Diagnostics

Condyloma

What is condyloma?

There are mostly genital warts or growths on the penis or scrotum and pubic area. They are rarely present in the perineum or around the anus.

It is generally accepted that approximately 50% and 70% of the sexually active population will be in contact with HPV during their lifetime. However, most of us get rid of it spontaneously. On the other hand, about 1% of the population suffers from condyloma. They cause few symptoms. The presence of the condyloma is accounted for by seeing or touching small growths or warts mainly on the genitals.

Usually, the incubation period is about 1 to 8 months, although much longer delays (up to several years or decades) have been reported. In addition, some people who get HPV fight it well. and do not show any symptoms. Unknowingly, they carry it and develop lesions when their immune system is reduced by age, disease or treatment. It is therefore difficult to know exactly when and from whom they caught HPV.

What is the cause of condyloma?

Usually, the virus (HPV) is transmitted during direct sexual contact of the genital organs, whether penetrated or not, with a person infected with the virus. Transmission can also occur through contact with infected genital secretions. It is extremely unlikely to be passed on to family members (without sexual contact).

Two-thirds of those exposed to condyloma by their partner will develop it within 2 to 3 years after unprotected sex.

What are the complications in humans?

In humans, some types of HPV are associated (HPV 16 or 18) with anal cancer and more rarely with penile cancer. Over time, some genital warts can turn into precancerous lesions, then into cancer.

How to make a diagnosis of condyloma in men?

Condylomas are most often detected with the naked eye. They are sometimes difficult to diagnose because they may be the same color as the skin or hide in folds of skin or mucosa.

In case of doubt, Dr Marois can do a biopsy (taking a piece of skin for a pathological analysis).

There is no screening test to detect people with the virus without injury.

When screening for STD, there is no specific test for HPV.

What is the treatment for condyloma in men?

The condyloma can disappear spontaneously without any intervention in a few months in 50% of the people affected. However, some men in good health or with problems of the immune system will have difficulty to eliminate them.

The goal of treatment is to remove visible lesions only. A solution of podofilox sold under prescription under the names Condyline or Wartex that burns warts. A prescription imiquimod cream that stimulates the immune system's response. This cream is sold under the names Aldara or Vyloma.

Liquid nitrogen (cryotherapy) is frequently used in practice. The tissues are destroyed by several successive freeze/thaw meetings. If the treatment is too painful, the person may apply anaesthetic cream before treatment.

Dr Marois' clinic is a private practice that is equipped with a full urological minor surgical ward. It conforms to the standards established by the Collège des médecins du Québec. Dr Marois is a specialist urologist who is able to offer you effective surgical treatment.

All patients have telephone follow-up by one of our urology nurses in the days following the procedure.

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Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

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Dr. Marois is a urologist who is not a member of the Régie de l’Assurance Maladie du Québec (RAMQ). As such, if you require his professional services, you will have to pay directly the Cliniques Marois for the services rendered.

Cancellation Policy:

To ensure the smooth running of the clinics aa well as a minimum of courtesy towards other patients and staff members, we ask you to notify us 48 hours in advance for cancelling an appointment, 5 working days for cancelling a minor surgery in the office and 21 working days for major surgery at the CMC. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur and schedules change, so we ask patients to give us at least a 24-hour notice for any changes of appointment. We will be happy to reschedule another one for you. Failure to provide such notice within this timeframe will result in a $ 100 fee.

Thank you for your understanding.

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