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Epispadias, Penile Verruca Acuminata? Presented by Dr. Theodore Cornbleet, Dr. David Cohen, and (by invitation) Dr. Leonard Hoit.
History.—The patient, G. J., is a 24-year-old white man. Three years ago the patient noticed a small lesion on the dorsum of the penis. This lesion was raised and had a necrotic center. He consulted a doctor and was treated with penicillin which caused a resolution of the lesion. Four months afterward the patient noticed the presence of a similar lesion on the tip of the foreskin. This lesion ulcerated and had a purulent discharge. He was again treated with penicillin plus a sulfonamide and the discharge ceased.
Soon after this he again noticed a lesion on the dorsum of the penis. This lesion was verrucous in character and continued to enlarge, as did the lesion of the foreskin. He has since consulted many doctors without relief.
The past history was