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Genital and Urethral Warts
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Keon Cheol Lee, In Rae Cho
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Korean J Urogenit Tract Infect Inflamm 2010;5(2):151-160. Published online October 31, 2010
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 Abstract
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- External genital warts are one of the most common sexually transmitted infections (STI) which appear as typical skin growing lesions in the perigenital and perianal regions. The causative organisms are low-risk human paillomavirus (HPV), mostly types 6, 11. Physical examination assisted with bright light and magnification is usually enough for diagnosis, but biopsy is needed in cases that are refractory to treatment or exhibit atypical lesion appearance. Genital warts are benign and resolves spontaneously in some patients and removal of lesions do not guarantee elimination of all organisms or confer protection from recurrence. Treatment is consisted of diverse drug application locally and surgical therapy. Urethral warts are uncommon presentation of HPV and could be treated by endoscopic surgery accompanied by intraurethral instillation of medications. Vaccination for HPV is promising up to 4 years and can be an important strategy against HPV, but have to be proven with additional long-term results.
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Effect of Chronic Pelvic Pain Syndrome on Sexual Function and Activity
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Keon Cheol Lee, Kyeong Hoon Lee, Hyun Dong Song, In Rae Cho
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Korean J Urogenit Tract Infect Inflamm 2008;3(1):75-80. Published online April 30, 2008
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Abstract
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- "Purpose: To evaluate whether patients with chronic pelvic pain syndrome (CPPS) have more sexual dysfunction rate than normal control, and whether the sexual dysfunction rate in CPPS increase with more severe CPPS symptom. Materials and Methods: 638 CPPS patients and 102 healthy controls were enrolled in this study. In all subjects, National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), International Index of Erectile Function (IIEF) and the frequency of sexual intercourses per month during the last 3 months (F) were checked. Between CPPS patients and controls, scores of 5 domains of IIEF (erectile function: EF, intercourse satisfaction: IS, orgasmic function: OF, sexual desire: SD, overall satisfaction: OS) and F were compared. Erectile dysfunction (defined as < 26 EF domain score) rate was compared between the 2 groups. The CPPS patients were classified according to symptom severity into 3 groups and compared. Results: 289 CPPS patients and 67 controls were eligible for the analysis. F was 4.9, 6.5 for CPPS and control group, respectively (p=0.006). Total IIEF, IS, OF, SD and OS domain scores were lower in CPPS group (p<0.05) but EF domain scores were not different. Erectile dysfunction rate of CPPS and control group was 61.2% and 47.8%, respectively (p=0.043). CPPS patients were sub-classified as mild, moderate, severe symptom groups. The 3 groups were not different in age. In all domains of IIEF and F, no difference was found among the 3 groups. Conclusions: CPPS patients had higher sexual dysfunction rate and less sexual intercourses than healthy controls. But, CPPS symptom severity didn’t influence sexual frequency and dysfunction rate. It needs more extensive studies."
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KAUTI
