Human papillomavirus surgery
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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 regimens 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.
- Surgical therapy is most beneficial for patients who have large numbers or areas of genital warts.
- Can be used during pregnancy and internal warts
- Usually eliminate warts in single clinical visit
- Requires specialised training, equipment and longer office visit
References
- ↑ 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.
- ↑ 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.
- ↑ Ferenczy A (1984). "Laser therapy of genital condylomata acuminata". Obstet Gynecol. 63 (5): 703–7. PMID 6425750.
- ↑ Gollock JM, Slatford K, Hunter JM (1982). "Scissor excision of anogenital warts". Br J Vener Dis. 58 (6): 400–1. PMC 1046110. PMID 7171982.