Can Electrocautery for Warts Cause Post-Procedure Balanitis?

Q: Can Electrocautery for Warts Cause Post-Procedure Balanitis?

Hello： The information provided here is for reference only and cannot replace a physician's examination, testing, or diagnosis. <br>I contracted genital warts from unprotected oral sex and underwent electrocautery 9 days ago. <br>The wound is still healing, and around the 6th day

Can cauliflower electrocautery lead to balanitis one week later?

I contracted genital warts due to unprotected oral sex and underwent electrocautery 9 days ago.
The wound is still healing, but around the 6th day, I noticed that my foreskin seems to be inflamed.
It hurts when I try to clean it, and there's a persistent itch along one side.
Currently, I am applying a Japanese blue ointment to the inflamed area of the foreskin.
Is this effective? I am considering a circumcision, but I'm concerned because the electrocautery site hasn't healed yet.
What medication should I buy from a pharmacy to address the inflammation of the foreskin? I am currently applying gentian violet to the electrocautery site, but it doesn't seem to be helping.

Weifeng, 30~39 year old female. Ask Date: 2021/11/11

Dr. Du Shixi reply Urology

Hello: The information provided here is for reference only and cannot replace a physician's examination, testing, or diagnosis.
I contracted genital warts from unprotected oral sex and underwent electrocautery 9 days ago.
The wound is still healing, and around the 6th day, I noticed that my foreskin seems to be inflamed.
It hurts when I pull it back to clean, and there is persistent itching along one side.
Currently, I am applying a Japanese blue ointment to the inflamed area of the foreskin.
Is this effective? --> I do not recommend circumcision at this time, but I am considering it since the electrocautery site has not yet healed.
What medication should I buy from the pharmacy to address the foreskin inflammation? I am currently applying gentian violet to the electrocautery site (which seems ineffective...) --> This platform cannot provide medication advice; I recommend returning for a follow-up.
Do not use the blue ointment anymore.
Use Betadine for disinfection three times a day.
If there is redness, you must seek medical attention.
Keep the area dry.
Wishing you good health.

Reply Date: 2021/11/11

More Info

Electrocautery is a common procedure used to treat warts, including genital warts caused by the human papillomavirus (HPV). While this procedure is generally effective, it can lead to complications such as balanitis, which is inflammation of the glans (the head of the penis) and the foreskin. This condition can arise due to various factors, including irritation from the healing process, infection, or improper hygiene.

In your case, it seems that you are experiencing symptoms of inflammation in the foreskin area following electrocautery for genital warts. The symptoms you describe—pain during cleaning and persistent itching—are indicative of balanitis. This inflammation can occur for several reasons:
1. Irritation from Healing: After electrocautery, the treated area may be sensitive as it heals. The natural healing process can lead to irritation, especially if there is friction or if the area is not kept clean and dry.

2. Infection: If bacteria enter the area, it can lead to an infection, which may cause increased redness, swelling, and discharge. This is particularly a concern if the area is not properly cared for post-procedure.

3. Allergic Reaction: Sometimes, topical treatments or ointments applied to the area can cause allergic reactions, leading to inflammation.

4. Poor Hygiene: Inadequate cleaning of the area can lead to the accumulation of bacteria and irritants, exacerbating inflammation.

Regarding your current treatment with the "Japanese blue nurse" ointment, it's essential to ensure that any topical treatment you use is appropriate for the area and does not contain irritants. While some ointments can help soothe inflammation, others may aggravate the condition. It is advisable to consult with your healthcare provider about the suitability of this ointment for your specific situation.

For managing post-procedure balanitis, consider the following recommendations:
1. Maintain Hygiene: Gently clean the area with mild soap and water. Avoid harsh soaps or scrubs that can irritate the skin further.

2. Keep the Area Dry: Moist environments can promote bacterial growth. After cleaning, ensure the area is thoroughly dried.

3. Avoid Irritants: Steer clear of scented products, lotions, or any topical treatments that may cause irritation.

4. Topical Treatments: If you suspect an infection, your healthcare provider may recommend an antifungal or antibacterial cream. However, avoid self-medicating without professional advice.

5. Consult a Healthcare Provider: If symptoms persist or worsen, it is crucial to seek medical attention. A healthcare professional can assess the situation, possibly perform a culture to identify any underlying infection, and provide appropriate treatment.

As for your desire to undergo circumcision, it is essential to wait until the area has completely healed from the electrocautery procedure. Performing surgery on an inflamed or healing area can lead to complications. Discuss your concerns and plans with your healthcare provider, who can give you personalized advice based on your healing progress.

In summary, while electrocautery is an effective treatment for warts, it can lead to complications such as balanitis. Proper care and hygiene are crucial during the healing process, and any persistent or worsening symptoms should be evaluated by a healthcare professional.

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