Cauliflower Warts: Symptoms, Treatment, and Family Safety - Surgery

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Cauliflower treatment


Hello, Director Ke.
I would like to ask: Recently, while showering, I noticed small hard lumps resembling pimples at the coronal junction of the glans.
I thought it would resolve on its own, but gradually, white growths (about 0.5 cm) started to appear.
Could this be genital warts? If I go to the hospital for electrosurgery, can I still undergo surgery if I have keloids? I have never engaged in casual sexual encounters and have only been with my partner, so I feel really guilty if I have contracted something.
Is there anything my family members living with me should be aware of to prevent infection?

Zhenjing de ren, 30~39 year old female. Ask Date: 2023/10/20

Dr. Xu Kaixi reply Surgery


Based on your description, it is indeed very likely to be what is commonly referred to as genital warts.
It is recommended to visit a hospital's surgical outpatient department for confirmation.
Since genital warts are a sexually transmitted infection that spreads through contact, if diagnosed, it is important to avoid physical contact.

Reply Date: 2023/10/20

More Info


Cauliflower warts, commonly known as genital warts, are caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, flesh-colored or white bumps that may resemble cauliflower due to their irregular surface. They can develop in various areas, including the genital region, and may be asymptomatic or cause discomfort. It’s important to understand the symptoms, treatment options, and how to ensure the safety of family members living with someone who has been diagnosed with HPV-related warts.


Symptoms
The primary symptom of cauliflower warts is the appearance of small, raised bumps on the skin, particularly in the genital area. These bumps can vary in size and may cluster together, forming larger growths. Other symptoms may include itching, discomfort, or bleeding during sexual activity. It’s crucial to note that some individuals may not exhibit any symptoms at all, which is why regular check-ups and awareness of changes in the genital area are important.


Treatment
If you suspect that you have cauliflower warts, it is essential to consult a healthcare provider for an accurate diagnosis. A dermatologist or urologist can perform a physical examination and may recommend further tests, such as a biopsy, to confirm the presence of HPV.

Treatment options for genital warts include:
1. Topical Treatments: Prescription creams or solutions, such as imiquimod or podophyllin, can be applied directly to the warts to help reduce their size and promote healing.

2. Cryotherapy: This involves freezing the warts with liquid nitrogen, causing them to fall off over time.

3. Electrosurgery: This method uses electrical currents to burn off the warts. It is effective but may require local anesthesia.

4. Laser Treatment: For larger or more persistent warts, laser therapy may be used to remove them.

5. Surgical Removal: In some cases, surgical excision may be necessary, especially if the warts are extensive or recurrent.

It is important to discuss the best treatment option with your healthcare provider, considering factors such as the size and location of the warts, as well as your overall health.


Family Safety and Prevention
Regarding your concern about family safety, it is important to understand that HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activity. However, it is possible for the virus to be present even when warts are not visible, which is why communication and preventive measures are key.

Here are some recommendations to ensure the safety of family members:
1. Open Communication: Discuss your diagnosis with your partner and any family members who may be concerned. Transparency can help alleviate fears and promote understanding.

2. Safe Practices: Use condoms during sexual activity to reduce the risk of transmission, although they do not provide complete protection since HPV can infect areas not covered by a condom.

3. Regular Check-ups: Encourage family members to have regular health check-ups, especially if they are sexually active. Early detection and treatment can help manage any potential issues.

4. Vaccination: The HPV vaccine is effective in preventing the strains of HPV that cause most genital warts and cervical cancer. Discuss vaccination options with your healthcare provider, especially for younger family members.

5. Avoid Sharing Personal Items: While HPV is not typically spread through surfaces, it is advisable to avoid sharing towels, razors, or other personal items that may come into contact with the genital area.

In conclusion, if you suspect you have cauliflower warts, it is crucial to seek medical attention for proper diagnosis and treatment. Understanding the nature of HPV, its transmission, and the available treatment options can help you manage your health and ensure the safety of your family. Remember, you are not alone in this, and there are effective treatments and preventive measures available.

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