GENITAL WARTS Treatment and Introduction

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GENITAL WARTS

Genital warts is a viral disease manifested by a spectrum of skin and mucous membrane lesions affecting the anogenital area. The causative agent is the Human Papilloma Virus (HPV) of the papovavirus group of DNA viruses. At least 60 human papilloma virus types have been identified. Genital or venereal warts are in most instances caused by type 6, 11, 16 or 18.

Genital warts are mainly sexually transmitted with worldwide occurrence. The peak incidence is in the sexually active age group of 19-35. The incubation period is between 1 to 9 months with a mean of 3 months.

Clinical Features

In the uncircumcised men the subprepuce, coronal sulcus and glans penis are affected. Here the lesions appear as pink cauliflower like fleshy growths. This form often called condylomata accuminata are also seen in the urinary meatus and in women on the inner aspects of the vulva, vagina and cervix.

The hyperkeratotic, skin coloured or pigmented papular warts are seen as discrete or confluent papules on the keratinised parts of anogenital skin.

Flat warts are erythematous or pink requiring application of acetic acid for visualization. They are commonly seen on the cervix.

Complications

Giant genital warts
Bleeding
Transmission to neonate during childbirth ? childhood laryngeal papilloma

Diagnosis
Usually based on clinical appearance
Histological diagnosis are rarely needed

Treatment
Podophyllin or podophyllotoxin solution or cream
Trichloracetic acid solution
Imiquimod cream
Electrocautery
Cryosurgery
Scissor excision
Laser therapy

Dr Edwin Santos, www.freemedinfo.blogspot.com

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