Genital Warts: Treatment, Concerns, and FAQs - Urology

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Cauliflower Concerns


Hello Doctor: In January, I discovered two or three small bumps near the glans during a shower, which were diagnosed as genital warts by a doctor at Chang Gung Memorial Hospital.
I was prescribed Condylox to apply.
When I returned for a follow-up two days ago, the doctor noted that the warts had shrunk and advised me to continue using the medication.
I would like to ask the following questions:
1.
Regarding the usage of Condylox, should I follow the instructions to apply it continuously for three days (morning and evening), and then stop for four days? I am concerned that if I follow the instructions and stop for those four days, the warts might suddenly reappear.
2.
My genital warts are located at the tip of the foreskin (I have phimosis), so they almost touch the glans.
Is there a possibility that they could spread to the glans? If they do spread, what color would the new growths be?
3.
Can prolonged use of Condylox lead to drug resistance?
4.
I have a history of skin allergies and am currently taking steroids.
Will this affect the efficacy of Condylox?
I appreciate your guidance on these questions.
Thank you.

Xiao Xiao Wan, 30~39 year old female. Ask Date: 2016/03/02

Dr. Li Xinyi reply Urology


Cauliflower, even with treatment, has the potential to recur at any time within one to two years.
The relationship between the virus and the patient varies from person to person.
Many questions can be addressed during follow-up visits based on the patient's condition.
Personally, I recommend patients use electrosurgery rather than cryotherapy.

Reply Date: 2016/03/02

More Info


Genital warts, also known as condylomata acuminata, are caused by certain strains of the human papillomavirus (HPV). They are typically characterized by small, flesh-colored or gray growths that can appear in the genital area, including the vulva, vagina, cervix, penis, scrotum, and anus. Understanding the treatment options, potential concerns, and frequently asked questions about genital warts is crucial for effective management and peace of mind.


Treatment Options
The treatment for genital warts can vary based on the size, number, and location of the warts, as well as the patient's overall health. Common treatment methods include:
1. Topical Treatments: Medications such as imiquimod (Aldara), podofilox (Condylox), and sinecatechins (Veregen) are often prescribed. These treatments are applied directly to the warts and work by stimulating the immune system or destroying the wart tissue.

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

3. Electrosurgery: This method uses electrical currents to burn off the warts.

4. Laser Treatment: In cases where warts are extensive or resistant to other treatments, laser therapy may be employed.

5. Surgical Removal: For larger warts or those that do not respond to other treatments, surgical excision may be necessary.


Concerns and FAQs
1. Usage of Topical Treatments: Regarding your question about the use of the topical medication (such as "汰疣凝"), it is essential to follow the instructions provided by your healthcare provider or the product's label. Typically, these medications are applied for a specified duration, such as three consecutive days, followed by a break. The concern about warts reappearing during the break is valid; however, the treatment cycle is designed to allow the skin to recover while still effectively targeting the warts. If you notice any new growths or changes, consult your doctor for further advice.

2. Risk of Spread: Genital warts can potentially spread to other areas, including the glans (head of the penis), especially if the warts are in close proximity. The color of the new growths can vary, but they often appear similar to the original warts—flesh-colored or gray. It is crucial to maintain good hygiene and avoid sexual contact until the warts are fully treated to minimize the risk of spreading the virus.

3. Antibiotic Resistance: Concerns about developing resistance to topical treatments like "汰疣凝" are generally not applicable, as these medications do not work like antibiotics. However, overuse or improper use can lead to skin irritation or reduced effectiveness. Always adhere to the prescribed regimen and consult your healthcare provider if you have concerns about the treatment's effectiveness.

4. Impact of Steroid Use: If you are using steroids for skin allergies, it is essential to inform your healthcare provider. Steroids can affect the skin's response to treatments and may increase the risk of side effects. Your doctor may need to adjust your treatment plan accordingly.


Conclusion
Genital warts can be a source of concern, but with proper treatment and care, they can be effectively managed. It is essential to maintain open communication with your healthcare provider, follow treatment protocols, and address any new symptoms or concerns promptly. Regular follow-ups are crucial to monitor the condition and ensure that the treatment is effective. Additionally, practicing safe sex and considering vaccination against HPV can help prevent future occurrences and protect against other HPV-related health issues. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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