Electrosurgery for Genital Warts: What to Expect - Obstetrics and Gynecology

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Electrosurgery is a common and effective treatment for genital warts, also known as condylomata acuminata, which are caused by certain strains of the human papillomavirus (HPV). When you undergo electrosurgery for genital warts, it's important to understand what to expect in terms of the procedure itself, potential symptoms, and aftercare.


What to Expect During Electrosurgery
1. Preparation: Before the procedure, your healthcare provider will explain the process and may ask about your medical history, including any medications you are taking. You may be advised to avoid certain medications, such as blood thinners, prior to the procedure.

2. Anesthesia: Electrosurgery is typically performed under local anesthesia, which means you will be awake but the area being treated will be numbed. This helps minimize discomfort during the procedure.

3. The Procedure: During electrosurgery, a specialized instrument generates high-frequency electrical currents to remove the warts. The heat from the current destroys the wart tissue while simultaneously cauterizing the area to minimize bleeding. The procedure usually takes only a few minutes, depending on the number and size of the warts.


Symptoms and Side Effects
1. Pain and Discomfort: After the procedure, it is common to experience some pain or discomfort in the treated area. This can vary from mild to moderate and is usually manageable with over-the-counter pain relievers like ibuprofen or acetaminophen.

2. Swelling and Redness: The treated area may appear swollen and red for a few days following the procedure. This is a normal part of the healing process.

3. Bleeding: Some minor bleeding may occur immediately after the procedure or in the days following. If you experience heavy bleeding or if the bleeding does not stop, you should contact your healthcare provider.

4. Scabbing: As the area heals, you may notice scabbing. It is important not to pick at the scabs, as this can lead to infection or scarring.

5. Infection: While rare, there is a risk of infection following electrosurgery. Signs of infection include increased redness, swelling, warmth, pus, or fever. If you notice any of these symptoms, contact your healthcare provider.


Aftercare
1. Hygiene: Keep the area clean and dry. You may be advised to avoid soaking in baths or swimming pools for a few weeks to reduce the risk of infection.

2. Avoiding Irritants: Refrain from using harsh soaps, lotions, or other products that may irritate the area until it has fully healed.

3. Follow-Up Appointments: Attend any scheduled follow-up appointments to ensure proper healing and to monitor for any recurrence of warts.

4. Sexual Activity: Your healthcare provider may recommend avoiding sexual activity for a period of time after the procedure to allow for healing and to reduce the risk of transmitting HPV.


Conclusion
Electrosurgery is a safe and effective method for treating genital warts, with a relatively quick recovery time. While some discomfort and side effects are to be expected, they are generally manageable. It is crucial to follow your healthcare provider's instructions for aftercare to promote healing and minimize complications. If you have any concerns or experience unusual symptoms after the procedure, do not hesitate to reach out to your healthcare provider for guidance.