Anal Warts: Questions About Diagnosis and Recurrence

Anal warts issue?

Last August, due to my own recklessness, I developed anal warts.
After a series of electrosurgery (performed at a small clinic for the treatment of anal warts) and medication (using Aldara treatment at a large hospital), my doctor at the hospital informed me in mid-February that I no longer needed to return for follow-up after a rectal examination.
I have a few questions for the doctor: 1.
During the examination at the hospital, the doctor only used an anoscope and did not perform a sigmoidoscopy.
I have read that warts can also develop in the rectum.
Should I undergo a sigmoidoscopy for further examination? 2.
Many articles state that even after treatment, warts can recur throughout one’s lifetime.
Is this true? 3.
I had unprotected intercourse with my partner just one week before being diagnosed with warts.
He has undergone one examination (the doctor said he was clear) and regularly checks for any abnormal lumps near his penis.
Can we currently rule out the possibility of him being infected, or should we continue to be cautious?

Danxin de ren, 20~29 year old female. Ask Date: 2018/10/18

Dr. Ke Fangxu reply Surgery

1.
Human papillomavirus (HPV) only grows in squamous epithelium, and the rectal mucosa is not susceptible to infection.

2.
Yes, there may be recurrences when the immune system is compromised.

3.
The incubation period for warts is generally three months, but there are cases where symptoms have appeared after more than a year.

Reply Date: 2018/10/18

More Info

Understanding anal warts, also known as condylomata acuminata, is crucial for managing this condition effectively. Based on your questions, let’s delve into the details regarding diagnosis, potential recurrence, and partner considerations.

1. Need for Further Examination: You mentioned that the doctor only used an anoscope during your examination and did not perform a full rectal examination with a flexible sigmoidoscope or colonoscope. While anal warts primarily occur around the anal region, it is true that HPV (human papillomavirus), the virus responsible for these warts, can also affect the rectal mucosa. If you have concerns about the possibility of warts in the rectum, it may be prudent to discuss with your healthcare provider the option of a more comprehensive examination. A flexible sigmoidoscopy can help visualize the rectal area more thoroughly and rule out any lesions that may not be visible with an anoscope alone.

2. Recurrence of Warts: It is indeed true that even after successful treatment, anal warts can recur. HPV can remain dormant in the body, and while treatments like electrosurgery and topical medications can remove visible warts, they do not eliminate the virus itself. Studies indicate that recurrence rates can be significant, with some estimates suggesting that up to 30% to 50% of patients may experience a recurrence within the first year after treatment. Therefore, it is essential to maintain regular follow-ups with your healthcare provider and monitor for any new growths or changes in the anal area.

3. Partner Considerations: Regarding your partner, it is important to understand that HPV can be asymptomatic, meaning that an individual can carry the virus without showing any visible signs or symptoms. If your partner has been examined and no warts or lesions were found, it is a positive sign, but it does not completely rule out the possibility of HPV infection. The virus can sometimes take time to manifest, and it is also possible for individuals to be carriers without showing symptoms. It is advisable for both you and your partner to engage in open communication about sexual health and consider regular check-ups, especially if either of you has concerns about potential exposure to HPV.

In summary, while you have made significant progress in managing your anal warts, it is essential to remain vigilant about potential recurrences and ensure thorough examinations if you have concerns about the rectal area. Regular follow-ups with your healthcare provider are crucial for monitoring your condition and discussing any new symptoms or concerns. Additionally, maintaining open communication with your partner about sexual health is vital for both of your well-being. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

Similar Q&A

Understanding Recurrence: Concerns About Anal Warts After Treatment

Two years ago, I was diagnosed with genital warts and underwent approximately three rounds of electrosurgery, with the last treatment occurring in July of last year. After that, my follow-up appointments with the doctor indicated that everything was fine, so I thought there might...

Dr. Ke Fangxu reply Surgery
Early-stage anal warts can be difficult to confirm. To obtain an accurate diagnosis, a pathological biopsy is the most reliable method. If the lesion is small, applying a wart removal cream can be effective. However, if the warts increase in size or number, it is important to con...

Understanding Anal Granules: Diagnosis and Treatment Options

Hello Dr. Ke, I previously left a message inquiring about a 1.5 cm lesion in my anal area (I had an unexplained outbreak of genital warts in April, and although I have not engaged in anal intercourse, I am concerned about potential infection in the anal region). I later consulted...

Dr. Ke Fangxu reply Surgery
The most accurate method for obtaining a definitive diagnosis of anal warts is to excise the lesion and send it to a pathologist for microscopic examination, which can provide a 100% certain diagnosis. If complete removal is required, it is advisable to visit a hospital where a s...

Understanding Anal Warts: Symptoms, Diagnosis, and Treatment

Hello, Dr. Hsu. In June of this year, I noticed two raised lesions near my anus. Since I had a sexual encounter at the end of last year that included anal intercourse, I am concerned that I might have contracted genital warts. Can you determine if these lesions are genital warts ...

Dr. Xu Weikai reply Urology
Anonymous: Hello, it looks like it could be genital warts. I recommend seeking medical attention as soon as possible. Additionally, relevant partners should be treated as well. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answe...

Concerns About Recurrence of Anal Warts After One Year: What to Know

Hello, doctor. A year ago, I had an infection with anal warts. After treatment, it has been over a year without recurrence, but recently I felt a small hard lump near the anal area. I'm very worried about whether it has recurred. I would like to ask you, is it possible for i...

Dr. Li Xinyi reply Urology
Do not guess; cauliflower (condyloma) is prone to recurrence. It is important to follow up with a colorectal surgeon for proper monitoring and treatment. Sexual partners should also be thoroughly screened and treated.