Sandbox mona

• 1 External Anogenital Warts (i.e., penis, groin, scrotum, vulva, perineum, external anus, and perianus)

• 1Preferred regimen

• 1.1 Patient-Applied::Imiquimod 3.75% or 5% cream ORPodofilox 0.5% solution or gel OR Sinecatechins 15% ointment
• 1.2 Provider-Administered:Cryotherapy with liquid nitrogen or cryoprobe OR Surgical removal either by tangential scissor excision, tangential shave excision, curettage, laser,orelectrosurgery OR Trichloroacetic acid (TCA) or Bichloroacetic acid (BCA) 80%-90% solution
• Note(1):Many persons with external anal warts also have intra-anal warts. Thus, persons with external anal warts might benefit from an inspection of the anal canal by digital examination, standard anoscopy, or high-resolution anoscopy.
• Note(2):Might weaken condoms and vaginal diaphragms.

Alternative Regimens for External Genital Warts Urethral Meatus Warts Regimens :Cryotherapy with liquid nitrogen OR Surgical removal Vaginal Warts Regimens:Cryotherapy with liquid nitrogen.ORSurgical removal OR TCA or BCA 80%–90% solution

• Note: The use of a cryoprobe in the vagina is not recommended because of the risk for vaginal perforation and fistula formation

Cervical Warts

Regimen: Cryotherapy with liquid nitrogen OR Surgical removal OR TCA or BCA 80%–90% solution

• Note: Management of cervical warts should include consultation with a specialist.

For women who have exophytic cervical warts, a biopsy evaluation to exclude high-grade SIL must be performed before treatment is initiated.