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Human papillomavirus surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

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 electrocautery, ultrasonic aspiration.[1][2][3][4]
  • Surgical removal of external genital warts may be an alternative regimen to pharmacologic therapy in the following conditions:[1]
  • 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
  • Surgical removal of external genital warts requires consultation of a specialist.[5]
  • Surgical therapy is most beneficial for patients who have large numbers or areas of genital warts.[5]
  • Can be used during pregnancy and internal warts.
  • Usually, eliminate warts in single clinical visit.[5]
  • Requires specialized training, equipment, and longer office visit.

References

  1. ↑ 1.0 1.1 1.2 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.
  2. ↑ Rader JS, Leake JF, Dillon MB, Rosenshein NB (1991). “Ultrasonic surgical aspiration in the treatment of vulvar disease”. Obstet Gynecol. 77 (4): 573–6. PMID 2002980.
  3. ↑ Ferenczy A (1984). “Laser therapy of genital condylomata acuminata”. Obstet Gynecol. 63 (5): 703–7. PMID 6425750.
  4. ↑ Gollock JM, Slatford K, Hunter JM (1982). “Scissor excision of anogenital warts”. Br J Vener Dis. 58 (6): 400–1. PMC 1046110. PMID 7171982.
  5. ↑ 5.0 5.1 5.2 Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I; et al. (2021). “Sexually Transmitted Infections Treatment Guidelines, 2021”. MMWR Recomm Rep. 70 (4): 1–187. doi:10.15585/mmwr.rr7004a1. PMC 8344968 Check |pmc= value (help). PMID 34292926 Check |pmid= value (help).

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