Cauliflower problem
Hello, Dr.
Hsu~ (Please do not feel obligated to respond, I am under a lot of mental stress!) A week ago, I saw a doctor and was diagnosed with anal warts.
Since I have not engaged in sexual activity, I found it hard to believe.
I consulted two hospitals, and both doctors confirmed it was warts, stating that they can also be transmitted through contact in public places.
I followed the doctor's advice for "electrosurgery," and it has been four days since then.
I have a few questions I would like to ask you~~~ First: After the electrosurgery, I noticed that the procedure listed on my surgical consent form was "external genital warts," which is different from the diagnosis the doctor gave me during the consultation.
Is this because he wants to make money, or could there be another reason? Second: I have also read online that after electrosurgery, there is usually a 3 to 6-month observation period, and regular follow-up appointments are required weekly.
However, during my first follow-up today, the doctor said I only need to apply the medication and do not need to return for further visits.
Is this postoperative approach correct, or should I consider switching to another hospital (I am receiving treatment at a clinic in Taipei)? Thank you for your response, and I wish you success in your work!
A-Jian, 20~29 year old female. Ask Date: 2008/03/17
Dr. Xu Weikai reply Urology
A-Jian: Hello, regarding common warts, if there is no recurrence after 8 weeks following electrosurgery, it can be considered completely cured.
The diagnosis of warts is actually quite simple and does not require extensive knowledge, so there should be no issues with diagnosis and treatment.
As for the explanation of the procedure, the name of the condition may differ from the actual diagnosis; you can confirm this with your physician.
It is recommended to have a follow-up examination about 2 months after the wound has healed, along with blood tests for conditions such as AIDS, etc.
Note: Warts can sometimes be found on the mouse of a computer in internet cafes.
If there are any unclear points, feel free to ask again for further discussion and research.
Sincerely, Urology Department, Taitung Hospital, Department of Health, Executive Yuan, Director Hsu Wei-Kai.
Reply Date: 2008/03/17
More Info
Genital warts, caused by the human papillomavirus (HPV), can be a source of significant anxiety and concern, especially after undergoing a procedure like electrosurgery for their removal. It’s understandable to have questions about your diagnosis, treatment, and post-procedure care. Let’s address your concerns one by one.
1. Discrepancy in Medical Documentation:
You mentioned that the procedure consent form referred to "外庤" (which translates to "external genital area") rather than the specific diagnosis of genital warts. This discrepancy can understandably raise concerns about whether the correct procedure was performed or if there was a misunderstanding. It's important to clarify this with your healthcare provider. Medical documentation should accurately reflect the diagnosis and the procedure performed. If you feel uncertain about the treatment you received, it is within your rights to seek clarification from your doctor. You can ask them to explain the terminology used and ensure that it aligns with your understanding of your condition. If you remain uncomfortable, consider seeking a second opinion from another healthcare provider.
2. Post-Procedure Follow-Up:
Regarding the follow-up care after your electrosurgery, it is common for doctors to recommend a period of observation after the removal of genital warts. The typical follow-up schedule can vary depending on the individual case, but many healthcare providers suggest regular check-ups for 3 to 6 months to monitor for any recurrence of warts. If your doctor advised that you do not need further follow-ups after your first post-operative visit, it may be worth discussing this further. You could ask them about the rationale behind this decision and whether they believe your case warrants closer monitoring. If you feel that your concerns are not being adequately addressed, or if you feel uncertain about the follow-up plan, it may be beneficial to seek care from another clinic or specialist who can provide a more thorough follow-up plan.
3. General Post-Procedure Care:
After electrosurgery for genital warts, it is crucial to follow proper aftercare to promote healing and prevent complications. Here are some general recommendations:
- Keep the area clean and dry: Avoid using harsh soaps or irritants on the affected area. Gentle cleansing with mild soap and water is recommended.
- Avoid sexual activity: It is advisable to refrain from sexual intercourse until you have fully healed and your healthcare provider has cleared you to resume sexual activity.
- Watch for signs of infection: Monitor the treated area for any signs of infection, such as increased redness, swelling, discharge, or fever. If you notice any of these symptoms, contact your healthcare provider.
- Follow prescribed medication: If your doctor prescribed topical treatments or medications, ensure you follow their instructions carefully.
4. Emotional Well-Being:
It’s important to acknowledge the emotional toll that a diagnosis of genital warts can take. Anxiety and stress are common reactions. Consider reaching out to support groups or mental health professionals who can help you navigate these feelings. Connecting with others who have had similar experiences can also provide comfort and reassurance.
In conclusion, while it is normal to have concerns after a medical procedure, clear communication with your healthcare provider is key. Don’t hesitate to ask questions and seek clarification about your treatment and follow-up care. If you feel that your needs are not being met, seeking a second opinion is always a valid option. Your health and peace of mind are paramount.
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