Wart Treatment: Insights on Electrosurgery and Recovery

Cauliflower burn wound?

Hello, doctor.
Last April, I discovered small wart-like growths at the base of my penis, and I didn't visit a dermatologist until October.
After examining with a dermatoscope, the dermatologist diagnosed it as flat warts rather than condyloma acuminatum.
Subsequently, I was given phenol to apply at home.
After a month, I decided to see a urologist (without insurance), who immediately identified it as genital warts and recommended electrosurgery at my own expense.
After a brief explanation, I underwent the procedure.
Post-surgery, I was told to return weekly for follow-up, receive oral medication, and get an injection for three months.
However, since I have no insurance coverage, I am wondering if the doctor is just trying to profit from the treatment.
I would like to ask: 1.
It has been three weeks since the electrosurgery, and the wound has healed with the epidermis appearing normal, but there is a raised area that feels like a hard lump when pressed.
Could this indicate a recurrence, or is it possible that only the epidermis has healed while the underlying tissue is still recovering? 2.
Would you recommend continuing treatment at this clinic? The doctor has emphasized that I cannot stop the oral medication, as doing so would lead to a recurrence.
3.
During this period, is it true that I should avoid alcohol completely?

Xiao Wen, 20~29 year old female. Ask Date: 2022/02/07

Dr. Chen Jiansheng reply Urology

You can visit a urology department at a regional hospital or higher-level hospital for consultation.

Reply Date: 2022/02/07

More Info

When it comes to the treatment and recovery from warts, particularly after electrosurgery, there are several important considerations to keep in mind. Based on your situation, here are detailed insights and recommendations regarding your concerns.

1. Post-Operative Healing and Concerns: After electrosurgery, it is common for the skin to heal in a way that may initially appear normal, but there can be underlying healing processes that take longer. The presence of a hard lump under the skin where the wart was removed could be due to several factors, including scar tissue formation or inflammation as the deeper layers of skin continue to heal. This does not necessarily indicate a recurrence of the wart. It is essential to monitor the area for any changes, such as increased size, pain, or discharge, which could suggest complications or recurrence. If the lump persists or worsens, it would be prudent to follow up with your healthcare provider for further evaluation.

2. Continuing Treatment: The recommendation to continue treatment at the clinic where you received the electrosurgery is based on the need for ongoing management of the condition. Warts, particularly those caused by the human papillomavirus (HPV), can have a tendency to recur. The oral medications and injections prescribed are likely aimed at boosting your immune response to help prevent recurrence. While it is understandable to be cautious about costs, it is crucial to weigh the potential benefits of continued treatment against the risk of recurrence. If you have concerns about the motivations of the healthcare provider, consider seeking a second opinion from another dermatologist or urologist who can provide a different perspective on your treatment plan.

3. Alcohol Consumption: During the recovery period after electrosurgery, it is generally advisable to avoid alcohol consumption. Alcohol can interfere with the healing process and may exacerbate any inflammation or irritation in the body. Additionally, if you are taking medications, alcohol can interact negatively with them, potentially reducing their effectiveness or increasing side effects. It is best to discuss with your healthcare provider about when it would be safe to resume alcohol consumption based on your specific treatment regimen.

4. Follow-Up Care: Regular follow-up appointments are essential for monitoring your recovery and ensuring that any potential recurrence is caught early. The frequency of these visits will depend on your individual situation and the recommendations of your healthcare provider. Typically, follow-ups may be scheduled every few weeks initially, tapering off as you show signs of stable recovery.

5. Lifestyle Adjustments: In addition to medical treatment, consider making lifestyle adjustments that can support your immune system and overall health. This includes maintaining a balanced diet, staying hydrated, getting adequate sleep, and managing stress. These factors can play a significant role in your body’s ability to fight off infections and prevent recurrences of warts.

In conclusion, while the healing process can be complex and may involve various factors, it is crucial to stay vigilant and maintain open communication with your healthcare providers. They can guide you through the recovery process and help you make informed decisions about your treatment plan. If you have any further concerns or if your symptoms change, do not hesitate to seek medical advice promptly.

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