HPV Infection Risks and Testing Methods in Urology - Urology

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The probability of cauliflower infection?


1.
Recently, I visited a dermatologist to check for glans eczema and red spots.
The dermatologist used a dermatoscope to examine the area, and during the process, the dermatoscope accidentally touched the tip of the glans for about 1 to 2 seconds before retracting.
If that dermatoscope had previously examined another patient with viral warts on their hands, genitals, or glans, and had also come into contact with condyloma or common warts, could I potentially be infected with HPV from that contaminated and non-disinfected lens or frame? What would be the likelihood of this happening? (Certain, very high, high, moderate, low, very low, impossible)
2.
Besides using a cotton swab to collect lesions for DNA testing, is there a way to test for HPV antibodies or antigens through a blood draw? (Can one of these be tested, or can both be tested?)
3.
If I want to have a blood test for HPV antibodies or antigens, can I get this done through a urology department?
4.
Is it true that HPV can be transmitted simply through contact, or does it require friction to facilitate transmission?

Xiao Chen, 20~29 year old female. Ask Date: 2021/03/21

Dr. Du Shixi reply Urology


Hello: 1) It's not possible; disinfection will be performed after use.
2) HPV seems to be primarily detected from lesion biopsies.
3) None.
4) Transmission depends on the viral load and the immune resistance of the person in contact.
Wishing you good health.

Reply Date: 2021/03/21

More Info


Understanding HPV Infection Risks and Testing Methods in Urology
Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and certain types of cancer. Understanding the risks associated with HPV, as well as the methods for testing and prevention, is crucial for maintaining sexual health. Here, I will address the specific questions regarding HPV infection risks and testing methods based on the scenarios presented.

1. Risk of Infection from Contaminated Medical Instruments:
In the scenario where a dermatologist used a dermatoscope that may have come into contact with HPV-infected areas, the risk of transmission through brief contact is generally considered to be very low. HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activities. The likelihood of contracting HPV from a medical instrument that briefly touched an infected area is not zero, but it is significantly lower than direct contact with an infected person. The probability can be categorized as "very low" to "low," especially if the instrument was not in contact with visible lesions or if proper sanitation protocols were followed after each patient.

2. HPV Testing Methods:
HPV testing typically involves collecting cells from the cervix (in women) or from lesions (in men) using a swab to test for the presence of the virus's DNA. While there are blood tests available that can detect antibodies to certain HPV types, these tests are not routinely used for diagnosing HPV infections. The most reliable method for detecting HPV is through a direct sample from the affected area. Therefore, while blood tests can be performed, they are not as definitive as swab tests for HPV diagnosis.

3. Blood Testing for HPV:
If you are considering a blood test for HPV antibodies or antigens, it is advisable to consult a urologist or a healthcare provider specializing in sexually transmitted infections. They can guide you on the appropriate tests based on your symptoms and history. However, it is important to note that blood tests for HPV are not standard practice and may not provide the information you need regarding active infections.

4. Transmission of HPV:
HPV is primarily transmitted through intimate skin-to-skin contact. This means that while mere contact with contaminated surfaces or instruments poses a risk, the risk is significantly lower compared to direct sexual contact. HPV can be transmitted even when an infected person does not have visible symptoms or warts. Friction during sexual activities can increase the likelihood of transmission, but it is not strictly necessary for the virus to spread. Therefore, any form of intimate contact, including genital contact without penetration, can potentially lead to transmission.

In conclusion, while the risk of contracting HPV from contaminated medical instruments is low, it is not entirely absent. Regular screenings and vaccinations are essential for prevention. The HPV vaccine is effective in preventing the most common and high-risk types of HPV, and it is recommended for both males and females before they become sexually active. If you have concerns about HPV or potential exposure, discussing these with a healthcare provider is crucial for appropriate testing and preventive measures. Maintaining good hygiene practices and being aware of your sexual health can significantly reduce the risks associated with HPV.

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