V1558 TREATMENT OF URETHRAL MULTIPLE CONDYLOMATOSIS WITH GREENLIGHT LASER

Abstract

You have accessJournal of UrologyInfertility, Infection, Erectile Dysfunction & Trauma1 Apr 2011V1558 TREATMENT OF URETHRAL MULTIPLE CONDYLOMATOSIS WITH GREENLIGHT LASER Ricardo Garcia Navas, Luis Cordoba, Eldiberto Fernandez, and Francisco Javier Burgos Ricardo Garcia NavasRicardo Garcia Navas Madrid, Spain More articles by this author , Luis CordobaLuis Cordoba Madrid, Spain More articles by this author , Eldiberto FernandezEldiberto Fernandez Madrid, Spain More articles by this author , and Francisco Javier BurgosFrancisco Javier Burgos Madrid, Spain More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1581AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Human Papilloma Virus (HPV) is a sexually transmitted infection that has been classically related with genital warts. Most frequently, genital warts present as condylomas. Treatment of urethral condylomas include laser vaporisation. CO2 or Neodinium-YAG laser can be used to vaporise small, single/few condylomas with good results but when multiple urethral condylomas are present it is often necessary to repeat the treatment. We present two cases in whom Greenlight laser (AMS, HPS Laser) was used to treat urethral condylomatosis. METHODS Case 1. 28 year-old male. No previous medical conditions. He presented with condyloma in the navicularis fosae. We performed an urethrocystoscopy to search for urethral condyloma. These were present from the bulbo-membranous urethra to the mid-penile urethra. We performed photovaporisation with HPS at 30 W intensity. A total of 72,800 joules were applied. A urethral catether was left for five days and removed afterwards; the patient left our centre after 24 hours hospitalization with no immediate post-operative complications. Case 2 32 year-old male with haematological disease (myeloid aplasia). He presented with a condyloma in the glans and mictional “spray.” We performed simple excision of the condyloma and an urethrocystoscopy to search for urethral condyloma. These were present in all the urethral circumference from the veru montanum proximally to the navicularis fosae distally. We performed photovaporisation with HPS laser (Greenlight laser) at 30 W intensity. A total of 84,500 joules were applied with treatment of all condylomas. An urethral catether was left for five days and removed; the patient left our centre after 24 hours hospitalization with no immediate post-operative complications. RESULTS Case 1 Control urethrocystoscopy was performed 1 month after treatment with no condylomas left and a healthy urethral mucosa observed. Urinary flow was performed after and before surgery (peak flow: 21.7 ml/s vs 20.9ml/s). 3 months after, the patient is asymptomatic with no genital external warts and a normal control urethrocystoscopy. Case 2 Control urethrocystoscopy was performed 1 month after treatment with no condylomas left and a healthy urethral mucosa observed. Urinary flow was performed after and before surgery (peak flow: 17.3 ml/s vs 14.3 ml/s). 6 months after, the patient is asymptomatic with no genital external warts and a normal control urethrocystoscopy performed 6 months after surgery. CONCLUSIONS In our limited experience Greenlight laser is a good alternative in the treatment of complicated cases of multiple urethral condylomas. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e625-e626 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ricardo Garcia Navas Madrid, Spain More articles by this author Luis Cordoba Madrid, Spain More articles by this author Eldiberto Fernandez Madrid, Spain More articles by this author Francisco Javier Burgos Madrid, Spain More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...