Could It Be Genital Warts? Urological Concerns - Urology

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When it comes to concerns about a new growth on the penis, particularly one that is oval, white, rough, and asymptomatic (not itchy or painful), it is important to consider several possibilities, including genital warts, also known as condylomata acuminata. These are caused by certain strains of the human papillomavirus (HPV), which is a sexually transmitted infection (STI).
Genital warts can appear as small, flesh-colored or whitish bumps that may be raised or flat, and they can vary in size. They are often rough in texture, which aligns with your description. The fact that you have a fixed sexual partner and have engaged in unprotected sex increases the likelihood of HPV transmission, as it is commonly spread through skin-to-skin contact during sexual activity.

However, it is crucial to note that not all bumps or growths on the genital area are genital warts. Other conditions can present similarly, including:
1. Pearly Penile Papules: These are small, harmless bumps that are often found around the corona of the glans (the head of the penis). They are normal anatomical variations and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands and are also normal and harmless.

3. Seborrheic Keratosis: This is a benign skin growth that can appear anywhere on the body, including the genital area. They are usually rough and can be mistaken for warts.

4. Other STIs: Conditions such as molluscum contagiosum or herpes can also cause bumps or lesions in the genital area.

Given the potential for HPV and the implications of having genital warts, it is essential to seek a professional evaluation. A healthcare provider, particularly a urologist or dermatologist, can conduct a thorough examination and may perform a biopsy if necessary to determine the exact nature of the growth.
In terms of management, if it is indeed genital warts, there are several treatment options available, including topical treatments, cryotherapy (freezing the warts), or surgical removal. It's also important to discuss HPV vaccination with your healthcare provider, as it can help prevent future infections from the most common strains of HPV that cause genital warts and certain types of cancer.

In conclusion, while the characteristics of the growth you described could suggest genital warts, only a healthcare professional can provide an accurate diagnosis. It is advisable to make an appointment for a proper assessment and to discuss any concerns regarding sexual health and safe practices moving forward. Remember, early diagnosis and treatment can help manage any potential issues effectively.