Bowenoid Papulosis in Men Pictures - 15 Photos & Images

Bowenoid papulosis in men was described in 1977 by Kopf and Bart as papules on the penis. It presents as single or multiple small, red, brown or flesh-coloured spots or patches on the genitals. In males it is a type of penile intraepithelial neoplasia.

Although most cases of Bowenoid papulosis are benign (harmless) a small percentage may transform into invasive squamous cell carcinoma (penile cancer).

Sexually active people may be at risk of getting Bowenoid papulosis and it tends to occur in younger men. As in genital warts, HPV transmission is most often passed through direct skin-to-skin sexual contact. So partners of patients with BP should be screened for other forms of intraepithelial neoplasia (cervical, penile, vulvar and anal).

Treatment options for bowenoid papulosis may include:

  • surgery
  • laser surgery
  • cryosurgery
  • topical chemotherapy (given as a cream applied to the skin)
    • 5-flurouracil (Adrucil, 5-FU)
    • podophyllin (Pod-Ben-25, Podofin)
    • retinoic acid
  • topical biological therapy
    • imiquimod (Aldara)
    • interferon
  • curettage and electrodessication

In male partners, periodic anogenital examination may be of benefit.

Immunomodulators have been reported as effective treatment for bowenoid papulosis and may lengthen the remission period of lesions.

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