What are the chances of getting the wart virus by touching a hard surface?

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Do you use any old razors? Do you have excess scratching and rubbing of lesion? Are the lesions painful or tender to touch? Any oozing from the lesion? Do you have any history of fever, diabetes, thyroid issue, hypertension? Do you have drug history or drug allergies? Are you sexually active? Answer the questions for details.

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Since when it appeared? Can you provide your sexual history details? Attach serological testing reports to confirm the antigenic strain of the HPV virus, whether it is a benign lesion (HPV 6 and HPV 11) or a cancerous wart (HPV 16 or HPV 18). As per the center for disease control guidelines, Podophyllin is applied by the physician in the office with a cotton swab twice daily for three days followed by four days of no therapy (Total four sessions) until the lesion heals. Any unsafe sexual practices? Answer the questions for details.

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Based on the photo (attachment removed to protect the patient's identity), it is a sessile genital wart (a variant is a flat-topped papule). Skin biopsy is needed to confirm the diagnosis (histopathology will show mature squamous cells with large clear perinuclear zone and smudgy nuclei). Spontaneous regression occurs in 10 to 15 percent of cases. Use Podophyllotoxin cream or 0.5 percent solution or 0.15 percent cream twice daily for three days followed by four days gap for three cycles or use Immunomodulator with 5 percent Imiquimod cream three times per week every other night for a maximum of 16 weeks will help. Vaccines are also available these days. Any Drug history or drug allergies? Any Serological test, PAP smear, Acetowhite tests done? Sometimes bleeding? Any ulceration? Do you have a secondary bacterial infection? Details should be answered before starting any treatment.