Hi doctor, I have noticed these bumps and spots on the bar of my boyfriend's penis. It does not seem to cause any discomfort to him such as itching or sensitive to touch. We have been sexually active supposedly monogamous for a year. I noted the first one about three months ago and they seem to be multiplying. Should I, or we, be concerned? Thank you so much.
Hi. I have seen your pictures (attachment removed to protect patient identity) and descriptions. These lesions seem to be genital warts (condyloma acuminata). It is a contagious disease, caused by human papilloma virus. Generally, two thirds of individuals who have sexual contact with a partner with condyloma acuminata develop lesions within three months. Oral, laryngeal or tracheal mucosal lesions are transferred by oral-genital contact and anal intercourse can transfer lesions in perianal area. Needs to rule out immunosuppression by doing certain investigation like HBsAg (hepatitis B surface antigen), anti-HCV (anti-hepatitis C Virus), HIV (human immunodeficiency virus) and VDRL (venereal disease research laboratory). Treatment plan includes radiofrequency cautery, chemical cautery (30% TCA - trichloro acetic acid), CO2 laser and topical Imiquimod applications. Review after one month if required. Revert back after a month to a dermatologist online -->