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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Human papillomavirus surgery

Introduction

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.[1]

Surgery

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

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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