Microsoft powerpoint - genital lumps and bumps - final version dr. olufunso olarinde [compatibility mode]

Consultant Physician, Dept of GU Medicine • To distinguish normal/variants of normal • Different causes of genital lumps and of oily secretions that keep the skin healthy & mistaken for warts –they do not change in size but warts do (especially in women) & may be mistaken for warts ‘Cord like’ swelling, usually just below the head of the penis Usually caused by a blockage in the lymphatics which then solidify May occur after vigorous sex or masturbation No treatment needed. Generally disappears – may take months! glands located at the entrance of the vagina • STI caused by the Human Papilloma Virus
• Transmission is via direct skin to skin contact • ‘Fleshy’ lumps around the anogenital area • >100 strains of the HPV have been identified • ‘Low risk’ types HPV 6 & 11 account for about 90% of • Warts may not appear for months/years after infection • HPV may be transmitted in the absence of visible warts – Purely cosmetic & depends on site, size, nature & number • Podophyllotoxin cream – non keratinised • Curettage – single/few pedunculated warts • Surgical excision – extensive warts • STI caused by Herpes Simplex Virus
• Painful blisters on anogenital skin which break down to form multiple tender ulcers – Aciclovir 400mg tds x 5/7 OR 200mg 5x daily – Oral → NSAIDs, Codeine phosphate– Topical → Lignocaine gel – Usually mild & self-limiting– If regular – Aciclovir 400mg bd x 6-12 months– Valaciclovir 500mg OD x 6-12 months lesions in moist areas of anogenital area – Syphilis serology– Screen for other STIs– Treatment • Penile Intraepithelial Neoplasia (PIN)
Vulval Intraepithelial Neoplasia (VIN)
• Commonly ‘high risk’ types 16 & 18 – Chronic inflammatory genital skin conditions Penile Intraepithelial Neoplasia
Vulval Intraepithelial Neoplasia
• Slightly raised, well defined skin lesions pustule, warty area or ulcer with heaped up edges


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