Journal List > Urogenit Tract Infect > v.12(2) > 1084232

Ryu, Cho, Lee, and Jung: Type Distribution of Human Papillomavirus in Genital Warts of Korean Men

Abstract

Purpose:

To analyze the distribution of human papillomavirus (HPV) types and the characteristics of genital condyloma in Korean men.

Materials and Methods:

Between January 2015 and December 2015, we reviewed the medical charts of 435 male patients diagnosed with genital condyloma. A total of 441 samples were identified. The detection rate of each HPV type and its associated characteristics (age, number of HPV types, low-risk and/or high-risk types, number of lesions) were analyzed. Our sample population was divided into two groups: The non-urethral condyloma group and the urethral condyloma group. In addition, subgroup analysis was also performed.

Results:

Among the total 441 specimens, 409 (92.7%) were non-urethral condyloma and 32 (7.3%) were urethral condyloma. Single-type infection was observed in 56.7% and multiple-type infection was seen in 43.3%. HPV type 6 and type 11 were the most common types in total genital condyloma and subgroups. HPV type 11, which was detected in 43.8% of those in the urethral condyloma group and in 22.0% of those in the non-urethral condyloma group (p=0.009), showed a statistically significant difference with respect to the type-specific detection rate.

Conclusions:

As in previous studies, our study also showed that HPV type 6 was the most prevalent type among all genital condylomas, followed by HPV type 11. A subgroup analysis also showed the same result.

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Table 1.
The characteristics of specimens in the non-urethral and urethral condyloma groups
Characteristic Total N genital condyloma (n=441) Non-urethral condyloma (n=409) Urethral condyloma (n=32) p-valuea)
Mean age (y) 32.1±6.9 31.0±9.0 32.2±6.7 0.283
Age (y)       0.120
  ≤30.0 174 (39.5) 156 (38.1) 18 (56.3)  
  30.1-40.0 211 (47.8) 200 (48.9) 11 (34.4)  
  ≥40.1 56 (12.7) 53 (13.0) 3 (9.4)  
Number of HPV types       0.356
  Single type 250 (56.7) 229 (56.0) 21 (65.6)  
  Multiple type 191 (43.3) 180 (44.0) 11 (34.4)  
Low- and/or high-risk type     0.914
  Low 284 (64.4) 263 (64.3) 21 (65.6)  
  High 12 (2.7) 12 (2.9) 0 (0.0)  
  High & low 145 (32.9) 134 (32.8) 11 (34.4)  
Number of lesions       0.059
  Single 105 (23.8) 93 (22.7) 12 (37.5)  
  Multiple 336 (76.2) 316 (77.3) 20 (62.5)  

Values are presented as mean±standard deviation or number (%). HPV: human papillomavirus.

a) Statistical analysis was performed between non-urethral condyloma group and urethral condyloma group.

Table 2.
Distribution rate of HPV types in genital condyloma
HPV type Total genital condyloma (n=441) Non-urethral condyloma (n=409) Urethral condyloma (n=32) p-valuea)
Low-risk type        
6 308 (69.8) 290 (70.9) 18 (56.2) 0.108
11 104 (23.6) 90 (22.0) 14 (43.8) 0.009
40 30 (6.8) 30 (7.3) 0 (0.0) 0.152
42 21 (4.8) 21 (5.1) 0 (0.0) 0.387
43 28 (6.3) 27 (6.6) 1 (3.1) 0.710
44 18 (4.1) 18 (4.4) 0 (0.0) 0.632
54 12 (2.7) 12 (2.9) 0 (0.0) 1.000
61 7 (1.6) 6 (1.5) 1 (3.1) 0.412
High-risk type        
16 27 (6.1) 23 (5.6) 4 (12.5) 0.122
18 14 (3.2) 13 (3.2) 1 (3.1) 1.000
26 2 (0.5) 2 (0.5) 0 (0.0) 1.000
31 8 (1.8) 7 (1.7) 1 (3.1) 0.455
33 8 (1.8) 7 (1.7) 1 (3.1) 0.455
35 15 (3.4) 15 (3.7) 0 (0.0) 0.615
39 11 (2.5) 9 (2.2) 2 (6.3) 0.186
45 10 (2.3) 8 (2.0) 2 (6.3) 0.159
51 10 (2.3) 9 (2.2) 1 (3.1) 0.533
52 12 (2.7) 12 (2.9) 0 (0.0) 1.000
53 30 (6.8) 28 (6.8) 2 (6.3) 1.000
56 12 (2.7) 12 (2.9) 0 (0.0) 1.000
58 14 (3.2) 12 (2.9) 2 (6.3) 0.270
59 15 (3.4) 15 (3.7) 0 (0.0) 0.615
66 15 (3.4) 15 (3.7) 0 (0.0) 0.615
68 8 (1.8) 7 (1.7) 1 (3.1) 0.455
69 0 (0.0) 0 (0.0) 0 (0.0) -
70 7 (1.6) 7 (1.7) 0 (0.0) 1.000
73 6 (1.4) 6 (1.5) 0 (0.0) 1.000
82 8 (1.8) 8 (2.0) 0 (0.0) 1.000

Values are presented as number (%).

HPV: human papillomavirus.

a) Statistical analysis was performed between non-urethral condyloma group and urethral condyloma group.

Table 3.
Comparison of low and/or high risk human papillomavirus type between single- and multiple-type infections
  Low risk High risk Low & high risk p-value
Genital (total) condyloma (n=441)     <0.001
  Single type (n=250) 240 (96.0) 10 (4.0) 0 (0.0)  
  Multiple type (n=191) 44 (23.0) 2 (1.0) 145 (75.9)  
Non-urethral condyloma (n=409)     <0.001
  Single type (n=229) 219 (95.6) 10 (4.4) 0 (0.0)  
  Multiple type (n=180) 44 (24.4) 2 (1.1) 134 (74.4)  
Urethral condyloma (n=32)     <0.001
  Single type (n=21) 21 (100.0) 0 (0.0) 0 (0.0)  
  Multiple type (n=11) 0 (0.0) 0 (0.0) 11 (100.0)  

Values are presented as number (%).

Table 4.
Detection rate of high risk human papillomavirus type by age
  Genital condyloma Non-urethral condyloma Urethral condyloma
Age (y) ≤30.0 >30.0 ≤30.0 >30.0 ≤30.0 >30.0
Detection of high-risk types            
  No 101 (58.4) 183 (68.3) 91 (58.3) 172 (68.0) 11 (61.1) 21 (65.6)
  Yes 72 (41.6) 85 (31.7) 65 (41.7) 81 (32.0) 7 (38.9) 11 (34.4)
p-value 0.034 0.048 0.750

Values are presented as number (%).

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