Peniscopy: How, when and why
Peniscopy (also known as balanoscopy, episcopy, genitoscopy) with 5% acetic acid application is the main test for the diagnosis of HPV infection in the male. The exam consists of three phases:
- Direct observation of the skin of the penis, glans, foreskin, Ballano-foreziale furlong, urethral meato and the visible part of the distal urethra, the scrotum, the rural region and the perianal area.
- Application on the genitals of gauze tablets soaked in ac.acetic at 5% for 5 minutes
- Observation with the variable magnification shotscope
Peniscopy allows for better diagnostic definition as it detects small esophany formations that escape observation with the naked eye and also reveals acid formations, subclinical, not visible to the naked eye that they can be associated with florid forms or present themselves in isolation and therefore constitute the only manifestation of infection. Viral injuries in peniscopy can appear as:
- Florid, esophititic, multifocal and polymorphic lesions that can be located at the skin and mucous and distal urethra
- Papular, detected, pigmented or rosé lesions with an overlay of vascular bullet images
- Macular lesions, which occur in the form of undetected or newly detected acetowhite areas on the skin or mucosa surface, sometimes with central umbilical, isolated or confluent , with images of vascular pointedness.
The macular aspect is not specific to HPV infection. Sharp lesions are associated with low-risk HPV 6/11. In more than 10% of cases of acute florid forms, HPV 16 has been identified, however, which explains how women with vulvare condylomatosis , partners of men with acute condylomatosis, are at increased risk for CIN. The papularles, pigmented or non-pigmented, detected, ranging in diameter from 3-5 mm to over 10 mm, have the characteristic appearance of papulosis bawenoid and the histological feedback can range from simple viral infection to more severe forms such as severe dysplasia/ca in situ. HPV: NOT ONLY INDIVIDUAL THERAPY… BUT COUPLE! Here are some of our patients' fret questions: "I did the pap test or tin-PREP and tested positive for HPV, My gynecologist advised me to have my partner examined but I couldn't find an expert center where to send him" Too often the male did not it is checked because it cannot find an experienced doctor who solves its doubts with the result that the therapy becomes useless because while the woman is being treated her partner is probably infected, infecting her again. This as well as harming the health of both is devastating for the couple in terms of trust that is the basis of a good relationship. THE CENTRE HPV Ruesch aims to be unique in Campania as a REAL ANSWER to this growing need in our society by providing a rapid diagnosis and cure for HPV infection in the male.
Diagnosis is made with PENISCOPIA which is a simple, non-painful, rapid and non-invasive examination. The Experienced Peniscopista after application of a reagent examines the penis to highlight the presence of particular areas that could not be seen with the naked eye. Often the male turns to a dermatologist but ONLY PENISCOPIA can give certainty of the presence or not of HPV. The cure is carried out with an elimination of infected areas and is NOT DOLOROSA . "I just found out that my partner has HPV" Partners usually share HPV and if the relationship lasts a long time it is possible to have already contracted the infection. Most sexually active adults get the virus at least once in their lives, and although HPV is common, the health problems fortunately associated with it are much less so. A person may be affected by HPV for many years before discovering it or having health problems, so there is often no way of knowing which of the two partners transmitted the virus to the other and this means that the infection should not be considered as a signal of possible betrayal.