Is It Cauliflower? Urology Concerns and Treatment Options - Urology

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Is it cauliflower?


Hello Dr.
Hsu: This is A-K, who asked a question a few days ago.
I visited my urology clinic, and the doctor examined me with a magnifying glass and said it doesn't look very suspicious.
I mentioned that the size hasn't changed in the past two months, and he suggested using cryotherapy to remove it.
However, I expressed my concern that I wouldn't know if it was truly resolved.
Can it be tested afterward? Or should I consider getting a second opinion at another clinic? (The female partner also saw a doctor and had no abnormalities.) Thank you again.

A K, 30~39 year old female. Ask Date: 2012/06/05

Dr. Xu Weikai reply Urology


A: Hello, you can consult another physician for a second opinion.
However, warts can usually be diagnosed visually.
If there is uncertainty, a surgical excision can be performed, and the excised tissue can be sent for pathological examination.
If you have any further questions or need clarification, feel free to ask, and we can discuss and research together.
Online responses should only be used as a reference; it is essential to seek medical care at a healthcare facility if necessary.
This response is provided by Dr.
Hsu Wei-kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/06/05

More Info


When it comes to urological concerns, particularly regarding potential growths or lesions, it is essential to approach the situation with a thorough understanding of the options available for diagnosis and treatment. In your case, it seems that you are dealing with a potential lesion that your urologist has examined and deemed not typical for cauliflower-like growths, which are often associated with conditions such as genital warts caused by the human papillomavirus (HPV).
The recommendation for cryotherapy (freezing) is a common treatment for various skin lesions, including warts. This method involves applying extreme cold to the lesion, which can effectively destroy abnormal tissue. However, you raised a valid concern about whether this method allows for a definitive diagnosis. Cryotherapy can indeed remove the lesion, but it does not provide a histological examination of the tissue, which is crucial for confirming the nature of the growth.
If you are uncertain about the diagnosis or the treatment plan, seeking a second opinion is always a prudent choice. A different urologist may provide additional insights or alternative diagnostic methods, such as a biopsy, which involves taking a small sample of the tissue for laboratory analysis. This can help determine whether the lesion is benign or malignant and guide further treatment options.

In terms of treatment options, if the lesion is confirmed to be benign, cryotherapy may be sufficient. However, if there is any suspicion of malignancy, more invasive procedures may be necessary, such as excisional surgery, where the entire lesion is removed for examination.
It's also important to consider the psychological aspect of dealing with potential urological issues. Many patients experience anxiety regarding lesions or growths, especially when there is uncertainty about their nature. Open communication with your healthcare provider about your concerns and preferences is essential.
In summary, while cryotherapy can be an effective treatment for certain lesions, it is crucial to ensure that you have a clear understanding of the diagnosis. If there is any doubt, pursuing a second opinion or requesting a biopsy can provide peace of mind and ensure that you receive the most appropriate care. Your health and comfort should always be the priority, and you have every right to seek clarity and reassurance regarding your treatment options.

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