notice any changes or if the growth becomes bothersome, do not hesitate to seek further evaluation. Maintaining good hygiene and keeping the area dry can certainly help in managing the condition.
In summary, while cauliflower warts can be a concern, many cases resolve on their own, and with proper observation and care, you can effectively manage the situation. Always consult with your healthcare provider for personalized advice and treatment options.

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