Effective Treatments for Viral Warts: Surgery, Costs, and Recovery Insights - Dermatology

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Viral warts


I have been troubled by a problem for a long time! I have developed several viral warts on my hands and soles, commonly known as plantar warts.
I have been seeing a dermatologist for nearly a year, during which I have undergone treatments including cryotherapy, electrosurgery, and laser therapy.
Although there has been some improvement, the results are indeed very slow.
Is there a faster method for a complete cure? I am considering surgical intervention for treatment.
Would that be quicker? How much would it cost? Would I need to be hospitalized?

A Yong, 20~29 year old female. Ask Date: 2005/07/02

Dr. Huang Ruiyun reply Dermatology


Currently, there is no 100% effective treatment for warts.
Some individuals may resolve completely after a single cryotherapy session, while others may have lesions that are just as stubborn as yours.
Surgical removal is a rather poor treatment option, with no higher success rate and greater potential side effects.
It is not recommended.
You should return to a dermatologist and ask the physician if Aldara could be an option to try.
Another approach is to simply ignore it; in a few years, it may disappear on its own.

Reply Date: 2005/07/02

More Info


Viral warts, commonly referred to as "warts" or "verrucae," are benign epithelial tumors caused by human papillomavirus (HPV) infection. They can appear on various parts of the body, including the hands and feet, and can be particularly bothersome when they affect areas like the palms or soles. Your experience with various treatments, including cryotherapy, electrosurgery, and laser therapy, is quite common, as these methods are often the first line of defense against warts. However, the effectiveness and speed of these treatments can vary significantly from person to person.


Effective Treatments for Viral Warts
1. Surgical Excision: Surgical removal of warts can be an effective option, especially for stubborn warts that do not respond to other treatments. This method involves cutting out the wart and some surrounding tissue. While it can provide immediate results, it may also lead to scarring and requires proper aftercare to prevent infection. The cost of surgical excision can vary widely depending on the healthcare facility, the complexity of the procedure, and whether anesthesia is required. Generally, you might expect to pay anywhere from $200 to $1,000, depending on these factors. Most of the time, this procedure can be done on an outpatient basis, meaning you won't need to stay in the hospital overnight.

2. Costs: The overall cost of wart treatment can vary significantly based on the type of treatment, the number of sessions required, and your insurance coverage. For example, cryotherapy sessions can range from $100 to $300 per session, while laser treatments can be more expensive, often exceeding $500 per session. Surgical excision, as mentioned, can also be costly, but it may be a one-time expense if successful.

3. Recovery: Recovery from surgical excision is generally straightforward, but it does require some care. You will need to keep the area clean and dry, and follow your doctor's instructions regarding wound care. Pain and discomfort can be managed with over-the-counter pain relievers. Most patients can return to normal activities within a few days, but full healing may take a couple of weeks.

4. Alternative Treatments: If you're looking for faster results, you might consider treatments like immunotherapy, which involves stimulating your immune system to fight the virus. This can be done through topical treatments like imiquimod or through injections. However, these treatments can take time to show results and may not be suitable for everyone.

5. Prevention of Recurrence: It's important to note that even after successful treatment, warts can recur. HPV can remain dormant in the skin, and factors such as a weakened immune system can trigger new warts. Maintaining good hygiene, avoiding direct contact with warts, and keeping your immune system healthy are crucial steps in preventing recurrence.


Conclusion
In summary, while surgical excision can be a faster method to treat viral warts, it is essential to weigh the benefits against potential costs and recovery time. Consulting with a dermatologist about your specific situation is crucial, as they can provide personalized recommendations based on the number and location of your warts, your medical history, and your treatment preferences. Remember that patience is often required in the treatment of warts, as they can be notoriously stubborn.

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