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KMID : 0356420040220010036
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Journal of Korean Andrology
2004 Volume.22 No. 1 p.36 ~ p.40
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Combination Therapy of Intraurethral Condyloma Acuminatum with Holmium:YAG Laser and 5-Fluorouracil Instillation
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Kim Il-Whan
Cho In-Rae
Lee Keon-Cheol
Jeon Joon-Seong
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Abstract
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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 witha 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.
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KEYWORD
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Condyloma acuminatum, 5-Fluorouracil, Holmium:YAG laser, Urethral lesions
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