[New ambulatory techniques for the detection and treatment of urethral condyloma in men. Apropos of 2 cases].

We have been looking for urethral condylomatous lesions during a screening genital examination of 2,000 male patients who were the partners of women presenting with a condylomatous infection. The use of a small speculum and of a retractor of our own design has allowed the out patient diagnosis and treatment of urethral lesions up to 20 mm deep in 26 (22%) of the 123 patients presenting with lesions of the urethral meatus. A follow-up urethroscopy demonstrated the presence of condylomatous lesions in the retrobalanic portion, up to the vicinity of the striated sphincter in 11 (8%) of these patients. The use of a novel retractor thus allows visualizing all the lesions located up to the great lacuna and treating them with a laser beam, with a healing rate of 93%. Urethroscopy must be reserved for recurrence of meatic condylomas after treatment.