Hello dear I understand your concern Finger like projection most commonly cause by the wart, cause by the HPV infection. I would suggest to undergo skin biopsy and herpes antibody test to rule out the cause. Specific treatment will depend on the test results. I will treat genital wart as below: Apply 80% Trichloroacetic acid gel and 15-0.5 % PODOFIX GEL If not responds to drugs then Best is nitrogen cryotherapy to excise it Avoid sex till you clear from infection Use safer sex practice: Use condom and other barrier contraceprtion in future Hope this may help you Wish you good health Best regards Dr. Sagar