Sandbox mona: Difference between revisions
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:*1.'''Preferred regimen for External Anogenital Warts''' (i.e., penis, groin, scrotum, vulva, perineum, external anus, and perianus) | :*1.'''Preferred regimen for External Anogenital Warts''' (i.e., penis, groin, scrotum, vulva, perineum, external anus, and perianus) | ||
:::*1.1 '''Patient-Applied:''':[[Imiquimod]] 3.75% or 5% cream {{or}}[[Podofilox]] 0.5% solution or gel {{or}} [[Sinecatechins]] 15% ointment | :::*1.1 '''Patient-Applied:''':[[Imiquimod]] 3.75% or 5% cream {{or}}[[Podofilox]] 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, | :::* 1.2 '''Provider-Administered''':Cryotherapy with liquid nitrogen or cryoprobe {{or}} Surgical removal either by tangential scissor excision, tangential shave excision, curettage, laser,or electrosurgery {{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(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. | :::*Note(2):Might weaken condoms and vaginal diaphragms. | ||
| Line 18: | Line 18: | ||
:::* 2.4 '''Intra-anal Warts''' | :::* 2.4 '''Intra-anal Warts''' | ||
:::*Regimens :Cryotherapy with liquid nitrogen {{or}} Surgical removal{{or}} TCA or BCA 80%–90% solution | :::*Regimens :Cryotherapy with liquid nitrogen {{or}} Surgical removal{{or}} TCA or BCA 80%–90% solution | ||
:::*Note:Management of intra-anal warts should include consultation with a specialist. | :::*Note:Management of intra-anal warts should include consultation with a specialist. | ||
Revision as of 15:49, 2 July 2015
- 1.Preferred regimen for External Anogenital Warts (i.e., penis, groin, scrotum, vulva, perineum, external anus, and perianus)
- 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,or electrosurgery 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.
- 2.Alternative Regimens for External Genital Warts
- 2.1 Urethral Meatus Warts
- Regimens :Cryotherapy with liquid nitrogen OR Surgical removal
- 2.2 Vaginal Warts
- Regimens:Cryotherapy with liquid nitrogen. OR Surgical 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
- 2.3 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.
- 2.4 Intra-anal Warts
- Regimens :Cryotherapy with liquid nitrogen OR Surgical removalOR TCA or BCA 80%–90% solution
- Note:Management of intra-anal warts should include consultation with a specialist.