The biopsy shows papillomatosis with hyperkeratosis, acanthosis, koilocytes and proliferations of capillaries in the papillary dermis. There is no atypia.
You remember that there are no HPV tests recommended for men.
Anoscopy + Cytology
There are no visible intra-anal lesions.
Cytology is unremarkable.
The VDRL test is nonreactive.