Human papillomavirus surgery: Difference between revisions

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==Overview==
==Overview==
Surgical removal of external genital warts may be an alternative regimen to pharmacologic therapy. Surgical therapies include either tangential scissor excision, tangential shave excision, curettage, laser, or electrosurgery.<ref name=CDC10>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref>
Surgical removal of external genital warts may be an alternative regimen to pharmacologic therapy. Surgical therapies include either tangential scissor excision, tangential shave excision, [[curettage]], [[laser]], or [[electrosurgery]].<ref name=CDC10>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref>
==Surgery==
==Surgery==
*Surgical removal is effective using either tangential scissor excision, tangential shave excision, curettage, laser, or electrocautery, ultrasonic aspiration.<ref name=CDC10>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref><ref name="pmid2002980">{{cite journal| author=Rader JS, Leake JF, Dillon MB, Rosenshein NB| title=Ultrasonic surgical aspiration in the treatment of vulvar disease. | journal=Obstet Gynecol | year= 1991 | volume= 77 | issue= 4 | pages= 573-6 | pmid=2002980 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2002980  }} </ref><ref name="pmid6425750">{{cite journal| author=Ferenczy A| title=Laser therapy of genital condylomata acuminata. | journal=Obstet Gynecol | year= 1984 | volume= 63 | issue= 5 | pages= 703-7 | pmid=6425750 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6425750  }} </ref>
*Surgical removal is effective using either tangential scissor excision, tangential shave excision, [[curettage]], [[Laser|laser,]] or [[electrocautery]], ultrasonic aspiration.<ref name=CDC10>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref><ref name="pmid2002980">{{cite journal| author=Rader JS, Leake JF, Dillon MB, Rosenshein NB| title=Ultrasonic surgical aspiration in the treatment of vulvar disease. | journal=Obstet Gynecol | year= 1991 | volume= 77 | issue= 4 | pages= 573-6 | pmid=2002980 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2002980  }} </ref><ref name="pmid6425750">{{cite journal| author=Ferenczy A| title=Laser therapy of genital condylomata acuminata. | journal=Obstet Gynecol | year= 1984 | volume= 63 | issue= 5 | pages= 703-7 | pmid=6425750 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6425750 }} </ref><ref name="pmid7171982">{{cite journal| author=Gollock JM, Slatford K, Hunter JM| title=Scissor excision of anogenital warts. | journal=Br J Vener Dis | year= 1982 | volume= 58 | issue= 6 | pages= 400-1 | pmid=7171982 | doi= | pmc=1046110 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7171982 }} </ref>
*Surgical removal of external genital warts may be an alternative regimens to pharmacologic therapy in the following conditions:<ref name=CDC10>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref>
*Surgical removal of external genital warts may be an alternative regimen to pharmacologic therapy in the following conditions:<ref name=CDC10>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref>
:*Urethral meatus warts
:*[[Warts|Urethral meatus warts]]
:*Vaginal warts
:*[[Warts|Vaginal warts]]
:*Cervical warts (For women who have exophytic cervical warts, a biopsy evaluation to exclude high-grade squamous intraepithelial lesions must be performed)
:*Cervical warts (For women who have exophytic cervical warts, a biopsy evaluation to exclude high-grade squamous intraepithelial lesions must be performed)
:*Intra-anal warts
:*Intra-anal warts
*Surgical removal of external genital warts requires consultation of a specialist.
*Surgical removal of external genital warts requires consultation of a specialist.<ref name="pmid34292926">{{cite journal| author=Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I | display-authors=etal| title=Sexually Transmitted Infections Treatment Guidelines, 2021. | journal=MMWR Recomm Rep | year= 2021 | volume= 70 | issue= 4 | pages= 1-187 | pmid=34292926 | doi=10.15585/mmwr.rr7004a1 | pmc=8344968 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34292926  }} </ref>
*Surgical therapy is most beneficial for patients who have large numbers or areas of genital warts.
*Surgical therapy is most beneficial for patients who have large numbers or areas of genital warts.<ref name="pmid34292926">{{cite journal| author=Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I | display-authors=etal| title=Sexually Transmitted Infections Treatment Guidelines, 2021. | journal=MMWR Recomm Rep | year= 2021 | volume= 70 | issue= 4 | pages= 1-187 | pmid=34292926 | doi=10.15585/mmwr.rr7004a1 | pmc=8344968 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34292926  }} </ref>
*Can be used during pregnancy and internal warts
*Can be used during pregnancy and internal warts.
*Usually eliminate warts in single clinical visit
*Usually, eliminate warts in single clinical visit.<ref name="pmid34292926">{{cite journal| author=Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I | display-authors=etal| title=Sexually Transmitted Infections Treatment Guidelines, 2021. | journal=MMWR Recomm Rep | year= 2021 | volume= 70 | issue= 4 | pages= 1-187 | pmid=34292926 | doi=10.15585/mmwr.rr7004a1 | pmc=8344968 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34292926  }} </ref>
*Requires specialised training, equipment and longer office visit
*Requires specialized training, equipment, and longer office visit.


==References==
==References==
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[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Dermatology]]
[[Category:Gynecology]]
[[Category:Urology]]

Latest revision as of 01:30, 9 September 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

Surgical removal of external genital warts may be an alternative regimen to pharmacologic therapy. Surgical therapies include either tangential scissor excision, tangential shave excision, curettage, laser, or electrosurgery.[1]

Surgery

  • Surgical removal is effective using either tangential scissor excision, tangential shave excision, curettage, laser, or electrocautery, ultrasonic aspiration.[1][2][3][4]
  • Surgical removal of external genital warts may be an alternative regimen to pharmacologic therapy in the following conditions:[1]
  • Urethral meatus warts
  • Vaginal warts
  • Cervical warts (For women who have exophytic cervical warts, a biopsy evaluation to exclude high-grade squamous intraepithelial lesions must be performed)
  • Intra-anal warts
  • Surgical removal of external genital warts requires consultation of a specialist.[5]
  • Surgical therapy is most beneficial for patients who have large numbers or areas of genital warts.[5]
  • Can be used during pregnancy and internal warts.
  • Usually, eliminate warts in single clinical visit.[5]
  • Requires specialized training, equipment, and longer office visit.

References

  1. ↑ 1.0 1.1 1.2 Workowski, Kimberly A.; Bolan, Gail A. (2015-06-05). "Sexually transmitted diseases treatment guidelines, 2015". MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control. 64 (RR-03): 1–137. ISSN 1545-8601. PMID 26042815.
  2. ↑ Rader JS, Leake JF, Dillon MB, Rosenshein NB (1991). "Ultrasonic surgical aspiration in the treatment of vulvar disease". Obstet Gynecol. 77 (4): 573–6. PMID 2002980.
  3. ↑ Ferenczy A (1984). "Laser therapy of genital condylomata acuminata". Obstet Gynecol. 63 (5): 703–7. PMID 6425750.
  4. ↑ Gollock JM, Slatford K, Hunter JM (1982). "Scissor excision of anogenital warts". Br J Vener Dis. 58 (6): 400–1. PMC 1046110. PMID 7171982.
  5. ↑ 5.0 5.1 5.2 Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I; et al. (2021). "Sexually Transmitted Infections Treatment Guidelines, 2021". MMWR Recomm Rep. 70 (4): 1–187. doi:10.15585/mmwr.rr7004a1. PMC 8344968 Check |pmc= value (help). PMID 34292926 Check |pmid= value (help).

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