Treatment and Recovery from Genital Warts: FAQs - Urology

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Cauliflower (Condylomata Acuminata)


Hello, Doctor.
A couple of days ago, I underwent electrosurgery due to genital warts, which are located on the glans.
I have a few questions I would like to ask:
1.
Is it normal to have larger blisters around the wound after the electrosurgery?
2.
Is it normal for the wound to have some bleeding? How long is this likely to last?
3.
Although I have already completed the treatment, I found information online suggesting that less severe cases of genital warts can be treated with topical ointments.
Is this true?

Niming, 30~39 year old female. Ask Date: 2019/01/28

Dr. Du Shixi reply Urology


Hello: 1) If there are no blisters from the electrocautery, it may be caused by friction or the anesthetic injection, and it should resolve on its own.
Keep the area clean and dry.
2) The ointment should be applied thickly.
3) The ointment should be applied for several weeks, but it may not necessarily be effective, as most patients in Taiwan lack the patience to wait that long.
Apply the ointment only after the electrocautery site has healed, as a preventive measure, and it will be out-of-pocket.
Wishing you good health.

Reply Date: 2019/01/28

More Info


Genital warts, caused by certain strains of the human papillomavirus (HPV), can be a source of discomfort and concern for many individuals. After undergoing treatment such as electrosurgery, it is common to have questions about the healing process and what to expect. Here are answers to your frequently asked questions regarding recovery from genital warts treatment:
1. Presence of Blisters: It is not uncommon to see blisters or fluid-filled areas around the treated site after electrosurgery. This can occur as part of the healing process. The skin around the treatment area may react to the procedure, leading to the formation of blisters. These blisters are typically a sign of the body’s natural healing response. However, if the blisters become very large, painful, or show signs of infection (such as increased redness, warmth, or pus), it is advisable to consult your healthcare provider.

2. Bleeding from the Wound: Some degree of bleeding or oozing from the treatment site can be expected after electrosurgery. This is particularly true if the area was cauterized, as the heat can cause some damage to the surrounding tissues. Minor bleeding or spotting may occur for a few days post-treatment, but if you notice heavy bleeding or if the bleeding does not stop after applying gentle pressure for 10-15 minutes, you should seek medical attention. The duration of any bleeding or oozing can vary, but it typically subsides within a few days as the area begins to heal.

3. Topical Treatments for Mild Cases: While some mild cases of genital warts can be treated with topical medications, it is important to follow the advice of your healthcare provider regarding your specific situation. Treatments such as imiquimod cream or podophyllin can be effective for some individuals, but they may not be suitable for everyone, especially in sensitive areas like the glans (tip of the penis). Since you have already undergone electrosurgery, it is best to avoid applying any topical treatments without consulting your doctor first. They can provide guidance on whether additional treatments are necessary or if your current healing process is sufficient.


Additional Considerations for Recovery:
- Hygiene: Keep the area clean and dry to prevent infection. Gently wash the area with mild soap and water, and pat it dry. Avoid scrubbing the area, as this can irritate the skin further.

- Avoiding Irritants: Refrain from using scented soaps, lotions, or other products that may irritate the sensitive skin around the treatment site.
- Sexual Activity: It is generally recommended to avoid sexual activity until the area has fully healed to prevent irritation and potential transmission of HPV.

- Follow-Up Care: Schedule a follow-up appointment with your healthcare provider to monitor the healing process and discuss any concerns you may have. They can assess the treatment site and determine if further intervention is needed.

- HPV Vaccination: If you have not already been vaccinated against HPV, consider discussing this with your healthcare provider. The HPV vaccine can help protect against the strains of the virus that cause genital warts and certain types of cancer.

In summary, while some symptoms such as blisters and minor bleeding can be normal after electrosurgery for genital warts, it is crucial to monitor your healing process and consult your healthcare provider with any concerns. They can provide personalized advice and ensure that your recovery progresses smoothly.

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