HPV: Symptoms, Treatment, and Prevention in Urology

Q: HPV: Symptoms, Treatment, and Prevention in Urology

Hello： 1. Can cauliflower grow as a single unit or as thin strands? --> Cauliflower can grow in various forms, and there are many types that do not all look the same. 2. It has been present for a while (approximately three to four months in my memory), and the

Suspected infection?

Hello, doctor.
Last Friday, I experienced slight discomfort (a mild heat sensation) while urinating, so I went to the urology department for a routine urine test.
I suddenly remembered that I had previously noticed a small growth resembling a polyp under my scrotum, which was slightly darker than the surrounding skin (I have a polyp on my neck as well, so I didn't think much of it).
However, the doctor told me that it was different from the one on my neck and that growths on the scrotum are not polyps.
The doctor diagnosed it as likely being genital warts (initially stating it was uncertain, but later said there was a 70% chance).
I immediately scheduled a laser vaporization procedure for that afternoon, and during the surgery, the doctor found another one on the other side, which I had not noticed despite being attentive to changes in my body.
The doctor mentioned it was even smaller.
Since the report will take two weeks, I have been increasingly anxious, wondering if it could be a misdiagnosis.
I have also noticed a similar but very tiny white growth on the inner thigh.
If it is a lesion, will it bleed if I scratch it?
1.
Can genital warts grow as a single lesion, or can they appear as very small, thin ones?
2.
Since the growth has been present for a while (I recall about three to four months), and the quantity has not increased or enlarged, if it is indeed genital warts, will touching the scrotum and then touching the genital area or other parts of the body lead to infection in those areas? Or is it only if I scratch it that it could cause infection in other areas?
3.
If it is confirmed to be genital warts, would you recommend laser treatment or topical medication? The clinic doctor mentioned that I should not use medication after the laser treatment, as it could trigger the appearance of new lesions.
4.
Does receiving the nine-valent HPV vaccine really reduce the recurrence rate?
5.
Are there any oral medications that can enhance the immune system to clear the HPV virus? Can the virus truly be completely cleared by the body's immune response?
6.
If follow-up testing after one year shows no detectable viral load, does that mean I am cured? Or will the virus coexist with my body for life, potentially reactivating if my immune system declines?
7.
Can genital warts cause mild heat or discomfort during urination?
I apologize for the numerous questions, and I appreciate your help.
Thank you.

Wei, 20~29 year old female. Ask Date: 2021/10/13

Dr. Du Shixi reply Urology

Hello:
1.
Can cauliflower grow as a single unit or as thin strands? --> Cauliflower can grow in various forms, and there are many types that do not all look the same.

2.
It has been present for a while (approximately three to four months in my memory), and the quantity has not increased nor has it grown larger.
If it is indeed cauliflower, will touching it in the scrotal area and then touching the genital area or other parts lead to infection in those areas as well? Or is it only if I break it and then touch it that it would cause infection in other areas? --> It is possible, so if the report confirms it is cauliflower, you should monitor the surrounding areas.
If more lesions develop, they should be treated.

3.
If it is confirmed to be cauliflower, is it recommended to use laser treatment or just topical medication? Currently, the clinic doctor says that medication cannot be applied after the original lesions have been removed with laser treatment, as it may induce the appearance of new lesions.
--> It depends on the instructions for the topical medication.

4.
Does receiving the nine-valent vaccine really reduce the recurrence rate? --> The instructions only state prevention and do not mention any therapeutic function.

5.
Are there any oral medications that can enhance the immune system to clear the HPV virus? Can this virus truly be completely cleared by the body's immune system? --> I do not have information on oral medications for this purpose, but there are reports suggesting that the human immune system may clear the virus, so boosting immunity is beneficial.
However, complete clearance is generally not stated by Western medicine and requires verification.

6.
If after one year of follow-up no viral load is detected, does that mean it is cured? Or will it coexist with my body for life, potentially re-emerging when my immunity decreases? --> Both scenarios are possible.

7.
Can cauliflower cause mild heat or discomfort during urination? --> No, this should be evaluated through a urinalysis report.

Wishing you good health.

Reply Date: 2021/10/13

More Info

Human Papillomavirus (HPV) is a common sexually transmitted infection that can lead to various health issues, including genital warts and cervical cancer. Understanding HPV's symptoms, treatment options, and prevention strategies is crucial for maintaining sexual health.
1. Symptoms of HPV: HPV often does not present any symptoms, which is why many people may be unaware they are infected. However, certain strains of HPV can cause genital warts, which may appear as small, flesh-colored or gray swellings in the genital area. These warts can be single or multiple and may vary in size. In some cases, they can resemble small, thin stalks or cauliflower-like clusters. If you notice any unusual growths or changes in your genital area, it's essential to consult a healthcare provider for an accurate diagnosis.

2. Transmission and Infection: HPV is primarily transmitted through skin-to-skin contact during sexual activity, including vaginal, anal, and oral sex. If you touch a wart and then touch another part of your body, there is a potential risk of spreading the virus, particularly if the wart is broken or irritated. However, simply touching a wart and then touching another area does not guarantee transmission. Maintaining good hygiene and avoiding direct contact with warts can help reduce the risk of spreading HPV.

3. Treatment Options: Treatment for HPV-related conditions, such as genital warts, can vary. Laser treatment is one option that can effectively remove warts. Other treatments include topical medications that can be applied directly to the warts. However, it's important to note that while these treatments can remove visible warts, they do not eliminate the virus from the body. The immune system plays a significant role in controlling HPV, and many individuals may clear the virus naturally over time.

4. Vaccination: The HPV vaccine, particularly the nine-valent vaccine, is highly effective in preventing infections from the most common high-risk HPV types associated with cancer and low-risk types that cause genital warts. Vaccination can significantly reduce the risk of developing HPV-related diseases, including recurrent warts and cervical cancer.

5. Immune System and HPV: There are no specific oral medications that can directly boost the immune system to clear HPV. However, maintaining a healthy lifestyle—such as a balanced diet, regular exercise, adequate sleep, and stress management—can support overall immune function. In many cases, the body's immune system can suppress or clear the virus over time, but this process can vary from person to person.

6. Long-term Outlook: If follow-up testing after a year shows no detectable HPV, it may indicate that your body has cleared the virus. However, HPV can remain dormant in the body, and it is possible for the virus to reactivate if the immune system weakens. Regular screenings and follow-ups with your healthcare provider are essential for monitoring your health.

7. Symptoms Related to Urination: HPV itself typically does not cause urinary symptoms like burning or discomfort. However, if there are warts or lesions in the genital area, they could potentially cause irritation during urination. If you experience persistent symptoms, it's crucial to consult a healthcare provider to rule out other infections or conditions.

In summary, HPV is a common virus that can lead to various health issues, but with proper awareness, treatment, and preventive measures, individuals can manage their health effectively. Regular check-ups, vaccinations, and open communication with healthcare providers are key components in addressing HPV-related concerns. If you have any further questions or concerns, please reach out to a healthcare professional for personalized advice and treatment options.

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