1491Vol. 11    |    No. 02    |     March- April 2014    |U R O LO G Y   J O U R N A L

Intra Urethral Human Papillomavirus Related 
Warts Following Urinary Tract Instrumentation
Morkos Iskander, Nina Patrick, Rahul Mistry
St Helen's and Knowsley Teaching Hospital NHS Trust, England. 

Corresponding Author:

Morkos Iskander, MD
St Helen's and Knowsley Teaching 
Hospital NHS Trust, England.

Tel: +44 0151 280 3006
E-mail: morkos.iskander@doctors.
org.uk

Received August 2012
Accepted July 2013

St Helen's and Knowsley 

Teaching Hospital NHS Trust, 

England. 

A 68‎years‎old‎man‎with‎a‎history‎of‎a‎G3pT1‎transitional‎cell‎carcinoma‎(TCC)‎with‎a‎carcinoma‎in‎situ‎component‎of‎his‎bladder‎was‎noted‎to‎have‎intraurethral‎tumor‎on‎follow-up‎flexible‎cystoscopy‎(Figures‎1‎and‎2),‎with‎the‎suspicion‎of‎recurrence‎of‎his‎TCC‎being‎raised.‎These‎lesions‎were‎resected‎via‎rigid‎cystoscopy‎and‎examined‎
in‎histopathology,‎where‎a‎diagnosis‎of‎papillary‎squamous‎warts‎was‎made.‎It‎subsequently‎transpired‎that‎this‎patient‎had‎a‎
history‎of‎condylomata‎accuminata.‎He‎now‎undergoes‎cystoscopic‎surveillance‎for‎his‎TCC‎as‎well‎as‎intraurethral‎condy-
lomata‎accuminata,‎and‎has‎had‎a‎laser‎ablation‎to‎recurrent‎condylomata‎accuminata.
Cases‎of‎condylomata‎accuminata‎of‎the‎lower‎urinary‎tract‎have‎previously‎been‎documented‎in‎literature(1)‎and‎causative‎link‎between‎
human‎papillomavirus‎(HPV)‎infection‎and‎carcinomas‎of‎the‎lower‎urinary‎tract‎have‎recently‎been‎suggested,(2) particularly in the 
younger population.(3)‎Previously,‎cases‎involving‎intravesical‎condylomata‎accuminata‎were‎described‎in‎immunosuppressed‎patients.
(4)‎We‎suggest‎routinely‎including‎enquiry‎full‎genitourinary‎history‎when‎considering‎a‎diagnosis‎of‎urothelial‎carcinoma,‎particularly‎
in a young patient.

PICTORIAL

REFERENCES

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