Follow-Up Care After Electrosurgery for Genital Warts: Key Questions

Regarding follow-up visits after cauliflower electrosurgery?

Hello, Director.
First, I want to thank you for your previous assistance; it has been very helpful.
I am gradually accepting my current situation and finding an appropriate lifestyle.
Now, I would like to inquire about my follow-up appointment.
The attending physician initially mentioned a follow-up in three months, but upon my concern, they said two months would also be acceptable, mainly to allow time for any potential recurrence of the warts and to ensure proper healing of the wound.
Over the past few days, I have noticed that the wound feels like it is healing when using the restroom and applying medication.
However, I felt a grain-sized lump while applying the medication, which may indicate a recurrence (though I sincerely hope it is not).

1.
If it is a recurrence, can I come in for a follow-up now (as I am approaching the two-month mark)? Or should I wait until three months to allow any latent warts to surface for complete treatment?
2.
If it is a recurrence, does that mean I am contagious again? When wiping after using the restroom, is there a possibility of transferring the warts to surrounding skin or my fingers? Or is it that regular skin is not susceptible to the wart virus (mucosal type)?
3.
I previously heard from an infectious disease specialist that washing machines do not become a source of transmission and that the virus dies outside the human body in about half an hour.
Currently, I am delaying washing my dirty underwear until the next day, but if there is a recurrence, then my underwear may have come into contact with the warts.
Is it still safe to use the washing machine in this case? I am starting to feel anxious about the suspected recurrence...
Thank you, Director.

Niming, 30~39 year old female. Ask Date: 2018/10/25

Dr. Ke Fangxu reply Surgery

1.
You can return for a follow-up appointment to determine if there is a recurrence; there is no need to "wait three months for all the latent ones to emerge so they can be treated at once."
2.
Generally, the skin can be infected by human papillomavirus (HPV), which is why the genital warts around the anal area can gradually expand in size.

3.
It is recommended that you wash these personal garments separately to avoid concerns about cross-contamination.

Reply Date: 2018/10/25

More Info

After undergoing electrosurgery for genital warts, it's understandable to have concerns about follow-up care and the potential for recurrence. Here are some key points to consider regarding your questions:
1. Follow-Up Appointment Timing: If you suspect a recurrence of genital warts, it is advisable to schedule a follow-up appointment sooner rather than later. While your doctor initially suggested a three-month follow-up, if you are noticing new growths (like the rice-sized bumps you mentioned), it is prudent to consult your healthcare provider at the two-month mark. Early intervention can help manage any potential recurrence effectively. Waiting for three months may allow more warts to develop, which could complicate treatment.

2. Transmission Concerns: Regarding your concern about transmission, it is important to understand that the human papillomavirus (HPV), which causes genital warts, is primarily transmitted through skin-to-skin contact. If you have warts, there is a risk of spreading the virus to other areas of your body or to others. When you wipe after using the restroom, there is a minimal risk of transferring the virus to surrounding skin or your fingers, especially if the skin is intact. However, the virus does not typically infect healthy, intact skin. It is crucial to maintain good hygiene practices, such as washing your hands thoroughly after touching the affected area.

3. Laundry and Hygiene: Regarding your laundry concerns, it is true that HPV does not survive long outside the human body. The virus is sensitive to environmental conditions and typically dies within a short period after leaving the body. Washing your underwear in a washing machine is generally safe, even if you suspect a recurrence. However, it is advisable to wash your underwear in hot water and with detergent to ensure any potential viral particles are effectively eliminated. If you are particularly concerned, you might consider washing your underwear separately until you have clarity on your condition.

4. Healing Process: It is normal to experience some discomfort and changes in the area post-surgery as your body heals. The presence of small bumps can be concerning, but not all bumps are necessarily warts. They could be part of the healing process or scar tissue. A healthcare provider can assess these changes and determine the best course of action.

5. Preventive Measures: To reduce the risk of recurrence and transmission, consider discussing the HPV vaccine with your healthcare provider if you haven't already. The vaccine can help protect against the types of HPV that cause most genital warts and some cancers.

In summary, if you suspect a recurrence of genital warts, it is best to reach out to your healthcare provider for an earlier appointment. They can provide a thorough examination and determine the appropriate treatment. Maintaining good hygiene practices and understanding the nature of HPV transmission will help you manage your condition effectively. Remember, open communication with your healthcare provider is key to navigating your recovery and any concerns you may have.

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