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5-aminolevulinic acid photodynamic therapy and holmium laser treatment for intraurethral condylomata acuminata in a renal transplant patient.

Abstract
Condylomata acuminata (CA) caused by human papillomavirus, often involves the external genitalia, perianal skin, and other moist mucous membranes. Urethral involvement is uncommon and little recognized, and usually limited to the distal 3 cm of the meatus. It is difficult to treat CA involving the urethra because of the anatomical location, risk of complications and recurrence. One effective method for the treatment of CA located at the urinary meatus is 5-aminolevulinic acid photodynamic therapy (ALA-PDT). However, experience of using this method for the treatment of whole urethral CA is still very limited. Herein, we treated a whole urethral CA successfully with photodynamic and holmium laser therapies. The case of a 25-year-old patient who underwent kidney transplant effected by intraurethral CA is presented and discussed. Catheter implantation and (or) immunosuppression treatment increases the risk of urethral condyloma acuminatum. The ALA-PDT is a safe, straightforward, effective, and well-tolerated treatment procedure for intraurethral CA. ALA-PDT combined with holmium laser treatment can successfully treat kidney transplant patients with intraurethral CA.
AuthorsRuixue Chang, Congyun Xu, Yixun Liu, Jinli Liu, Wei Liu, Faxing Jiang, Siping Zhang
JournalPhotodiagnosis and photodynamic therapy (Photodiagnosis Photodyn Ther) Vol. 36 Pg. 102496 (Dec 2021) ISSN: 1873-1597 [Electronic] Netherlands
PMID34428575 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2021 Elsevier B.V. All rights reserved.
Chemical References
  • Photosensitizing Agents
  • Aminolevulinic Acid
  • Holmium
Topics
  • Adult
  • Aminolevulinic Acid (therapeutic use)
  • Condylomata Acuminata (drug therapy)
  • Holmium (therapeutic use)
  • Humans
  • Kidney Transplantation
  • Lasers, Solid-State
  • Photochemotherapy (methods)
  • Photosensitizing Agents (therapeutic use)

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