Cauliflower Growth: Diagnosis and Treatment Options - Urology

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Examination of Cauliflower


Doctor, may I ask if cauliflower warts initially appear as small flesh-colored bumps? Mine look like fleshy growths.
Is there any testing method to clearly determine whether it is cauliflower warts or another issue? Also, can a pathology report from a circumcision provide clarity on this? Thank you for your response.
It's a pity I didn't meet you in Taipei; I've already undergone electrocautery and circumcision, and I'm worried about the possibility of a deep infection.

Niming, 30~39 year old female. Ask Date: 2008/12/25

Dr. Xu Weikai reply Urology


Anonymous: Hello, warts can generally be diagnosed visually.
If there are any doubts, a biopsy can be performed.
The excised foreskin may be sent for pathological examination depending on the surgeon's practice; some surgeons will send it to a pathologist for testing, which will provide results.
However, I am referring to the situation where surgical instruments contaminated with the wart virus (such as electrosurgical probes, blades, gauze, surgical gloves, etc.) inadvertently contaminate the foreskin wound during surgery.
This cannot be confirmed by the pathologist.
We can only wait for three months; if no new warts appear, it is likely that there was no infection.
Generally, if the patient strongly requests simultaneous treatment, my approach would be to completely cauterize the warts first, then change all the drapes, instruments, and the surgeon's gloves and clothing, etc., before proceeding with the foreskin surgery.
Typically, if possible, I would schedule the wart surgery at the end of the day's procedures, and after the surgery, a thorough disinfection would be performed.
Additionally, the surgical attire for patients and medical staff will be disposable, to be discarded after use, to prevent contamination of the next patient.
If there are any unclear points, feel free to ask again for further discussion and research.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Concerned about you.
Director, Hsu Wei-Kai.

Reply Date: 2008/12/25

More Info


Cauliflower growth, commonly referred to as genital warts, is caused by the human papillomavirus (HPV). It is important to understand that these growths can appear as small, flesh-colored bumps or cauliflower-like clusters. The initial appearance of genital warts can indeed resemble small flesh-colored growths, which may develop into larger, more prominent lesions over time.
To accurately diagnose whether a growth is indeed a genital wart or something else, a healthcare provider typically conducts a physical examination. In some cases, a biopsy may be necessary, where a small sample of the tissue is taken and examined under a microscope. This can help differentiate between genital warts and other conditions, such as molluscum contagiosum or other skin lesions. If you have had a biopsy done during a circumcision, the pathology report should provide clarity on the nature of the growth.

In terms of treatment options, there are several methods available for managing genital warts. These include topical treatments, such as imiquimod or podofilox, which can be applied directly to the warts. Cryotherapy, which involves freezing the warts with liquid nitrogen, is another common treatment. In more severe cases, surgical options such as excision or laser therapy may be considered. It is crucial to consult with a healthcare provider to determine the most appropriate treatment based on the size, location, and number of warts.

Regarding your concern about potential deep infections following treatments like electrocautery or circumcision, it is essential to follow post-operative care instructions provided by your healthcare provider. Keeping the area clean and dry, avoiding irritants, and monitoring for signs of infection (such as increased redness, swelling, or discharge) are vital steps in preventing complications.

If you are feeling anxious about your condition or the treatment process, it may be beneficial to seek a second opinion from another healthcare provider. This can provide you with additional reassurance and options for managing your health. Remember, it is important to address any concerns you have with your healthcare provider, as they can offer personalized advice and support based on your specific situation.

In summary, if you suspect you have genital warts or any unusual growths, it is crucial to seek medical evaluation. Diagnosis can often be made through physical examination and, if necessary, biopsy. Treatment options vary, and it is essential to discuss these with your healthcare provider to determine the best course of action. Lastly, maintaining good hygiene and following post-treatment care instructions can help prevent complications and promote healing.

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