Anal Warts: Do They Stop Growing Over Time?

Regarding anal warts?

Ten years ago, I went to the hospital for an examination due to an anal fissure, and a doctor found a growth at the anal opening, which was diagnosed as a wart.
I was given a topical treatment called Podophyllin to apply, but after a few applications, I neglected it, and it did not proliferate.
Later, due to hemorrhoid issues, I visited a clinic, and the doctor noted the previous growth and made the same assessment.
I decided to treat the wart first and purchased a wart removal gel to apply, but after a month of use, there was no significant change, and the growth remained the same.
I would like to know if it is possible for a wart to not proliferate after many years, or should I consider undergoing laser treatment to remove it?

Li, 30~39 year old female. Ask Date: 2018/05/25

Dr. Cai Zhuorong reply Urology

It is recommended that you visit the colorectal surgery outpatient clinic.

Reply Date: 2018/05/25

More Info

Anal warts, also known as anal condylomas, are caused by the human papillomavirus (HPV). They can appear as small, flesh-colored or gray growths around the anus and can vary in size and shape. One of the most common concerns regarding anal warts is whether they will continue to grow over time or if they can remain stable for years without significant changes.

In your case, it seems that the wart you have experienced has not changed significantly over the years, which is not uncommon. Some individuals may have anal warts that remain stable and do not grow or multiply. This can be attributed to several factors, including the immune system's ability to control the virus. In many cases, the immune system can suppress the virus, preventing the warts from growing or spreading. However, it is important to note that while the warts may not grow, the virus remains in the body and can potentially reactivate or lead to new warts in the future.

The treatment options for anal warts include topical medications, cryotherapy (freezing), laser therapy, and surgical excision. You mentioned using a topical treatment called "汰疣凝" (likely a wart removal gel), but it did not yield significant results after a month. This could indicate that the wart is resistant to that particular treatment or that it requires a more aggressive approach.
If the wart is not causing any symptoms, such as pain or discomfort, and if it has remained stable, some individuals may choose to monitor it rather than pursue immediate treatment. However, if you are concerned about the appearance of the wart or if it begins to change, it would be advisable to consult with a healthcare professional. They can assess the wart and discuss the most appropriate treatment options based on your specific situation.

Laser treatment is often effective for removing warts, especially if they are persistent or resistant to other treatments. It works by targeting the wart tissue with focused light, which destroys the wart while minimizing damage to surrounding healthy tissue. This method can be particularly beneficial for larger or more extensive warts.

In conclusion, while it is possible for anal warts to remain stable for years without significant growth, it is essential to keep monitoring them. If you have concerns or if the wart changes in any way, seeking medical advice is recommended. A healthcare provider can help determine the best course of action, whether that involves continued observation or a more definitive treatment approach. Remember that maintaining good hygiene and monitoring any changes in your body is crucial for overall health, especially when dealing with conditions related to HPV.

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