After each treatment, the gel or solution should be allowed to dry. Patients should wash their hands before and after each application.
Podofilox is contraindicated during pregnancy Sinecatechins is a patient-applied, green-tea extract with an active product catechins. The medication should not be washed off after use. Genital, anal, and oral sexual contact should be avoided while the ointment is on the skin. The most common side effects of sinecatechins are erythema, pruritus or burning, pain, ulceration, edema, induration, and vesicular rash.
This medication is not recommended for persons with HIV infection, other immunocompromised conditions, or genital herpes because the safety and efficacy of therapy has not been evaluated. The safety of sinecatechins during pregnancy is unknown. Cryotherapy is a provider-administered therapy that destroys warts by thermal-induced cytolysis. Health care providers should be trained on the correct use of this therapy because overtreatment or undertreatment can result in complications or low efficacy.
Pain during and after application of the liquid nitrogen, followed by necrosis and sometimes blistering, is common. Local anesthesia topical or injected might facilitate therapy if warts are present in many areas or if the area of warts is large.
Surgical therapy has the advantage of eliminating the majority of warts at a single visit, although recurrence can occur. Surgical removal requires substantial clinical training, additional equipment, and sometimes a longer office visit. After local anesthesia is applied, anogenital warts can be physically destroyed by electrocautery, in which case no additional hemostasis is required.
Care should be taken to control the depth of electrocautery to prevent scarring. Alternatively, the warts can be removed either by tangential excision with a pair of fine scissors or a scalpel, by CO 2 laser, or by curettage. Because most warts are exophytic, this procedure can be accomplished with a resulting wound that only extends into the upper dermis. Hemostasis can be achieved with an electrocautery unit or, in cases of minor bleeding, a chemical styptic e.
Suturing is neither required nor indicated in the majority of cases. For patients with large or extensive warts, surgical therapy, including CO 2 laser, might be most beneficial; such therapy might also be useful for intraurethral warts, particularly for those persons whose warts have not responded to other treatments. Trichloroacetic acid TCA and bichloroacetic acid BCA are provider-administered caustic agents that destroy warts by chemical coagulation of proteins.
Although these preparations are widely used, they have not been investigated thoroughly. TCA solution has a low viscosity, comparable with that of water, and can spread rapidly and damage adjacent tissues if applied excessively. A small amount should be applied only to the warts and allowed to dry i. If pain is intense or an excess amount of acid is applied, the area can be covered with sodium bicarbonate i.
Fewer data are available regarding the efficacy of alternative regimens for treating anogenital warts, which include podophyllin resin, intralesional interferon, photodynamic therapy, and topical cidofovir. Shared clinical decision-making between the patient and provider regarding benefits and risks of these regimens should be provided. In addition, alternative regimens might be associated with more side effects. Podophyllin resin is no longer a recommended regimen because of the number of safer regimens available, and severe systemic toxicity has been reported when podophyllin resin was applied to large areas of friable tissue and was not washed off within 4 hours — Podophyllin should be applied to each wart and then allowed to air dry before the treated area comes into contact with clothing.
Overapplication or failure to air dry can result in local irritation caused by spread of the compound to adjacent areas and possible systemic toxicity. The treatment can be repeated weekly, if necessary.
Podophyllin resin preparations differ in the concentration of active components and contaminants. Shelf life and stability of podophyllin preparations are unknown. The safety of podophyllin during pregnancy has not been established. Cryotherapy with liquid nitrogen. Most commonly theses are found by a pap test of the cervix. HPV on a pap test only means that the virus has been detected. It does not mean you have warts or cancer. Your first pap test will be at 21 years old and typically every three years thereafter.
Most warts are diagnosed by a provider looking at the warts. In children, warts can go away without treatment.
There is no cure for the virus, therefore they can reappear. There are several treatments for warts. They can be treated in the office with a medicine called TCA trichloroacetic acid. Another treatment is a topical cream that requires a prescription and can be applied at home. This content does not have an English version. This content does not have an Arabic version. Overview Genital warts are one of the most common types of sexually transmitted infections.
Female genital warts Open pop-up dialog box Close. Female genital warts Genital warts are a common sexually transmitted infection. Male genital warts Open pop-up dialog box Close. Male genital warts Genital warts are a common sexually transmitted infection. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Cohen J, et al. In: Infectious Diseases.
Elsevier; Accessed Oct. Anogenital warts. Mayo Clinic; Scheinfeld N. Condylomata acuminata anogenital warts in adults: Epidemiology, pathogenesis, clinical features and diagnosis. Genital warts: A fact sheet from the Office on Women's Health.
This content does not have an Arabic version. Overview HPV infection is a viral infection that commonly causes skin or mucous membrane growths warts. Common warts Open pop-up dialog box Close. Common warts Common warts can grow on your hands or fingers. Plantar warts Open pop-up dialog box Close. Plantar warts Plantar warts are caused by the same type of virus that causes warts on your hands and fingers.
Flat warts Open pop-up dialog box Close. Flat warts Flat warts are smaller and smoother than other warts. Female genital warts Open pop-up dialog box Close. Female genital warts Genital warts are a common sexually transmitted infection.
Male genital warts Open pop-up dialog box Close. Male genital warts Genital warts are a common sexually transmitted infection. Request an Appointment at Mayo Clinic. More Information HPV vaccine. Share on: Facebook Twitter. Show references Jameson JL, et al. Human papillomavirus infections. In: Harrison's Principles of Internal Medicine. New York, N. Accessed Feb. Bennett JE, et al. Philadelphia, Pa. American Academy of Dermatology.
Human papillomavirus HPV vaccination. Rochester, Minn. HPV vaccine.
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