Carbon Dioxide Laser Treatment of Male External Genitalia with Human Papillomavirus (HPV) Infection

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Abstract
The sexual partner with HPV infection is a high risk factor for the development of cervical cancer and its precursors. Therefore, the consort of any female patient with CIN or HPV infection must be examined. In our experience, nearly 90% of the examined partners had HPV infection. Between 1984 and 1985, 75 spouses of female patients with condylomas in their inferior genital tract were treated with CO2 laser. More than 97% of the lesions were located at the coronal region or the postcoronal sulcus. Diagnosis was performed with magnifying glass or colposcope, urinary cytology, and directed biopsy. Treatment was performed with a CO2 laser Sharplan 733-A machine at a PD of 250–350 W/cm2, using infiltrative anesthesia in nearly half of the patients and spray or block anesthesia in the rest. Close to 90% of the procedures were bloodless. Postlaser evolution was eventless in 97% of the cases, and 93% of the men were free of condylomas at the 6 weeks checkup. The rest required a second laser application to completely eradicate the condylomas.