Recurring Skin Growths After HPV Treatment - Urology

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I have already had warts?


It has been a year since I underwent two cauterization procedures near the anus.
There was a significant period (about three to four months) without any lesions appearing, but recently, I have noticed two or three scattered bumps in the surrounding area (they are quite far apart).
However, they feel different from the previous lesions (some are very small, while others are about the size of half a grain of rice).
I would like to know if the skin around an area previously infected with genital warts is prone to developing small skin tags.

A Cao, 30~39 year old female. Ask Date: 2020/07/07

Dr. Du Shixi reply Urology


Hello: Cauliflower lesions can be prone to recurrence, especially in certain areas.
Based on your description, it cannot be ruled out that they may grow back.
It is advisable to seek examination at a major hospital to determine if any treatment is necessary, in order to prevent surrounding skin from becoming infected.
Wishing you good health.

Reply Date: 2020/07/07

More Info


Understanding recurring skin growths after HPV treatment can be quite complex, especially when dealing with conditions like genital warts (also known as condylomata acuminata) caused by the human papillomavirus (HPV). It’s important to recognize that HPV is a viral infection that can remain dormant in the body for extended periods, and its manifestations can vary widely among individuals.

Firstly, it’s essential to understand that even after successful treatment of visible warts through methods such as electrosurgery or cryotherapy, the virus can still reside in the skin cells. This means that while the visible lesions may be removed, the underlying virus may not be eradicated, leading to the potential for recurrence. The immune system plays a crucial role in controlling the virus, and factors such as stress, immunosuppression, or other health issues can influence the likelihood of recurrence.

In your case, the appearance of new growths around the anal area after a period of remission could indeed be related to the HPV infection. The new growths you describe, which differ in size and appearance from previous lesions, could be small skin tags or other benign growths. However, it’s also possible that they are new warts. It’s not uncommon for individuals with a history of HPV to develop new lesions over time, as the virus can reactivate or new strains may be contracted.

Regarding the question of whether the skin around previously infected areas is more prone to developing small growths, the answer is yes. The skin in these regions may be more susceptible to changes due to the previous viral infection. The presence of HPV can lead to changes in the skin's cellular structure, making it more likely for new growths to form. Additionally, irritation or trauma to the area can also contribute to the development of skin tags or other benign lesions.

To address your concerns, here are some recommendations:
1. Regular Monitoring: It’s crucial to keep an eye on any new growths. If they change in appearance, size, or if you experience discomfort, it’s advisable to consult a healthcare provider for evaluation.

2. Consult a Dermatologist: A dermatologist can provide a thorough examination of the new growths and determine whether they are benign or if further treatment is necessary. They may perform a biopsy if there is any suspicion of malignancy or if the growths appear atypical.

3. Maintain a Healthy Immune System: Supporting your immune system can be beneficial in managing HPV. This includes maintaining a balanced diet, regular exercise, adequate sleep, and managing stress levels.

4. Consider HPV Vaccination: If you haven’t already, discuss with your healthcare provider the possibility of receiving the HPV vaccine. While it won’t treat existing infections, it can protect against other strains of the virus.

5. Avoid Irritation: Be mindful of any activities or products that may irritate the area, as irritation can exacerbate skin changes.

6. Follow-Up Care: Regular follow-ups with your healthcare provider are essential for monitoring your condition and managing any new developments effectively.

In conclusion, while the recurrence of skin growths after HPV treatment can be concerning, it is a recognized aspect of the infection. By staying vigilant and maintaining open communication with your healthcare provider, you can effectively manage your condition and minimize the impact of HPV on your health.

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