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June 1990

A Penile-Tunnel `Pop Up Wart': An Unusual Complication of Penile Adhesions

Author Affiliations

Hennepin County Medical Center 701 Park Ave S Minneapolis, MN 55415

Arch Dermatol. 1990;126(6):828-829. doi:10.1001/archderm.1990.01670300128026

To the Editor.—  Warts residing in the distal urethra can sometimes protrude with proximal pressure or during urination. Warts within the anal canal can also "pop up" while the patient is straining at the stool. Most unusual, however, is the demonstration of a pedunculated wart hidden within the tunnel of an incomplete circumcision, popping out from either end on manual pressure. We present such a case.

Report of a Case.—  A 16-year-old black man was referred for genital warts. Examination revealed several small (2- to 3-mm) warts on the penile shaft. A small pit, looking much like the cutaneous opening of a sinus, was noted on the distal ventral aspect of the penis, just proximal to the glans (Fig 1). The patient stated that he had had this since infancy and denied any discharge or leakage of urine from the opening. Applying lateral pressure with his thumb, just beyond the pit, a bright red, moist, pedunculated

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