Schneede P, Münch P, Ziller F, Hofstetter A
Klinik für Urologie, Klinikum der Universität München, Marchioninistrasse 15, 81377 München, Grosshadern.
Hautarzt. 2001 May;52(5):411-7. doi: 10.1007/s001050051334.
Very diverse treatment recommendations exist in the literature on HPV lesions of the urethra. There are no treatment guidelines from the specialist societies. Both these factors have led to a very wide spectrum of heterogeneous treatment strategies in hospitals and medical practices of various specialties. Primary and secondary treatment of urethral condylomata by practitioners as well as a specialized HPV center was evaluated.
PATIENTS/METHODS: One hundred and five patients with condylomata of the urethra were studied. Most had been previously treated, often several times, by a variety of specialists. We treated all regardless of prior treatment status with laser therapy.
A high percentage of patients treated with different methods in medical practices but also at our high-technology center sometimes showed serious treatment complications and numerous recurrences. Most established methods of treatment for condylomata on the external genitalia are not necessarily applicable to the urethra.
About 20% of urethral condylomata can only be reached by endoscopy. Co-existing urethral malformations as well as complications of therapy are reasons for early cooperation with the urologist or HPV center.
关于尿道人乳头瘤病毒（HPV）病变的文献中存在非常多样的治疗建议。专业学会没有治疗指南。这两个因素导致不同专科的医院和医疗实践中存在非常广泛的异质性治疗策略。评估了从业者以及一家专门的HPV中心对尿道尖锐湿疣的一级和二级治疗。
患者/方法：研究了105例尿道尖锐湿疣患者。大多数患者此前曾由各种专科医生进行过治疗，且常常是多次治疗。我们对所有患者进行了激光治疗，无论其先前的治疗情况如何。
在医疗实践中以及在我们的高科技中心，采用不同方法治疗的患者中，有很大比例有时会出现严重的治疗并发症和大量复发。大多数已确立的治疗外生殖器尖锐湿疣的方法不一定适用于尿道。
约20%的尿道尖锐湿疣只能通过内镜检查触及。并存的尿道畸形以及治疗并发症是早期与泌尿科医生或HPV中心合作的原因。
