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Hello dear patients. Today we are going to review the case of growths of condylomas acuminatas during HPV 16 in cracks of foreskin during phimosis. A man came to us and for three times already he had been to dermatologists in dermatovenerologic dispensary at the place of living. He had condylomas acuminatas diagnosed. No analyses were done, just a removal was done and anal suppositories were prescribed. The treatment was finished at that. He had condylomas acuminatas appearing in different areas, more often at the base of penis. Recently, they've not appeared for a long time. Now he had acute respiratory disease and he started to note some cracks during sex. As he suspected before, in cracks of foreskin, scars developed. On observation you can see that these are condylomas acuminatas. They are small in size and often, any traumas secondary to decreased immunity may provoke the appearance of condylomas acuminatas like rashes during lichen planus, psoriasis etc. – in these cases condylomas acuminatas may also appear. Condylomas acuminates may also appear after removal, particularly if no treatment is done or a treatment is done by these magic anal suppositories or by isoprinosine tablets. What needs to be done in this case? First of all, we need to take analyses for human papillomavirus, which was done. We found a positive 16th type of HPV, no other types of HPV were found. then we took immunogram on an empty stomach, we prescribed a full-scale injection treatment together with tablets as well as external treatment. Secondary to this, condylomas were removed, however, from prognostic point of view, this man was recommended to do circumcision as these cracks developed during sex, without any additional loads and without the use of any additional devices that facilitate traumatization. So, this indicates that foreskin has quite a small volume and there's not enough of it during erection, it ruptures and condylomas acuminatas are a marker of such ruptures. In this case, sooner or later, scars will appear on this area anyway, particularly after removal. They can be small but they would still facilitate an additional decrease of foreskin volume, and it will narrow as a result and this may lead to paraphimosis. You can watch a separate video on our channel about what paraphimosis is, including clinical cases. If it is necessary to diagnose, treat and remove any neoplasms in the area of sexual organs, you can consult venerologists and urologists of our paid medical center of dermatovenerologic dispensary in Moscow. We have experienced specialists who do diagnostics, treatment and removal of such neoplasms. We are waiting for you in our clinic, please subscribe to our channels on youtube and instagram. Thank you for your attention. ⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️ DVD dermato-venerologic dispensary is a specialized institution that provides medical care on dermatology, venerology, urology, gynecology and other specialties.