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26 years
I have something wired on my private part like mushrooms or something like it. What do you think I should do?
Nov 23, 2014

Dr. Zakia Dimassi Pediatrics
This sounds like a condyloma acuminata or genital wart, a skin lesion commonly encountered on the genitals and caused by the human papilloma virus (HPV). Approximately 90% of condyloma are related to HPV types 6 and 1; luckily, these 2 types are the least likely to have the potential to cause cancer.
Smoking, multiple sexual partners, and onset of sexual activity at an early age are risk factors for acquiring condyloma acuminata. Generally, two thirds of individuals who have sexual contact with a partner with condyloma acuminata develop lesions within 3 months. The main presenting complaint usually is one of painless bumps, itchiness, or discharge. Involvement of more than 1 area is common. History of multiple lesions, rather than 1 isolated wart is common.
Oral lesions may be present and are presumably transferred by oral-genital contact. History of anal intercourse in both males and females warrants a thorough search for perianal (around the anus) lesions. Search for other sexually transmitted infections (STIs) is also warranted.
Treatment options include:
Podofilox (Condylox)
This product results in necrosis (tissue death) of genital condyloma acuminata.
Trichloroacetic acid topical
At various concentrations (up to 80%), these agents rapidly penetrate and cauterize skin, keratin, and other tissues. Response is often incomplete, and recurrence is frequent.
Imiquimod (Aldara)
Has minimal absorption into the circulation but causes redness, irritation, ulceration, and pain. Burning, erosion, flaking, edema, induration, and pigmentary changes may occur at application site.
Other medications are also available; the choice of treatment depends on the location and size of the lesion.