Genital Warts: Can They Remain Unchanged for Years? - Urology

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Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, flesh-colored or gray growths in the genital area, and they can vary in size and number. It is not uncommon for genital warts to remain unchanged for extended periods, even for years, particularly if they are not treated.
In your case, the fact that the warts have not changed in size or number over one to two years suggests that they may be stable. This stability can occur with certain types of HPV, which may not provoke a strong immune response, allowing the warts to persist without significant changes. However, it is essential to note that while some warts may remain unchanged, others can grow, multiply, or even disappear over time, depending on various factors, including the individual's immune system and the specific strain of HPV involved.

The recommendation from your doctor to undergo electrosurgery (electrocautery) is a common treatment option for genital warts. This procedure involves using electrical currents to burn off the warts, which can be effective in removing them. Other treatment options include topical medications, such as imiquimod or podophyllin, which can help to stimulate the immune response or directly destroy the wart tissue.

It's important to understand that while treatment can remove visible warts, it does not eliminate the underlying HPV infection. The virus can remain dormant in the body, and warts may recur after treatment. Regular follow-up with your healthcare provider is essential to monitor for any new growths or changes.

In terms of prevention, the HPV vaccine is highly effective in protecting against the strains of HPV that most commonly cause genital warts and cervical cancer. Vaccination is recommended for preteens and young adults, but it can also be beneficial for older individuals who have not yet been vaccinated.

If you are concerned about the warts or considering treatment, it is advisable to consult with a healthcare provider who specializes in dermatology or sexual health. They can provide a thorough examination, discuss your treatment options, and help you understand the implications of having HPV.

In summary, genital warts can indeed remain unchanged for years, and while treatment options are available, it is crucial to have ongoing discussions with your healthcare provider about the best approach for your situation. Regular monitoring and preventive measures, such as vaccination, can help manage the risks associated with HPV.