NETHERLANDS: Condom Use Promotes Regression of Human Papillomavirus-Associated Penile Lesions in Male Sexual Partners of Women with Cervical Intraepithelial Neoplasia CDC Daily UpdateImportant note: Information in this article was accurate in 2004. The state of the art may have changed since the publication date.

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NETHERLANDS: Condom Use Promotes Regression of Human Papillomavirus-Associated Penile Lesions in Male Sexual Partners of Women with Cervical Intraepithelial Neoplasia

International Journal of Cancer (12.10.03) Vol. 107, No. 5, P. 804-810 - Thursday, May 06, 2004
Maaike C.G. Bleeker; Cornelis J.A. Hogewoning; Feja J. Voorhorst; Adrian J.C. van den Brule; Peter J.F. Snijders; Theo M. Starink; Johannes Berkhof; Chris J.L.M. Meijer


While the natural course and clinical significance of penile human papillomavirus (HPV)-associated lesions are unclear, they are frequently seen in male sexual partners of women with cervical intraepithelial neoplasia (CIN). The researchers assessed the effect of condom use on HPV-associated penile lesions.

The male sexual partners of women with CIN were randomized for condom use (condom use = 68; noncondom use = 68) and screened for the presence of penile lesions (i.e., flat lesions, papular lesions and condylomata acuminata), and of HPV in their penile swabs by polymerase chain reaction testing. The outcome of this study was clinical regression of penile lesions defined as disappearance of lesions at penoscopy. Potentially prognostic factors including HPV status, lesion type and age were also studied.

Condom use shortened the median time to regression of flat penile lesions (7.4 months condom group vs. 13.9 months noncondom group) among the 57 male condom users. However, this effect was not seen for papular lesions. HPV-negative men showed a significantly shorter median time to regression of flat lesions (3.8 months) compared to men with either HPV- positive status (8.5 months) or inconsistent HPV status (13.1 months).

"Regression of flat penile lesions is HPV-dependent and accelerated by condom use," concluded the researchers. "This effect is probably the result of blocking viral transmission between sexual partners."
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