Post-Electrocautery Follow-Up: Managing HPV and New Symptoms

Two weeks after cauliflower electrocautery?

Hello doctor, I had a cauterization of the warts at the vaginal opening on April 14.
During my follow-up appointment on April 20, the doctor did not prescribe any medication but gave me an ointment to apply and advised me to return in two months.
However, on April 26, I discovered a lump at the anal area, and I am also experiencing issues with external tags, along with pain during bowel movements.
Should I schedule an appointment with a colorectal surgeon, or should I return to the gynecology department for this issue? Additionally, my HPV test results indicate high-risk type 35 and low to intermediate-risk types 11 and 66.
What does this mean?

Lan, 30~39 year old female. Ask Date: 2020/04/26

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Genital warts (condylomata acuminata) are prone to recurrence after electrosurgery, so regular follow-up visits or vaccination is recommended.
2.
The risk associated with HPV is primarily related to the likelihood of developing cervical cancer.

Reply Date: 2020/04/26

More Info

After undergoing electrocautery for condylomata (genital warts) on April 14, it is understandable that you have concerns regarding new symptoms and the management of HPV. Your situation involves multiple aspects that need careful consideration.

Firstly, regarding the new growth you discovered at the anal area on April 26, it is advisable to consult with a healthcare professional who specializes in this area. Given that you are experiencing pain during bowel movements, it would be prudent to see a colorectal surgeon. They can provide a thorough examination and determine whether the new growth is related to HPV or another condition. While your gynecologist can manage HPV-related issues, a colorectal specialist is better equipped to address anal concerns, especially if there is pain involved.

As for your HPV test results, the presence of high-risk HPV types, such as type 35, along with low-risk types like 11 and 66, indicates that you have been exposed to different strains of the virus. High-risk HPV types are associated with the potential development of cervical and other anogenital cancers, while low-risk types are typically associated with benign conditions like genital warts. The presence of high-risk HPV does not mean you will develop cancer, but it does warrant regular monitoring and follow-up, as some high-risk strains can lead to precancerous changes over time.

In terms of follow-up care, it is essential to adhere to the recommendations provided by your healthcare providers. Since you have been advised to return for a follow-up in two months, it is crucial to keep that appointment. However, if you experience any new symptoms, such as pain or unusual growths, do not hesitate to seek medical attention sooner. Early intervention is key in managing HPV and any associated conditions effectively.

Additionally, it is important to maintain open communication with your healthcare providers about any changes in your symptoms or concerns you may have. They can provide personalized advice based on your medical history and current health status.
In summary, for the new anal growth and associated pain, it is recommended to consult a colorectal surgeon. Continue to monitor your HPV status with regular check-ups as advised by your gynecologist. Understanding your HPV types can help you and your healthcare team make informed decisions regarding your health. Remember, while HPV can pose risks, many individuals with high-risk HPV do not develop cancer, especially with appropriate monitoring and care.

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