Genital Wart (Condyloma Akuminata)

Condyloma acuminata is created by the Human papilloma virus (HPV). The most common types (> 90%) in genital warts are HPV 6 and HPV 11, and these are HPV types that are not related to cancer. Genital warts are the most common sexually transmitted diseases. It usually occurs in the form of small warts on the external genitalia and around the anus, which can be seen or felt by the person himself.

As seen in the figures above, warts are soft, pink white coloured, cauliflower-like formations. They can be single or group. From time to time, they are not fluffy but flat. They can rarely be seen inside the vagina, mouth and throat. In vaginal delivery, HPV can infect 6 and 11 babies rarely and cause laryngeal papillomatosis (wart in the larynx and upper respiratory tract). There is no pain in the condyloma but itching and burning may occur occasionally.

Transmission ways; HPV is transmitted from skin to skin through sexual intercourse. Real sexual intercourse is not necessary for transmission. Apart from this, it is possible to smear orally on the oral mucosa. There is a possibility of transmission from the genital area to the baby at normal birth. It suggests that infected toilet seat, capitol, towel, soap, swimming pools or tub contamination may play a role in the formation of some unexplained HPV lesions.

Prevention; The most effective way to reduce the risk of genital warts is not to be with more than one partner. However, when this is not possible, a condom is the most effective way of preventing. It provides protection against many diseases, including condoms, as well as sexually transmitted AIDS. Since the warts can be found outside the area covered by the condom, the condom may occasionally be ineffective.

Incubation period;

The incubation period is uncertain. Usually, genital warts develop within 1 or 6 months after contact with HPV. In some people, HPV can remain silent for years or decades. Therefore, it may not be possible to know when or from whom the disease is transmitted.

Diagnoses; The diagnosis is made by seeing the lesions during the examination. Puffy cauliflower-style lesions are easily recognized from the skin, but flat lesions are not visible to the naked eye, after applying 3-5% acetic acid, colour change on the skin with colposcope, acetowhite appearance is diagnostic. Smear test is extremely important in the diagnosis and follow-up of condyloma. They should have a smear once a year. Pre-treatment to separate precisely than any other cancer lesions must necessarily biopsy. The partners of people diagnosed with condyloma must also be examined and, if necessary, treated.

Treatment;Condyloma is a disease that must be treated, if left untreated, depending on the immune system of the person, it can spread rapidly to the surrounding tissues and cause an ugly, very ugly appearance on the skin, and it also infects his sexual partner. In some people, the lesion may remain as it is, although it is not treated. It is not possible to destroy the virus in treatment. In order to eliminate the warts only, treatment is applied with the medication applied on the lesion or surgically. Externally driven for a long-term and arduous treatments with drugs, these drugs without harming the environment with a cotton stick ear tissue should be implemented very carefully. There are 3 methods in surgical treatment. These methods do not have any superiority to each other, according to the size and location of the lesion, your doctor will determine the most suitable method for you.

  1. First method is the burning of the lesion by laser or electrocautery (cauterization).
  2. Second method is the freezing of the lesion with liquid nitrogen or carbon dioxide (cryotherapy, cryotherapy).
  3. Third Method, some large lesions may require surgical removal.

In many cases, one-time treatment is not sufficient, at least 2 sessions are required. In some people, despite a few treatments, external genital warts do not fully heal. This is due to the fact that most treatments destroy HPV lesions but cannot destroy HPV in the surrounding normal skin. If the person's immune system cannot respond and cannot suppress the remaining HPV, a new lesion may occur. When the lesions do not recur after treatment, when there is a severe weakening of the immune system during the rest of life, warts and other HPV lesions may recur in some individuals.

Op. Sibel Malkoç, MD

Gynecology and Obstetrics Specialist

Dr. Sibel Malkoç attended many domestic and international training seminars and congresses during 25 years of specialised physician service.

Pregnancy follow-up, urinary incontinence surgery and laser treatments, genital aesthetic surgery and laser applications and vaginismus treatment are of special interest.

It serves its patients especially in surgical and laser-assisted Vagina aesthetics.