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28 Dec 2016

Condyloma


Anal or genital warts, also known as condyloma, are growths of skin in the form of lesions near the ano-rectal opening or in the genital parts. Condyloma is a contagious disease caused directly from skin contact and transmitted via the Human papilloma virus (HPV). The warts can grow solitary but in clusters. The warts can also be found in the internal portion of the urethral opening or inside the female genitalia, hard or soft in texture. Initially smaller in dimension, the warts grow and spread profusely in the adjoining area that might cause bleeding. The duration from viral exposure to developing the warts can vary from 2-6 months or longer. During the latent phase, the virus remains inactive and proliferates inside the skin tissues. Most of the warts clear on their own but in some cases the latency period is followed by recurrence. The common factor is regular sexual activity with an infected partner. Babies may acquire the HPV infection from their infected mothers who have cervical warts.

Causes

The key factor of HPV infection is sexually transmitted diseases. HPV grows in warm and moist environment and the outbreak of the wart is due to low immunity or during pregnancy. Repeated occurrence of some of the warts increases the risk of certain types of cancers. Nearly 90% of condyloma is harmless, however a small fraction of HPV transmitted warts have a risk of converting into neoplastic cells. Buschke-Löwenstein tumour, a huge condyloma, is a cancer, which develops from HPV infection, is low-grade yet locally invasive. Sometimes, HPV infection is attributed to cervical malignancies too.

Symptoms

Most often, there are no signs of condyloma infection except for the warts. However, a person is able to detect the infection only when the wart is associated with redness, itching, discomfort and soreness or through physical examination. Generally, genital warts are a cause of distress among sufferers due to the location of the outbreak and inability to consult easily a doctor due to emotional guilt, embarrassment or a discreet mindset of not willing to divulge details of an intimate life.

Treatment

There is no specific treatment to cure HPV infection, although most effectively applied methods are used to remove the warts. One preventive measure is to have a clinical check-up of the partner, refrain from any sort of sexual activity until the warts heal, and use of protection while indulging in any sexual activity. A wart is just an outward growth but the virus lurks inside the skin of the ano-rectal and uro-genital regions of an infected person.

Based on the region, a doctor uses either an anoscope for anal warts or a colposcope for cervical infection to examine the lesions and recommend further evaluation in case of any suspicious growth. Most of the warts are treated based on the size and location of the infection using topical preparations or surgical removal. Laser treatment and cauterization of the warts is done to remove the physically visible warts. If the warts are too large, they are excised under experts’ supervision using local anaesthesia.

Condyloma inflicts severe psychological turmoil, given the physiological conditions and related causes of transmission from fear of being socially isolated, giving rise to anger and guilt. Though most of the HPV infections clear out with time, however a strict check-up is mandatory to ward off any risks of oncogenic HPV type of infection. Koya Stopiles Clinic. in Hyderabad, and now in Bangalore, is a specialized clinic with expertise to deal with ano-rectal problems. The team of doctors have years of experience in diagnosis and treatment of ano-rectal problems, seeking monitored help from experts overseas. The techniques are US-FDA approved and minimally invasive in curing haemorrhoids, abscess and other anal problems. Anal warts can be successfully treated and cured under the proficiency of able specialists and thereby minimize the risks of any malignancy.




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