Post-Surgery Care for Cauliflower Disease: Common Concerns - Surgery

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Postoperative care for cauliflower (likely referring to cauliflower ear or a similar condition)?


Hello doctor, I have been diagnosed with genital warts and have started electrosurgery treatment.
So far, I have undergone the procedure five times and am about to have the sixth.
Is this normal, or should I consider switching to another hospital? Also, I have been experiencing hair loss since the surgery; could this be related to the anti-inflammatory medication I am taking?

163, 20~29 year old female. Ask Date: 2019/12/23

Dr. Ke Fangxu reply Surgery


Anal condylomas are inherently prone to recurrence.
If there are extensive warts treated with multiple sessions of electrosurgery, this is considered a normal treatment course.
However, if there is a recurrence after clearance, it is important to evaluate whether safe sexual practices are being followed (such as having a stable partner and using condoms).
Additionally, sexual partners should also undergo treatment to effectively reduce the likelihood of recurrence.
Furthermore, hair loss is not related to anti-inflammatory medications, and it is advisable to undergo HIV virus screening.

Reply Date: 2019/12/23

More Info


When dealing with post-surgery care for cauliflower disease (also known as genital warts caused by the human papillomavirus or HPV), it is important to understand the treatment process, potential side effects, and when to seek further medical advice.
Firstly, the treatment for cauliflower disease often involves procedures like electrosurgery, which uses electrical currents to remove warts. It is not uncommon for patients to require multiple treatments, especially if the warts are extensive or recurrent. Having undergone five treatments and preparing for a sixth may be within the realm of normal, depending on the severity of your condition and the response to previous treatments. However, if you feel that the frequency of treatments is excessive or if there has been no significant improvement, it may be worth discussing your concerns with your healthcare provider. They can evaluate your progress and determine if a referral to a specialist or a different treatment approach is necessary.

Regarding your concern about hair loss after surgery, it is essential to consider several factors. Hair loss can be attributed to various causes, including stress, hormonal changes, and certain medications. If you are taking anti-inflammatory medications post-surgery, it is possible that they could contribute to hair loss, although this is not a common side effect. It is crucial to communicate with your doctor about this symptom, as they can help determine the cause and suggest appropriate interventions.
In addition to medication side effects, the stress of undergoing multiple procedures and the emotional toll of dealing with a chronic condition can also lead to hair loss. This type of hair loss is often temporary and may resolve as your body adjusts and heals.
It is also important to maintain a healthy lifestyle during your recovery. A balanced diet rich in vitamins and minerals can support hair health and overall recovery. Staying hydrated, managing stress, and getting adequate rest are also crucial components of post-surgery care.

If you are considering switching hospitals or healthcare providers, it is essential to weigh the pros and cons. Look for a facility with a strong reputation for treating HPV-related conditions and one that offers a multidisciplinary approach, including dermatologists, gynecologists, and infectious disease specialists. A second opinion can provide you with additional insights and options for your treatment plan.

In summary, while multiple electrosurgery treatments may be necessary for cauliflower disease, it is essential to monitor your progress and communicate any concerns with your healthcare provider. Hair loss can have various causes, and discussing this with your doctor can help identify the underlying issue and guide you toward appropriate solutions. Always prioritize open communication with your healthcare team to ensure you receive the best possible care tailored to your needs.

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