Nd:YAG Laser Therapy for Intraurethral Condyloma Acuminatum in Men

Kim, Sun Gook; Seo, Ill Young; Rim, Joung Sik

Abstract

PURPOSE: Condyloma acuminatum is a common lesion of the external genitalia and anus. However, its involvement of the urethra is uncommonly, but when it does the lesions are difficult to eradicate. Treatments have included excision, electrical fulguration and laser therapy. Laser therapy causes minimal damage to the urethral mucosa, and stricture formation seems less likely when use. The results of intraurethral condyloma acuminatum, treated with Nd:YAG laser therapy, are reported.
MATERIALS AND METHODS
Between June, 2000 and May, 2002, 13 men, with intraurethral condyloma, were treated by Nd:YAG laser therapy at our institution. All patients underwent cystourethroscopy to rule out concomitant urethral and vesicle disease. Biopsies of all lesions were performed, with the specimens sent for DNA viral typing. After removal of the condyloma, cystourethroscopy was used on follow-up at three-month intervals.
RESULTS
All the patients were found to have condyloma acuminatum. Of these, 3 (23.1%) had concomitant distal urethral lesions and 7 (53.8%) had an associated cutaneous condyloma. All the patients were found to have type 6/11 human papillomavirus disease, as confirmed by their viral typing. A recurrence was observed in only 1 patient, and no complications were reported.
CONCLUSIONS
For intraurethral condyloma acuminatum, Nd:YAG laser therapy is successful, and cystourethroscopy is required for the diagnosis and at follow-up.