Document Detail


Proctoscopy should be mandatory in men that have sex with men with external anogenital warts.
MedLine Citation:
PMID:  19350182     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The aim of this study was to evaluate anal pathology in men having sex with men (MSM) seen at our proctology outpatient clinics.
METHODS: The charts of 74 MSM treated by the author between January 2002 and April 2006 were reviewed.
RESULTS: Three of 74 patients (4%) had proctitis and 96% had anogenital condylomata acuminata (warts). 49 out of 71 (69%) had external anogenital as well as intra-anal warts and 13 (18%) had only intra-anal warts. In 14 an intra-anal dysplasia and in 2 patients intra-anal verrucous carcinomas were detected. The average duration of disease before referral to our institutions was more than 9 months. Half of the patients were previously treated for anogenital warts with ointments and suppositories at other institutions, including 17 that were "treated" with ointments and/or suppositories for hemorrhoids prescribed by family physicians. The patients mostly had widespread disease and sixty-nine of them required surgery. In the follow-up period there was no recurrence of warts and only itching was observed in 31 (44%) patients. Therapy with imiquimod was introduced for 3 months in twenty-two cases with intra-anal dysplasia. No major side effects were noticed despite intra-anal use.
CONCLUSION: Proctoscopy and histological examination of intra-anal lesions in cases of external anogenital warts should be mandatory in MSM patients. I would like to encourage other physicians to use this approach, which enables detection of intra-anal warts, dysplasia, and even carcinoma in the asymptomatic stage.
Authors:
Bostjan Mlakar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta dermatovenerologica Alpina, Pannonica, et Adriatica     Volume:  18     ISSN:  1318-4458     ISO Abbreviation:  Acta Dermatovenerol Alp Pannonica Adriat     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-07     Completed Date:  2009-05-28     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  9422563     Medline TA:  Acta Dermatovenerol Alp Pannonica Adriat     Country:  Slovenia    
Other Details:
Languages:  eng     Pagination:  7-11     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cohort Studies
Condylomata Acuminata / diagnosis*,  epidemiology*,  therapy
Homosexuality, Male*
Humans
Incidence
Male
Middle Aged
Needs Assessment
Proctitis / complications*,  pathology,  psychology
Proctoscopy*
Recurrence
Retrospective Studies
Risk Factors
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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