title: Low concordance of genital human papillomavirus (HPV) lesions and viral types in HPV-infected women and their male sexual partners.
abstract: OBJECTIVE
  To evaluate the concordance of genital human papillomavirus (HPV) lesions and viral types in HPV-infected women and their male sexual partners.
  
  
  METHODS
  Examination of 270 consecutive women with abnormal Papanicolaou (Pap) smear and their male partners using colposcopy, peniscopy, surgical biopsy and in situ hybridization (ISH). Polymerase chain reaction (PCR) was used in male cases negative with ISH.
  
  
  RESULTS
  The highest HPV DNA detection rate in women was in cervical intraepithelial neoplasia (CIN III) lesions (96%), HPV 16 being the most frequent type. Of the males, 193 (71.5%) showed histologically confirmed HPV infection, condyloma acuminata (23 cases) and penile intraepithelial neoplasia (PIN) lesions (20 cases) being invariably ISH positive (87% and 80%, respectively). Subclinical flat lesions (113 cases) were mostly ISH negative (70.3%). Of the 270 couples typed by ISH, both partners were positive in 66 (24.4%) cases, but only 15 (22.7%) of them had the same HPV type in their genital tract. By PCR, only seven new HPV DNA positive cases were detected among 77 men negative by ISH.
  
  
  CONCLUSIONS
  Although some association was seen between intraepithelial neoplasia and high-risk HPV types, the concordance of different HPV types between the sexual partners was extremely low. The female findings were not predictive in searching for the male partners with the high risk HPV types, either. HPV DNA detection rate in men seems to depend on morphology of the HPV lesions.
authors.affiliation: Department of Obstetrics and Gynaecology, Kuopio University Hospital, Finland.
authors.forename: M I
authors.initials: MI
authors.lastname: Hippeläinen
authors.forename: M
authors.initials: M
authors.lastname: Yliskoski
authors.forename: S
authors.initials: S
authors.lastname: Syrjänen
authors.forename: J
authors.initials: J
authors.lastname: Saastamoinen
authors.forename: M
authors.initials: M
authors.lastname: Hippeläinen
authors.forename: S
authors.initials: S
authors.lastname: Saarikoski
authors.forename: K
authors.initials: K
authors.lastname: Syrjänen
mesh_terms: D000293:Adolescent; D000328:Adult; D001706:Biopsy; D003127:Colposcopy; D003218:Condylomata Acuminata / Q000821:virology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D027383:Papillomaviridae / Q000145:classification*; D010409:Penile Diseases / Q000821:virology*; D016133:Polymerase Chain Reaction; D011237:Predictive Value of Tests; D015995:Prevalence; D012747:Sexual Partners; D002577:Uterine Cervical Diseases / Q000821:virology*; D014623:Vaginal Diseases / Q000821:virology*; D014845:Vulvar Diseases / Q000821:virology*