Could It Be Warts? Anal Growths and When to Seek Help - Urology

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Are there cauliflower-like growths in the anal area?


Hello, I would like to ask about some pointed fleshy growths observed at the anal opening and internally, arranged in two rows with a slightly velvety surface (not much is visible unless specifically spread apart, but there is more growth about 1 cm inward).
Based on the image provided, could this likely be genital warts? If so, which specialty should I consult? Thank you.

Aa, 30~39 year old female. Ask Date: 2017/06/13

Dr. Li Xinyi reply Urology


If you have concerns, it is advisable to see a colorectal surgeon for an examination and to discuss with the physician.

Reply Date: 2017/06/13

More Info


When it comes to anal growths, particularly those that appear as small, pointed, and possibly cauliflower-like (a common descriptor for genital warts), it is essential to approach the situation with caution and seek appropriate medical advice. The description you provided suggests the possibility of condylomata acuminata, commonly known as genital warts, which are caused by certain strains of the human papillomavirus (HPV).
Genital warts can manifest as small, flesh-colored or gray growths that may appear in clusters, resembling cauliflower. They can occur in various locations, including the anal area, and can be asymptomatic or cause discomfort, itching, or bleeding. It is important to note that while genital warts are a common sexually transmitted infection (STI), they are not the only potential cause of anal growths. Other conditions, such as hemorrhoids, anal fissures, or even more serious issues like anal cancer, could also present with similar symptoms.

Given your concerns, it is advisable to consult a healthcare professional who specializes in this area. The most appropriate specialists to see would be a dermatologist or a gastroenterologist, as they have the expertise to evaluate skin lesions and gastrointestinal issues, respectively. Additionally, a proctologist, who specializes in disorders of the rectum and anus, could also provide valuable insights and treatment options.

During your consultation, the healthcare provider will likely perform a thorough examination of the affected area. They may ask about your medical history, any symptoms you are experiencing, and any potential risk factors, such as sexual activity or previous STIs. In some cases, a biopsy may be necessary to confirm the diagnosis and rule out other conditions.

If the growths are indeed identified as genital warts, there are several treatment options available. These may include topical treatments, such as imiquimod or podophyllin, which can help to reduce the size and number of warts. In some cases, procedures like cryotherapy (freezing the warts), laser therapy, or surgical removal may be recommended, especially if the warts are extensive or recurrent.

It is also important to consider preventive measures. The HPV vaccine can significantly reduce the risk of developing genital warts and certain types of cancer associated with HPV. Vaccination is recommended for preteens, but it can also be beneficial for young adults who have not yet been vaccinated.

In conclusion, while the growths you are experiencing may be indicative of genital warts, it is crucial to seek a professional evaluation to obtain an accurate diagnosis and appropriate treatment. Early intervention can help manage symptoms effectively and reduce the risk of complications. Remember, discussing concerns about anal growths can be sensitive, but healthcare providers are trained to handle such matters with professionalism and confidentiality. Don't hesitate to reach out for help; your health and peace of mind are paramount.

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