Identification of the type of Human Papilloma Virus (HPV) in condyloma acuminata in the genital and/or anal areas in men who have sex with men (MSM)

Abstract

Background: Condyloma acuminata is a sexually transmitted infection (STI) caused by the Human Papilloma Virus (HPV), marked by mucosal and skin hyperplasia, especially in the anogenital areas. HPV is transmitted by sexual intercourse. The incidence of condyloma acuminata in men who sex with men (MSM) increases due to the variations in genito-anal sexual intercourse. This study determined the type of HPV in condyloma acuminata in the genital and/or anal area in MSM.Methods: This study was a descriptive observational study with a cross sectional approach in 25 MSM subjects with condyloma acuminata at the Dermatology and Venereology outpatient clinic of Haji Adam Malik General Hospital Medan and Universitas Sumatera Utara Hospital from June 2020 to February 2021. Subjects were selected by consecutive sampling. The samples of condyloma acuminata were collected by a shave biopsy technique, followed by examining the DNA type of HPV using the PCR method. We collected the demographic data (age, education level, employment, condyloma acuminata location, and condyloma acuminata lesion shaped) and then presented it in the descriptive.Results: From 25 men who had condyloma acuminata in this study, most of them (14 people or 56%) were 19-26 years old and unmarried with homosexual orientation. Fifteen people (60%) graduated from high school, and 21 respondents (84%) worked as employees. The most locations of condyloma acuminata on the anal area as many as 16 people (64%), the most common characteristic of the lesion was acuminatum, found in 16 people (64%), and the most common type of HPV was HPV type 11 in 13 people (52%). In the genital areas and anal areas, the most common type of HPV was HPV type 11 in 4 people (44,4%) and nine people (56,2%). The most characteristic lesions in the genital area were papule in 7 people (77,8%), and in the anal area were acuminatum in 14 people (87,5%).Conclusion: The most common type of HPV in condyloma acuminata in the genital area and anal area in MSM were HPV type 11. The characteristic of condyloma acuminata lesions in the genital area in MSM was mostly papule, whereas in the anal area was acuminatum.