Abstract

Condyloma acuminata in the external genitalia (genital warts) is a sexually transmitted disease that is often caused by human papillomavirus (HPV). We report a case of giant genital condyloma acuminata in a 35-year-old male patient with HIV comorbidity treated by wide surgical excision. Excision defect was covered with split thickness skin graft (STSG) and double keystone flaps. There was no complication after surgery. Ten months following surgery, there was no new condyloma lesion and the patient had normal voiding and erectile functions.

Highlights

  • External genitalia wart, known as condyloma acuminata, is a common form of sexually transmitted disease

  • We found solid cauliflowershaped lumps, covering almost the entire shaft of the penis, the suprapubic area, and the scrotum, with a size of ±9 × 8 × 4 cm (Figure 1)

  • Split thickness skin graft (STSG) had been performed to close the defect in the shaft of the penis and double keystone flaps had been used for scrotum and suprapubic defects

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Summary

Introduction

Known as condyloma acuminata, is a common form of sexually transmitted disease. It is caused by human papillomavirus (HPV) [1, 2]. HPV infects the squamous epithelium and more commonly occurs on the external genitalia. Many treatment options (topical, systemic, or surgical) can be used for genital warts, but there has been no single specific and satisfying therapy [3,4,5]

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