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{{Genital warts}}
{{Genital warts}}
{{CMG}}
{{CMG}}
==Overview==
==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.<ref>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref>
==Surgery==
==Surgery==
Small warts can be removed by freezing ([[cryosurgery]]), burning ([[electrocautery]]), or [[laser]] treatment. [[Surgery]] is occasionally used to remove large warts that have not responded to other treatment.
*Surgical removal is effective using either tangential scissor excision, tangential shave excision, curettage, laser, or electrosurgery.<ref>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref>
*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:<ref>{{Cite journal| issn = 1545-8601| volume = 64| issue = RR-03| pages = 1–137| last1 = Workowski| first1 = Kimberly A.| last2 = Bolan| first2 = Gail A.| title = Sexually transmitted diseases treatment guidelines, 2015| journal = MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control| date = 2015-06-05| pmid = 26042815}}</ref>
:*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


==Natural History, complications and Prognosis
==References==
Although treatments can remove the warts, they do not remove the HPV virus, so warts can recur after treatment. Traditional theories postulated that the virus remained in the body for a lifetime. However, new studies using sensitive DNA techniques have shown that through immunological response the virus can either be cleared or suppressed to levels below what PCR tests can measure. [2] According to the Center for Disease Control's report on HPV to Congress in 2004, studies have shown that 70% of new HPV infections clear within one year, and as many as 91% clear within two years. The median duration of new infections is typically eight months. The gradual development of an effective immune response is thought to be the likely mechanism for HPV DNA clearance.  The state of the immune system determines the chances of removing the virus entirely and can be affected by factors such as [[HIV]] infection, certain medications, stress, or illness.[3] There is even some suggestion that effective treatment of the wart may aid the body's immune response.


==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Disease]]


{{STD/STI}}
[[Category:Sexually transmitted infections]]
{{Viral diseases}}
 
[[Category:Sexually transmitted diseases]]
[[Category:Viruses]]
[[Category:Viruses]]
[[Category:Infectious disease]]
[[Category:Viral diseases]]
[[Category:Overview complete]]
[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Gynecology]]
[[Category:Needs content]]
{{WH}}
{{WS}}

Latest revision as of 17:49, 18 September 2017

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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.[1]

Surgery

  • Surgical removal is effective using either tangential scissor excision, tangential shave excision, curettage, laser, or electrosurgery.[2]
  • 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:[3]
  • 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

References

  1. 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.
  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.
  3. 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.

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