and Managing Genital Warts: Safety Tips and Treatment Options - Urology

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Genital warts


Hello, doctor.
I was just diagnosed with genital warts yesterday, located at the anal area.
I usually wash with water and wipe with a cloth after using the restroom, but I'm concerned this might lead to infections in other areas.
Do you have any recommendations on how to manage this after using the toilet? Initially, I had two small growths that the doctor said were fine, but when I returned three weeks later, I found out they were genital warts.
Now I've noticed similar small growths around the area.
Can I apply Aldara cream to these as well, or should I be cautious about skin irritation? Since the cream is quite expensive, I was planning to apply it with my fingers; would you recommend using a cotton swab instead? If my hands touch the genital warts, is it okay to wash them with regular hand soap? Will that effectively remove any bacteria? I'm worried about indirectly infecting others!

Li, 20~29 year old female. Ask Date: 2021/07/15

Dr. Du Shixi reply Urology


Hello, Doctor.
I was just diagnosed with genital warts yesterday, located at the anal area.
I usually wash with water and then wipe with a cloth after using the restroom, but I'm concerned this might lead to infections in other areas.
Do you have any recommendations on how to manage this after using the toilet?
Regarding the tissue wiping, I initially had two small growths that the doctor said were fine, but after three weeks, I discovered they were genital warts.
Now I’ve noticed similar small growths around the area.
Is it possible to apply the medication, Aldara cream, to these as well? I'm worried about causing skin damage.
It is possible that applying the cream could cause redness, and since the cream is expensive, I was planning to apply it with my fingers.
Would you still recommend using a cotton swab instead?
Is it okay to wash my hands with regular soap after touching the genital warts? Will that eliminate the bacteria? I'm concerned about indirectly infecting others!
You can use hand soap; the risk of indirect transmission is low.
Wishing you good health.

Reply Date: 2021/07/15

More Info


Genital warts, caused by the human papillomavirus (HPV), can be a concerning diagnosis, especially when they appear in sensitive areas such as around the anus. It's important to understand both the nature of this condition and the best practices for managing it to prevent further complications or transmission.

First, regarding your concern about hygiene after using the restroom, it is crucial to maintain good personal hygiene to minimize the risk of spreading the virus to other areas of your body or to other individuals. Using water to clean the area is a good practice, but ensure that you are gentle and avoid any harsh soaps or scrubbing that could irritate the skin. After washing, pat the area dry with a clean towel or cloth. Avoid rubbing, as this can cause irritation or even spread the virus if warts are present.

When it comes to treating genital warts, topical treatments like imiquimod (Aldara) or podofilox (Condylox) are commonly prescribed. If your doctor has recommended a specific medication, it is best to follow their instructions closely. While it may be tempting to apply the medication with your fingers to save on costs, using a cotton swab is generally advisable. This method helps to ensure that you apply the medication precisely to the affected area without risking additional irritation or spreading the virus to your fingers. After applying the medication, wash your hands thoroughly with soap and water to eliminate any potential viral particles.

If you notice new growths or changes in the appearance of the warts, it is important to consult your healthcare provider. They may recommend further treatment options, such as cryotherapy (freezing the warts), laser therapy, or surgical removal, depending on the severity and extent of the warts. It's also worth noting that while topical treatments can be effective, they may take several weeks to show results, and consistent application is key.

Regarding your concern about indirect transmission, HPV is primarily spread through direct skin-to-skin contact, particularly during sexual activity. However, it is wise to be cautious. After touching the affected area, always wash your hands thoroughly. Regular handwashing with soap and water is effective in removing viruses and bacteria, reducing the risk of transmission to others.

Additionally, consider discussing with your healthcare provider about HPV vaccination. The HPV vaccine can protect against the types of HPV that most commonly cause genital warts and certain cancers. While the vaccine is not a treatment for existing warts, it can help prevent future infections.

In summary, managing genital warts involves maintaining good hygiene, following your doctor's treatment recommendations, using appropriate application methods for topical medications, and being vigilant about handwashing. If you have any concerns about the treatment or the condition itself, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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