The above picture is not from the actual patient
Yesterday I saw a 28 y/o male patient with no history of chronic illnesses, who referred a penile rash/growth that first started 5 years ago, but that 5 months ago started to get way out of proportion. He denies sexual contact with a person with genital warts (that he knows of). When I examined the patient his glans is 3-4 times bigger than the one in the picture, had multiple cauliflower-like growths and was secreting yellow/green liquid from various places, with incredible mal odor. He denies pain or pruritus.
He was already seen by one urologist who performed a biopsy and the results were mixed: condyloma (warts) vs. cancer. The recommendation was a partial penectomy (removing part of his penis). Obviously the patient refused and wanted a second opinion. He was sent to another urologist who recommended a circumsicion and laser removal of as much tissue as possible to avoid the penectomy. I explained the procedure, as well as the possible outcomes of treatment, to the patient.
He is scheduled to have surgery next week.
I immediately thought it was cancer, because I had no idea warts could get that bad. That was until I did research and found several pictures of similar people.
The following picture is from a patient with the same disease before surgery.
This picture is after the circumsicion and debridement.
I hope the surgery goes well, though my patient has it much worse.
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