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Verrugas genitais

Last reviewed: 17 Aug 2025
Last updated: 14 May 2025

Summary

Definition

History and exam

Key diagnostic factors

  • aumento do risco de exposição ao HPV
  • imunocomprometimento
  • papilomas exofíticos e sésseis
Full details

Other diagnostic factors

  • assintomático
  • prurido
  • sangramento
  • dor
  • sintomas urinários
Full details

Risk factors

  • relação sexual em idade precoce
  • número crescente de parceiros sexuais durante a vida
  • adultos jovens sexualmente ativos
  • número crescente de parceiros sexuais durante a vida do parceiro
  • imunocomprometimento
Full details

Diagnostic investigations

1st investigations to order

  • nenhum exame inicial
Full details

Investigations to consider

  • biópsia
  • anuscopia
  • uretroscopia
Full details

Treatment algorithm

ONGOING

pacientes não gestantes e imunocompetentes

imunocomprometido

gestante

Contributors

Authors

Natalia Mendoza, MD

Pariser Dermatology Specialist

Williamsburg

VA

Disclosures

NM declares that she has no competing interests.

Stephen K. Tyring, MD, PhD, MBA

Clinical Professor

Departments of Dermatology, Microbiology and Molecular Genetics and Internal Medicine

University of Texas Health Science Center

Houston

TX

Disclosures

SKT declares that he has no competing interests.

Acknowledgements

Dr Natalia Mendoza and Dr Stephen K. Tyring would like to gratefully acknowledge Dr Brenda L. Pellicane, a previous contributor to this topic.

Disclosures

BLP declares that she has no competing interests.

Peer reviewers

Angela Moore, MD

Clinical Assistant Professor

University of Texas Medical Branch at Galveston

Galveston

TX

Disclosures

AM declares that she has no competing interests.

Steve Baguley, FRCP, MSc

Consultant Genitourinary Physician

Woolmanhill Hospital

Aberdeen

Scotland

UK

Disclosures

SB declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Forcier M, Musacchio N. An overview of human papillomavirus infection for the dermatologist: disease, diagnosis, management, and prevention. Dermatol Ther. 2010 Sep-Oct;23(5):458-76. Abstract

Ahmed AM, Madkan V, Tyring SK. Human papillomaviruses and genital disease. Dermatol Clin. 2006 Apr;24(2):157-65. Abstract

Meites E, Szilagyi PG, Chesson HW, et al. Human papillomavirus vaccination for adults: updated recommendations of the Advisory Committee on Immunization Practices. MMWR Morb Mortal Wkly Rep. 2019 Aug 16;68(32):698-702.Full text  Abstract

Beutner KR, Wiley DJ, Douglas JM, et al. Genital warts and their treatment. Clin Infect Dis. 1999 Jan;28 Suppl 1:S37-56. Abstract

Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep. 2021 Jul 23;70(4):1-187.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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