HPV Type 32: Symptoms, Risks, and Urethral Concerns - Urology

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Doctor, I had unprotected sexual intercourse on July 15.
A few days later, I felt a constant urge to urinate at the tip of my penis.
Concerned, I got tested for STDs at two different clinics on the 10th day and again on August 16.
The first test at a certain laboratory detected HPV type 32 using a hard brush on the genital area, but when I consulted two urologists afterward, they both told me that I shouldn't worry about HPV type 32.
I also had tests for urine and urine flow rate, which were normal, and a physical examination of the urethral opening showed no abnormalities.

I would like to know what type of HPV type 32 is, what symptoms may arise if it becomes active, and whether my persistent feeling of residual urine could be related to the presence of warts in the urethra that might not show up in urine tests.
Can urine tests detect warts in the urethra? Thank you, doctor.

Xiao Yi, 30~39 year old female. Ask Date: 2019/08/20

Dr. Du Shixi reply Urology


Hello: Is it possible to detect the cauliflower virus through a urine test? -- It is unlikely, as there are over 100 types of the cauliflower virus, with several dozen that can infect humans.
Some have categorized them based on epithelial or mucosal infections.
Currently, there is limited understanding of type 32, which seems to primarily affect the oral mucosa.
Wishing you good health.

Reply Date: 2019/08/20

More Info


HPV (Human Papillomavirus) is a group of more than 200 related viruses, some of which are classified as low-risk and others as high-risk. HPV type 32 is considered a low-risk type, meaning it is less likely to cause serious health issues compared to high-risk types like HPV 16 and 18, which are associated with cervical cancer and other malignancies. Low-risk HPV types, such as 6 and 11, are more commonly associated with benign conditions like genital warts (also known as "cauliflower" or "condyloma acuminata").
In your case, HPV type 32 is not typically associated with the development of genital warts. The symptoms you are experiencing, such as the sensation of residual urine after urination, are unlikely to be directly caused by HPV type 32. Instead, these symptoms could be related to other factors, such as anxiety, irritation, or a urinary tract issue. It is important to note that HPV infections often do not present with symptoms, and many individuals clear the virus from their system without any treatment.

Regarding your concerns about your partner, it is generally advisable for sexual partners to be aware of any HPV infections. While HPV is primarily transmitted through skin-to-skin contact during sexual activity, the risk of transmission can be reduced through the use of condoms, although they do not provide complete protection. It is a good idea for your partner to discuss HPV testing with her healthcare provider, especially if she has any concerns or symptoms.

As for the hygiene of personal items, while HPV is not spread through casual contact or sharing of towels and clothing, maintaining good hygiene practices is always beneficial. It is wise to avoid sharing personal items that come into contact with genital areas to minimize any risk of other infections.

In terms of your specific symptoms, the feeling of residual urine could be due to several factors, including anxiety or irritation of the urethra. If the sensation persists, it would be prudent to consult a urologist for further evaluation. They may perform additional tests to rule out any underlying conditions, such as urethritis or other urinary tract issues.

To summarize:
1. HPV type 32 is a low-risk type and is not typically associated with genital warts.

2. The sensation of residual urine is unlikely to be caused by HPV and may require further evaluation by a healthcare provider.

3. It is advisable for your partner to discuss HPV testing with her healthcare provider.

4. Good hygiene practices are recommended, but HPV is not transmitted through casual contact.

If you continue to experience discomfort or have concerns about your symptoms, seeking a follow-up appointment with a healthcare provider is essential for peace of mind and appropriate management.

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