Sexual Medicine, Fertility, Urology and Andrology in Seville and Canary Isl.


What is HPV?

Genital infection with human papillomavirus (HPV) is the most common of all sexually transmitted disease (STD), with genital warts occupying about a third of consultations in specialized centres like ours.

What symptoms does this infection present?

Most of these infections are asymptomatic and subclinical, and  can only be diagnosed by physical examination,  cytology or a test to detect viral DNA. Genital warts are the most visible manifestation of HPV infection. They can be located in different areas, so it is essential to fully explore the entire genital area.

What types of virus can be found?

The types of HPV that infect the anogenital region are divided into non-oncogenic or low risk (6, 11, 42, 43, 44), associated with genital warts, mild dysplasia lesions not progressing to high grade lesions and recurrent respiratory papillomatosis, and high-risk or oncogenic  types (16, 18, 31, 33, 35, 39, 45, 51, 52, …), associated with the appearance of dysplasias that can progress to high grade lesions or cancer.

How is it transmitted?

The main transmission route of genital HPV infection is penetrative sexual contact. However transmission by genital skin to skin contact has also been described. Although the primary route is sexual, there are also other ways of transmission, which are not strictly sexual,  such as digital or through objects. 55% of patients with genital warts have been shown to have the same HPV on their fingers.

Other genital warts:

Among others, these warts must be differentiated from Molluscum contagiosum warts, common warts, flat condylomata, seborrheic keratosis, lichen planus, etc.

How is this condition diagnosed?

Biopsy is the definitive diagnostic method, although it may be suspected by inspection with acetic peniscopia and magnifying lenses or specific cytology. The screening test for HPV DNA by PCR is the most sensitive method for the diagnosis of genital HPV infection.

Can it be treated?

With treatment, the infection is not eradicated, but it is reduced, and probably  the transmission of HPV too. We recommend treating warts, by laser or conventional surgery if they are primary, multiple or large, and medical treatment in the case of small or single warts. These treatments are usually painless and easy to perform. It is also important to provide psychological and emotional support to the patient, who is usually overwhelmed by a state of confusión and a feeling of guilt.

Can they come back?

Relapses are frequent, especially in the first three months. Approximately 20-50% of patients will have a relapse. It is important to inform the patient that this does not mean treatment has failed, and that sometimes more than  one treatment session will be needed in order to eradicate the warts. Reviews should be conducted every 3 months.

Dr. Natalio CruzJefe del servicio de Andrología
El Dr. Cruz, con 25 años de experiencia médica, ha sido hasta 2016 Jefe de la Unidad de Andrología en el Servicio de Urología del Hospital Virgen del Rocío de Sevilla, Coordinador Nacional de Andrología de la Asociación Española de Urología (AEU) y Secretario General de la ESSM, cargos que ha delgado para centrarse de lleno en el ilusionante proyecto de ofrecer una consulta médica privada de alto nivel en Sevilla.

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2 Responses to HPV

  • George G Spain says:

    Hi! My name is George, I am Greek and I am working in Sevilla since September. I have a huge problem with HPV. I have been visiting doctors for two years now and I still have trouble. I need a doctor in Sevilla since I need to visit once or twice a month for checks. Do you accept any kind of insurance for this dicease? How does it cost more or less to visit you and treat any infections? Thank you very much.

    • Clínica Urología y Andrología Andromedi Spain says:

      Hello George, our clinic works only privately, no insurances or healthcare involved allowed, sorry. Our current price per visitation is 120€ and we can surely help you with the problem as we have +25 years experience in the Urology and Andrology sector (and furthermore we are English speaking doctors, an important point when you are far from home in another country with a different language). You can contact us anytime, thanks for your trust in Andromedi.

      O solicitar una consulta para una valoración más a fondo. Esperamos su contacto, un saludo:

      +34 615 551 155