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Introduction
Condyloma is a dangerous viral inflammation and, if left untreated, leads to the development of complications, including cancer.
The causative agent is the human papillomavirus, which is transmitted in most cases sexually. The disease affects both women and men, in the absence of contraindications, it is treated by surgical intervention.
What are warts and should they be removed?
Condylomas are papillary neoplasms that appear on the external genital organs and in the anus. At the initial stage, they are single, at the advanced stage they are multiple, located next to each other. In addition, the disease often affects the hands or feet. Affected by the appearance of genital warts are mainly people aged 18 to 35 years who have regular sexual intercourse. At risk are pregnant women and other immunocompromised individuals.
The papillomavirus is the cause of the disease, lives in the body of many people, while they do not even know about it. This can only be detected with the help of special urogenital tests that determine the type of virus. From the moment of sexual contact with an infected person to the development of pathology, 2-3 months or even more pass.
The virus can be asymptomatic in the body for a long time, after which it begins to cause warty formations. They are observed not only on the genitals, but also in the mouth and other places where the mucosa is located. You can find out about the appearance of genital warts by the following first signs:
- itching;
- redness;
- small blisters under the skin;
- the presence of formations on the cervix (during a routine examination of women).
In the absence of proper treatment, the symptoms will intensify and cause concern. Condylomas interfere with sexual activity, cling to underwear, look aesthetically unattractive, cause complexes, psychosomatic disorders, complications in the form of gynecological problems. That is why in the vast majority of cases warts are removed. Modern techniques allow you to do this efficiently, painlessly and safely.
Indications for the removal of pointed forms
In some cases, warts lead to the development of diseases of other organs, cause pain, and reduce the quality of life. Therefore, there are a number of reasons for the prompt removal of these neoplasms:
- the disease progresses rapidly: the number and size of genital warts are constantly growing;
- lack of response of formations to conservative treatment with ointments;
- sharp pain during intercourse, urination or defecation;
- frequent bleeding due to injury of warts grown underwear or during hygiene procedures;
- with the location of genital warts on the cervix in women preparing for childbirth;
- the threat of oncological problems when a virus of types 16 and 18 is detected;
- external defect leading to moral discomfort.
Contraindications
The doctor can choose the right treatment, including the appropriate method for removing genital warts, only after a complete examination and a detailed history.
In addition, surgical intervention is prohibited when:
- hypertension;
- diabetes mellitus;
- low platelets in the blood;
- inflammatory processes in the body;
- oncological processes;
- herpes infection;
- diseases of the endocrine system;
- epilepsy;
- dermatological diseases.
Pregnancy after hatching
The papilloma virus does not affect the ability to become pregnant and bear a child. A woman can safely plan the replenishment of the family a few months after the removal of genital warts. It is important that during this time all the wounds after the intervention heal, and there are no complications.
The recovery period can be up to 1 year at an advanced stage of development of formations. At this time, the doctor recommends giving up sexual activity, and then using barrier methods of contraception until complete recovery.
How is the process carried out?
If the size of warts exceeds 6 mm, and the period of their formation is 3-4 months, then conservative methods are powerless. In this case, mechanical removal of formations is carried out by one of the available methods: laser, chemical, electrocoagulation , radio wave, cryodestruction. The operation is performed on an outpatient basis, the recovery period does not take much time.
The essence of the procedure is the excision of genital warts. In terms of time, the intervention does not take more than 3-5 hours, if the case is not running, then less than 1 hour. Some methods are effective for multiple manifestations, others – only for single ones.
In addition, there are operations that do not require local anesthesia, and those that are unacceptable in the presence of certain factors. Different methods also differ in price, duration of intervention, degree of effectiveness and percentage of relapses.
How to remove with a laser, the advantages and disadvantages of the procedure?
The peculiarity of the procedure is that the laser beam acts pointwise. Only the condyloma focus is processed, and the healthy tissues around it remain unaffected. There is practically no blood during the operation, since the vessels instantly coagulate. The advantages of the procedure include:
- no age restrictions (the operation is successfully performed both for the elderly and children);
- fast recovery;
- traces of intervention are insignificant.
However, there are also a number of disadvantages. Firstly, the procedure is quite expensive, and secondly, skin irritation may appear. Thirdly, a patient with hormonal disorders often has keloid scars.
Radio wave method
This procedure is highly effective and allows you to get rid of genital warts completely, subject to proper rehabilitation. The essence of the method is that the doctor, using a special radio knife equipped with an electrocoagulation function, cuts off the affected tissues. In this case, all small vessels are cauterized, which avoids bleeding.
The operation is performed under local anesthesia, but a few hours after the intervention, the patient may experience pain and redness of the skin. Usually these symptoms pass quickly, recovery does not take more than a month. Of the significant disadvantages – a high risk of scarring.
Cryodestruction
The intervention is carried out with liquid nitrogen. The doctor provides crystallization and subsequent destruction of the contents of the condyloma cells. The indisputable advantage of such an operation is its speed: it does not take more than 30 seconds to process each formation. So, repeat up to 4 times until the condyloma is completely eliminated.
