Combination Therapy of Intraurethral Condyloma Acuminatum with Holmium: YAG Laser and 5-Fluorouracil Instillation.
- Author:
Il Whan KIM
1
;
In Rae CHO
;
Kun Chul LEE
;
Joon Seong JEON
Author Information
1. Department of Urology, Inje University College of Medicine, Goyang, Korea. ircho@ilsanpaik.ac.kr
- Publication Type:Original Article
- Keywords:
Condyloma acuminatum;
5-Fluorouracil;
Holmium: YAG laser;
Urethral lesions
- MeSH:
Anal Canal;
Anesthesia, Local;
Condylomata Acuminata;
Fluorouracil*;
Follow-Up Studies;
Genitalia;
Holmium*;
Humans;
Interferons;
Laser Therapy;
Lasers, Solid-State*;
Lidocaine;
Recurrence;
Sexually Transmitted Diseases
- From:Korean Journal of Andrology
2004;22(1):36-40
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Condyloma acuminatum is a common sexually transmitted disease of the external genitalia and anus. Approximately 5% of patients demonstrate urethral involvement. Electrical fulguration or excision using a pediatric resectoscope has been used in the management of such lesions. Holmium(Ho):YAG laser, 5-FU(fluorouracil), or interferon may be helpful in eradicating them. We reviewed the results of intraurethral condyloma acuminatum treatment with Ho:YAG laser and 5-FU solution. MATERIALS AND METHODS: From January 2001 to July 2002, seven patients with intraurethral condylomata acuminata were enrolled in the study. The mean age of the subjects was 19.5(range 25~43) years. Under local anesthesia with 10% lidocaine spray and jelly, all of the intraurethral lesions were removed with the Ho:YAG laser followed by coverage with 10mL of 5% 5-FU solution. Intraurethral injection of 5-FU was performed weekly up to six times. Urethroscopy for detection of recurrence was done 3 months after initial laser therapy. RESULTS: Most patients had multiple intraurethral lesions. Six patients (86%) responded to initial therapy without local recurrence with a mean follow-up of 15.8 (range 9.1-23.2) months. One patient had a recurrence at 2 months. CONCLUSIONS: We believe that the Ho:YAG laser plus 5% 5-FU solution is a useful option for the treatment of intraurethral condyloma acuminatum.
