Anal Warts: When to Seek Specialized Care - Surgery

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Referral for cauliflower ear?


Hello, I have developed some growths around my anus.
I visited a colorectal surgeon, and the doctor said I have warts and recommended that I be referred to a larger hospital.
Should I consider consulting a different specialty, such as urology or dermatology?

Wu Tang, 20~29 year old female. Ask Date: 2019/05/29

Dr. Ke Fangxu reply Surgery


Answer: Is it necessary to perform a biopsy on anal warts to confirm? Generally, urologists do not examine anal warts unless there are also lesions on the genital area.
Dermatologists may see patients with such conditions, but some doctors do not perform anal biopsies.
The safest option is to consult a colorectal surgeon at a major hospital.

Reply Date: 2019/05/29

More Info


Anal warts, commonly known as genital warts, are caused by certain strains of the human papillomavirus (HPV). These warts can appear around the anus and genital area and may vary in size and appearance. If you've been diagnosed with anal warts, it's crucial to understand when to seek specialized care and what options are available for treatment.

Firstly, if your doctor has recommended a referral to a larger hospital or a specialist, it's essential to follow that advice. Specialists in dermatology or proctology (colorectal surgery) are often best equipped to handle anal warts. While urologists and dermatologists can also provide care, proctologists specialize in conditions affecting the rectum and anus, making them particularly suited for treating anal warts.

Here are some key points to consider regarding when to seek specialized care for anal warts:
1. Diagnosis Confirmation: If you have been diagnosed with anal warts, it is important to confirm the diagnosis. A specialist can perform a thorough examination and may conduct additional tests, such as a biopsy, to rule out other conditions that may mimic warts, such as anal fissures or other skin lesions.

2. Treatment Options: Anal warts can be treated in several ways, including topical treatments, cryotherapy (freezing), laser therapy, or surgical removal. A specialist will be able to discuss the most appropriate treatment options based on the size, number, and location of the warts, as well as your overall health.

3. Monitoring and Follow-Up: HPV can remain dormant in the body, and warts may recur after treatment. Regular follow-up appointments with a specialist can help monitor for any new growths or changes in existing warts.

4. Associated Symptoms: If you experience symptoms such as pain, bleeding, or changes in bowel habits, it is crucial to seek specialized care promptly. These symptoms may indicate complications or other underlying conditions that require immediate attention.

5. Psychological Impact: The presence of anal warts can cause significant emotional distress. Seeking care from a specialist can provide not only medical treatment but also support and counseling regarding the psychological aspects of living with HPV-related conditions.

6. Preventive Measures: A specialist can also provide guidance on preventive measures, including HPV vaccination, which can protect against the strains of HPV that cause anal warts and other HPV-related cancers.

In conclusion, while it may be tempting to seek care from other specialties like urology or dermatology, following your doctor's recommendation to see a proctologist or colorectal surgeon is advisable. They have the specific expertise to manage anal warts effectively and can provide comprehensive care tailored to your needs. If you have any concerns or questions about your condition, do not hesitate to discuss them with your healthcare provider. They can help you navigate your treatment options and ensure you receive the best possible care.

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