Fast Five Quiz: Genital Warts

William James, MD


April 19, 2023

Clinicians should consider cystoscopy when the glans is involved, as well as when the patient has lower urinary tract symptoms or significant urethral symptoms. However, some experts suggest waiting for glans lesions to heal to avoid possible transfer of the HPV virus into the urethra in asymptomatic patients.

Genital warts typically have parakeratosis, rise above the surface of the skin, and exhibit nuclear changes typical of HPV infection. When the diagnosis is uncertain, a biopsy is indicated because it may be considered in a larger or growing lesion, especially if the patient is immunocompromised.

Learn more about the workup for genital warts.


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