Human papillomavirus surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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.

Surgery

• Surgical removal is effective using either tangential scissor excision, tangential shave excision, curettage, laser, or electrosurgery.
• Surgical removal of external genital warts requires consultation of a specialist.
• Surgical removal of external genital warts may be an alternative regimens to pharmacologic therapy in the following conditions:

• 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