El Omri Ghassane, Rais Hamza, Taghouan Anas, Rachid Moussaab, Houry Younes, Heddat Abdeljalil
Department of Urology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco.
Clin Med Insights Case Rep. 2024 Oct 18;17:11795476241292903. doi: 10.1177/11795476241292903. eCollection 2024.
Condyloma acuminata (CA) is a common manifestation of human papillomavirus (HPV) infection affecting the urogenital tract. While external genital lesions are frequently encountered, urethral involvement presents a therapeutic challenge due to the risk of recurrence and long-term complications such as urethral stricture. We present a case of urethral condyloma acuminata in a 43-year-old male patient who demonstrated favorable progression following electrocoagulation therapy. The patient presented with urethrorrhagia and lower urinary tract symptoms, with subsequent diagnosis confirmed via urological examination. Negative results from extensive microbiological testing supported the diagnosis. Treatment involved biopsy excision combined with electrocoagulation, resulting in complete resolution of symptoms without recurrence at 2-month follow-up. This case underscores the importance of individualized treatment strategies for intraurethral condyloma acuminata and highlights electrocoagulation therapy as a viable option with favorable outcomes.
尖锐湿疣(CA)是人类乳头瘤病毒(HPV)感染影响泌尿生殖道的常见表现。虽然外生殖器病变很常见,但尿道受累由于存在复发风险和诸如尿道狭窄等长期并发症而带来治疗挑战。我们报告一例43岁男性患者的尿道尖锐湿疣病例,该患者在电凝治疗后病情进展良好。患者出现尿道出血和下尿路症状,随后经泌尿外科检查确诊。广泛微生物检测的阴性结果支持该诊断。治疗包括活检切除联合电凝,在2个月的随访中症状完全缓解且无复发。该病例强调了针对尿道内尖锐湿疣个体化治疗策略的重要性,并突出了电凝治疗作为一种具有良好疗效的可行选择。