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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,orelectrosurgery {{or}} [[Trichloroacetic acid]] (TCA) or Bichloroacetic acid (BCA) 80%-90% solution
:::* 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.
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:::* 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.