Post-CO2 Laser Surgery Care for Genital Warts: Common Concerns and Tips

What is the post-operative care for CO2 laser surgery for warts?

Hello doctor, I underwent CO2 laser surgery last week to treat warts on my foreskin and glans.
I have been applying the silver sulfadiazine cream prescribed by the doctor twice daily, in the morning and before bed, and covering the area with gauze to keep it dry at other times.
It has been two weeks, but I have a few questions:
1.
How long should I continue applying this cream?
2.
The wounds appear to be dry now, but sometimes they get too dry and itchy, so I have been applying some petroleum jelly for moisture.
Is this okay?
3.
After using the restroom and drying the wound with toilet paper, there is no blood, but after some time, I notice blood on my underwear.
What should I do about this?
4.
The area affected by the laser seems quite large, and the skin looks white where it was burned.
Is this normal?
Thank you for addressing these questions.

Niming, 30~39 year old female. Ask Date: 2024/03/28

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2024/03/28

More Info

Post-CO2 Laser Surgery care for genital warts is crucial for ensuring proper healing and minimizing complications. Here are answers to your questions along with additional tips for care:
1. Duration of Medication Application: The silver sulfadiazine cream prescribed by your doctor is typically used until the wound has healed adequately. This can vary depending on the individual and the extent of the surgery. Generally, you should continue applying the cream until the area is fully healed, which may take several weeks. It’s essential to follow your doctor’s specific instructions regarding the duration of use, as they will consider your unique healing process.

2. Use of Vaseline for Moisturizing: Applying Vaseline or any other form of moisturizer can be beneficial if the area feels excessively dry and itchy. However, it's important to ensure that the area remains clean and that the moisturizer does not interfere with the healing process. If the skin is too dry, it can lead to itching, which may cause you to scratch and potentially disrupt the healing tissue. Just be cautious not to overapply, as excessive moisture can lead to maceration of the skin, which can increase the risk of infection.

3. Presence of Blood After Using the Toilet: It’s not uncommon to see some blood after surgery, especially if the area is still healing. If you notice blood on your underwear after using the restroom, it may be due to minor irritation or the healing process. However, if the bleeding is significant or persistent, you should contact your healthcare provider for further evaluation. They may want to check for any complications such as infection or improper healing.

4. Appearance of the Skin: It is normal for the skin to appear white or discolored after CO2 laser surgery. This is often due to the nature of the laser treatment, which removes the outer layers of skin. The white appearance is typically a sign of healing tissue. Over time, as the area heals, the color should gradually return to normal. However, if you notice any unusual changes, such as increased redness, swelling, or discharge, it’s important to consult your doctor.

Additional Care Tips:
- Keep the Area Clean: Continue to keep the area clean and dry. You can gently wash the area with mild soap and water, but avoid scrubbing. Pat the area dry with a clean towel.

- Avoid Irritants: Avoid using any harsh soaps, lotions, or other products that may irritate the area. This includes scented products or those with alcohol.

- Wear Loose Clothing: Opt for loose-fitting underwear and clothing to minimize friction against the surgical site. This can help reduce irritation and promote healing.

- Monitor for Signs of Infection: Keep an eye out for signs of infection, such as increased redness, swelling, warmth, or discharge that has a foul odor. If you notice any of these symptoms, contact your healthcare provider immediately.

- Follow-Up Appointments: Attend all follow-up appointments with your healthcare provider. They will monitor your healing progress and address any concerns you may have.

In conclusion, proper post-operative care is essential for optimal healing after CO2 laser surgery for genital warts. By following your doctor's instructions, maintaining cleanliness, and monitoring your symptoms, you can help ensure a smooth recovery. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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