Post-Surgery Concerns: Internal Growth After Anal Wart Treatment

Postoperative care after anal condyloma surgery?

Hello, Doctor.
Since the electrosurgery for anal warts last September, I have been returning for check-ups approximately once a month.
However, when I examine myself at home using lubricant, I feel three raised areas about 3 cm deep inside the anal canal that feel somewhat like soft tissue.
Each time I go back for a check-up, the doctor performs a digital examination and says that the texture does not resemble warts (externally, there is no recurrence of lesions).
The attending physician mentioned that the tissue that has grown back since the last electrosurgery is likely normal tissue.
I would like to ask: 1.
It has been 1 year and 2 months since last September.
Will the soft tissue-like growths remain indefinitely after the electrosurgery? 2.
Will that tissue disappear on its own? 3.
There have been no warts on the anal area or perianal region.
Is it possible for warts to only develop internally (it has been over a year since the surgery)? Thank you.
🙏

Weiwei, 20~29 year old female. Ask Date: 2021/11/07

Dr. Ke Fangxu reply Surgery

1.
It is possible for anal polyps to persist for a lifetime.
2.
Not necessarily.
3.
It is also possible; to confirm, a biopsy is still required.

Reply Date: 2021/11/07

More Info

After undergoing treatment for anal warts, particularly through procedures like electrosurgery, it is common for patients to have concerns about the healing process and any new growths that may appear in the anal region. Your situation, where you have noticed three raised areas that feel like soft tissue inside the anal canal, raises several important questions regarding healing and potential recurrence of warts.

1. Persistence of Raised Tissue: The tissue you are feeling may be a result of the healing process after the electrosurgery. When warts are removed, the body creates new tissue to replace the excised areas. This new tissue can sometimes feel different from the surrounding tissue and may appear as soft, raised areas. It is not uncommon for this tissue to remain for an extended period, especially if it is not causing any discomfort or showing signs of infection. However, it is essential to have regular follow-ups with your healthcare provider to monitor these changes.

2. Resolution of the Tissue: In many cases, the new tissue that forms after surgery can gradually diminish over time. The body may reabsorb some of this tissue, especially if it is benign and not indicative of a recurrence of the warts. However, the timeline for this process can vary significantly from person to person. Factors such as individual healing responses, the extent of the initial treatment, and overall health can influence how long it takes for this tissue to resolve. If the tissue does not change or if you notice any new symptoms, it is advisable to consult your doctor for further evaluation.

3. Recurrence of Warts: It is reassuring that you have not observed any external warts or lesions around the anal area. Anal warts, caused by human papillomavirus (HPV), can recur, but they can also remain localized to the internal area. The absence of external warts does not guarantee that there are no internal lesions, but regular check-ups and internal examinations by your physician are crucial in monitoring for any signs of recurrence. Your doctor’s assessment that the raised areas do not feel like warts is a positive sign, but continued vigilance is necessary.

In summary, the raised tissue you are feeling is likely a part of the healing process after your anal wart treatment. While it may persist for some time, it is essential to keep an open line of communication with your healthcare provider. Regular check-ups will help ensure that any changes in your condition are monitored closely, and any concerns can be addressed promptly. If you experience any new symptoms, such as pain, bleeding, or changes in the texture or appearance of the tissue, do not hesitate to reach out to your doctor for further evaluation. Your health and peace of mind are paramount, and staying informed about your recovery process is an essential part of managing your health post-surgery.

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