Is It a Wart? Urological Concerns About Growths - Urology

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Could it be cauliflower?


Dear Doctor: My foreskin is a bit long but can still retract to expose the glans.
Three months ago, I noticed a small growth in the fold directly above, just one small lesion, but it seems to be growing slowly.
I'm very worried and unsure if it could be a wart, so I used scissors to cut it off (since it was less than 1mm).
However, it has slowly started to grow back.
I would like to ask: 1.
Can warts appear as just a single small lesion? 2.
How quickly can warts grow from being barely visible to a larger size?

Long, 30~39 year old female. Ask Date: 2004/10/26

Dr. Liu Jianting reply Urology


It's truly genius! Something less than 1mm can be self-operated on to resolve the issue, and now the evidence is gone.
If it happens again, please stay and consult a urologist.
As for whether it's "cauliflower," it's hard to say!

Reply Date: 2004/10/26

More Info


When it comes to concerns about growths in the urological area, particularly regarding the possibility of warts or other lesions, it's essential to approach the situation with caution and seek professional medical advice. Based on your description, it sounds like you are experiencing a growth on the skin of your penis, which has raised concerns about whether it could be a wart, specifically a genital wart (often referred to as "cauliflower" due to its appearance).

1. Can genital warts appear as a single small growth?
Yes, genital warts can indeed present as a single small growth. They are caused by certain strains of the human papillomavirus (HPV), and their appearance can vary significantly from person to person. Some individuals may notice just one small wart, while others may develop multiple warts over time. The size of these warts can also differ; they can be as small as a pinhead or grow larger, resembling a cauliflower. It's important to note that the appearance of a single small growth does not rule out the possibility of it being a genital wart.

2. How quickly can genital warts grow?
The growth rate of genital warts can vary widely. Some warts may remain small and not change for a long time, while others can grow rapidly over a few weeks or months. Generally, if a wart is growing, it may indicate that the virus is active, and the immune response is not effectively controlling it. However, the speed of growth can be influenced by various factors, including the individual's immune system, the specific strain of HPV, and any underlying health conditions.

Given your situation, where you have attempted to cut the growth but it has returned, it is crucial to consult a healthcare professional, preferably a urologist or a dermatologist. They can perform a thorough examination and may recommend further tests, such as a biopsy, to determine the nature of the growth. Self-treatment, such as cutting or trying to remove the growth at home, is not advisable, as it can lead to infection, scarring, or further complications.

In addition to physical examination, your healthcare provider may discuss your sexual health history, any other symptoms you may be experiencing, and potential treatment options. Treatments for genital warts can include topical medications, cryotherapy (freezing the wart), laser therapy, or surgical removal, depending on the size and location of the warts and your overall health.

It's also important to consider preventive measures against HPV, such as vaccination. The HPV vaccine can protect against the most common strains of the virus that cause genital warts and certain types of cancer. Discussing vaccination options with your healthcare provider can be beneficial, especially if you are at risk or have not yet been vaccinated.

In summary, while it is possible for genital warts to appear as a single small growth, the best course of action is to seek professional medical advice for accurate diagnosis and appropriate treatment. Avoid self-removal methods, as they can lead to complications. A healthcare professional can provide you with the necessary information and support to address your concerns effectively.

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