Moist Warts and Sebaceous Gland Infections: Treatment Insights - Dermatology

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Seborrheic dermatitis and Malassezia yeast?


The doctor said that I have genital warts (condyloma) and an infection with sebaceous bacteria on my penis.
I have been taking medication for about three weeks, and I have also undergone a urinalysis and electrosurgery (to remove the warts).
I have spent over 20,000 TWD (the medication for both conditions costs 800 TWD per day! The doctor said that health insurance does not cover it).
The test results showed that the condyloma is at 2.1, which exceeds the standard of 2.0; the sebaceous bacteria count is at 3500, which exceeds the standard of 3000.
Do I need to continue taking medication? Will the medication help? Is electrosurgery sufficient for the warts? Is there any health insurance coverage for the sebaceous bacteria? Thank you!

amigo, 30~39 year old female. Ask Date: 2000/11/14

Dr. Jin Lianchun reply Dermatology


Hello, sir: Condyloma acuminatum (genital warts) is a viral infection caused by a filterable virus.
There are several treatment options: 1.
Cryotherapy with liquid nitrogen: treatment is performed once every one to two weeks and requires multiple sessions.
2.
Electrosurgery.
3.
Carbon dioxide laser therapy.
However, some viruses are prone to recurrence, so if a recurrence occurs, re-treatment is necessary.
For patients who experience frequent recurrences, it is sometimes recommended to combine the aforementioned treatments with interferon injections.
Regarding your inquiry about "sebaceous bacteria," I am not quite sure what you mean.
Could you clarify exactly which bacteria you are referring to? I will respond accordingly.
Wishing you a speedy recovery.

Reply Date: 2000/11/14

More Info


Understanding moist warts, also known as condylomata acuminata or genital warts, and sebaceous gland infections is crucial for effective treatment and management. Moist warts are caused by certain strains of the human papillomavirus (HPV), while sebaceous gland infections can occur due to various factors, including bacterial overgrowth, clogged glands, or skin conditions.


Treatment for Moist Warts
1. Electrosurgery: As you mentioned, electrosurgery is a common method for removing genital warts. This procedure uses electrical currents to destroy the wart tissue. It is effective, but multiple treatments may be necessary, depending on the extent of the warts.

2. Topical Treatments: There are various topical medications available, such as imiquimod (Aldara) or podofilox (Condylox), which can be applied directly to the warts. These medications work by stimulating the immune system to fight the virus or by directly destroying the wart tissue.

3. Cryotherapy: This involves freezing the warts with liquid nitrogen, which can also be effective. This method may cause discomfort but is generally well-tolerated.

4. Surgical Options: In cases where warts are extensive or resistant to other treatments, surgical excision may be considered.


Treatment for Sebaceous Gland Infections
Sebaceous gland infections can manifest as pimples, cysts, or abscesses. The treatment typically involves:
1. Antibiotics: If the infection is bacterial, antibiotics may be prescribed. The choice of antibiotic depends on the specific bacteria involved, which can be determined through culture tests.

2. Topical Treatments: For mild infections, topical antibiotics or antiseptics may be sufficient.

3. Drainage: If there is a cyst or abscess, it may need to be drained by a healthcare professional to relieve pressure and promote healing.

4. Hygiene and Skin Care: Maintaining good hygiene and using non-comedogenic products can help prevent future infections.


Understanding Your Test Results
Your test results indicate that the moist warts and sebaceous gland infections are above the normal thresholds. The HPV level of 2.1 suggests that you have a higher viral load than what is considered standard, which may necessitate continued treatment. The sebaceous gland infection level of 3500 indicates an overgrowth that may require further intervention.


Next Steps
1. Consult Your Doctor: Given that you have been on medication for three weeks without significant improvement, it is essential to follow up with your healthcare provider. They can assess the effectiveness of your current treatment and determine if adjustments are needed.

2. Medication Adherence: It is crucial to adhere to the prescribed medication regimen, as stopping treatment prematurely can lead to recurrence or worsening of the conditions.

3. Insurance Coverage: Regarding insurance coverage, it varies by plan and region. It would be best to contact your insurance provider directly to inquire about coverage for the medications you are taking and any potential reimbursements for treatments.

4. Lifestyle Modifications: In addition to medical treatment, consider lifestyle changes that may support your recovery. This includes maintaining a healthy diet, managing stress, and avoiding irritants that could exacerbate skin conditions.


Conclusion
In summary, the treatment for moist warts and sebaceous gland infections involves a combination of medical interventions and lifestyle adjustments. Continuous communication with your healthcare provider is vital to ensure that you receive the most effective treatment tailored to your specific needs. If you have further questions or concerns, do not hesitate to reach out to your doctor for personalized advice.

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