The operation is suitable for those who cannot tolerate anesthesia: the intervention is carried out without it, since the procedure is almost painless. Scar formation after cryodestruction is extremely rare, rehabilitation is simple and fast. The effectiveness of getting rid of genital warts is up to 88%.
chemical method
This method consists in treating genital warts with special means that lead to tissue death. For example, Solcoderm is often used, which includes lactic, acetic and nitric acids. The chemical method is used only for external neoplasms, since it causes a mucosal burn.
The doctor applies the product using a special applicator that allows you to save healthy tissue. Such an operation is often time consuming and may require re-treatment after a few days. With multiple warts, the intervention is carried out in stages up to several weeks. The chemical method is characterized by high efficiency in the treatment of single formations at an early stage.
Electrocoagulation
The method involves the removal of affected tissues under the influence of high temperature. Such an operation is highly effective, but quite painful.
During the procedure, local anesthesia is used, and after the procedure, the patient may feel discomfort for up to several days. Often additional drugs are prescribed to alleviate the condition. Electrocautery suggests some scarring, but the risk of recurrence is quite low.
Getting rid of the virus at home
You can get rid of warts on your own by using one of the medicines that are applied directly to the affected area. Popular drugs are those that contain podophyllotoxin. It is available as a cream or solution.
Its action is based on a violation of the division of epithelial cells. Apply the medicine three days in a row, 2 times a day. After that, they take a break for 4 days and repeat the treatment algorithm 3-4 times. After a month, a visible effect is observed, especially when taken by men.
You can also use imiquimod, an agent that activates cells of the immune system. It is applied to the skin 3 times a week at bedtime. In the morning, the drug is washed off with soapy water. The duration of treatment is at least a month, but not more than 16 weeks. The remedy is effective for single warts at the initial stage.
How long does rehabilitation take?
Rehabilitation can take from a couple of weeks to several months. The duration depends on the method of surgical intervention, the number and size of genital warts, the age and health of the patient. An important role is played by postoperative wound treatment, which accelerates healing.
Since the removal of genital warts is accompanied by the appearance of scabs, sexual activity should be suspended for the period of their healing. Usually this is no more than 14 days, but the doctor indicates the exact period. The patient may feel discomfort and pain during intercourse: in this case, the period of abstinence can be extended up to 2-3 months. In addition, barrier contraception should be used for 2-5 months to avoid infection of the partner and the recurrence of genital warts.
In order not to aggravate the condition of postoperative wounds, do not use tight underwear, a hard towel. It is important to pay attention to hygiene and shower regularly with soap and water. The removal sites should be cleaned thoroughly, but gently, without the use of pressure and friction. If necessary, hygiene procedures are carried out using healing agents recommended by the doctor.
Do not treat wounds with peroxide, as well as products containing alcohol, iodine. These drugs lead to damage to the mucous membrane of the genital organs. If the operation was performed on external tissues, then the doctor prescribes ointments, gels, solutions. Suppositories are used for internal wounds.
During rehabilitation, patients are advised to take drugs that strengthen the immune system. With incorrect treatment during the recovery period, the risk of recurrence of warts is likely. However, they can develop faster than last time.
Complications
Possible complications are due to the fact that the papilloma virus is not treated and remains in the human body. After some time, relapses of warts are possible. The main complications after surgery include:
- inflammatory processes;
- swelling and pain;
- bleeding;
- atypical discharge and erosion of the cervix (with internal warts);
- the formation of purulent wounds.
If any of these symptoms appear, you should immediately consult a doctor. Timely therapy will prevent aggravation of the patient’s condition and eliminate unpleasant manifestations.
The cost of getting rid of growths
Prices for the removal of genital warts vary depending on the degree of neglect of the disease, as well as on the number of neoplasms, inaccessibility.
Getting rid of the disease by the radio wave method costs from 500 r. with single warts and up to 15,000 r. with multiple. Laser intervention will cost women from 550 to 30,000 rubles, men – up to 50,000 rubles. depending on location. Electrocoagulation costs up to 11,000 rubles. with extensive dissolution of formations.
You can eliminate one condyloma with liquid nitrogen for only 250 rubles, even complex cases are not estimated at more than 9,000 rubles. It is also possible to get rid of genital warts inexpensively by chemical means. The price of the issue is from 200 rubles.
Preventive actions
To prevent the primary appearance of genital warts or recurrence of the disease, the following rules should be followed:
- Compliance with personal hygiene.
- Vaccination against the most dangerous types of papillomavirus.
- Healthy lifestyle, including proper nutrition.
- Avoiding casual sex.
- Reception of vitamin complexes to strengthen immunity.
Conclusion
You can quickly and painlessly get rid of genital warts with the help of modern surgical intervention, as well as at home. Due to the large number of methods for removing neoplasms, it is easy to choose the appropriate treatment method. In order to avoid relapses, it is important to follow the recommendations in the rehabilitation period and apply preventive measures.