Can Genital Warts Spread Deeper into the Urethra or Beyond? - Dermatology

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Is there a chance for cauliflower to grow deeper?


Hello, doctor.
I have been diagnosed with genital warts at a dermatology clinic.
I underwent cryotherapy once, but after returning home and retracting the foreskin, I suspect that it has grown from the inside.
However, the doctor said that cryotherapy would suffice...
What does that mean? If warts develop at the urethral opening, could they extend deeper into the urethra, the testicles, or the kidneys?

KuoYua, 10~19 year old female. Ask Date: 2022/10/12

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to cauliflower, you can refer to the article by Mei's good friend at https://www.medpartner.club/anogenital-wart-prevention-treatment/.
Since human papillomavirus (HPV) is contagious, it is recommended to treat the lesions completely as early as possible.
Thank you!

Reply Date: 2022/10/12

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), are a common sexually transmitted infection. They typically appear as small, flesh-colored or gray growths in the genital area, including the penis, vulva, and around the anus. When it comes to your concerns about the potential for genital warts to spread deeper into the urethra or beyond, it is essential to understand how HPV and genital warts function.

Firstly, while genital warts can appear at the urethral opening, they do not typically invade deeper structures like the urethra, testicles, or kidneys. The urethra is a tube that carries urine from the bladder to the outside of the body, and while it is possible for HPV to infect the urethra, it is relatively uncommon. The primary manifestation of genital warts is localized to the skin and mucous membranes, and the virus tends to remain in the epithelial cells of the skin rather than penetrating deeper into the tissues.

The freezing treatment you received, known as cryotherapy, is a common method for removing genital warts. This procedure involves applying extreme cold to the warts, causing them to freeze and eventually fall off. Your doctor likely suggested that this treatment would be sufficient because, in most cases, it effectively removes the visible warts. However, it is important to note that while cryotherapy can eliminate the warts, it does not cure the underlying HPV infection. The virus can remain dormant in the body and may reactivate or cause new warts to appear in the future.

If you are experiencing new growths or changes in the appearance of your genital area, it is crucial to follow up with your healthcare provider. They may recommend further evaluation or additional treatments if necessary. It is also essential to maintain open communication with your doctor about any concerns you have regarding the spread of the virus or the appearance of new warts.

Regarding your specific concern about the potential for warts to spread to the urethra, testicles, or kidneys, it is important to understand that while HPV can infect the urethra, it does not typically lead to deeper infections in the urinary tract or reproductive organs. However, if you notice any unusual symptoms, such as pain during urination, blood in the urine, or any other concerning signs, you should seek medical attention promptly. These symptoms could indicate other underlying issues that may require further investigation.

In summary, while genital warts can appear at the urethral opening, they do not typically spread deeper into the urethra or beyond. Cryotherapy is an effective treatment for removing visible warts, but it does not eliminate the HPV infection itself. If you have concerns about new growths or symptoms, it is essential to consult with your healthcare provider for appropriate evaluation and management. Regular follow-ups and discussions with your doctor can help ensure that you receive the best care for your condition.

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