The treatment of condyloma acuminatum must be a comprehensive treatment.
1.Treatment of causative factors
circumcision, vaginitis, glans vulgaris, gonorrhea, etc.
2.Improve the immunity of the body
3, chemotherapy
(1) 0.5% tincture of ghosts of toxin (or 0.15% cream)
Applicable to the treatment of genital warts ≤ 10mm in diameter, the clinical cure rate of up to 90% or so. The total area of the warts should not exceed 10cm2, the total amount of daily medication should not exceed 0.5ml. after the medication should wait for the local medication to dry naturally. The side effects are mainly local irritation, itching, burning pain, redness, erosion and necrosis. In addition, this drug has teratogenic effect and should not be used by pregnant women.
(2) 5% Imiquimod Cream
The average clearance rate of warts is 56% for the treatment of condyloma acuminata. The advantage of this treatment is the low recurrence rate of about 13%. The presence of erythema is not an indication for discontinuation. The presence of vesicles or ruptures requires discontinuation of the drug and a follow-up visit to the doctor to treat the wound and decide whether to continue the drug. The safety of imiquimod during pregnancy has not been established and is contraindicated in pregnant women.
(3) 80%-90% trichloroacetic acid or dichloroacetic acid
Treatment needs to be administered by a physician. To use, a small amount of the solution is applied to the wart damage and left to dry, at which point a white cream is seen to form on the surface. Care should be taken to protect the surrounding normal skin and mucous membranes during treatment. If the amount of topical solution is excessive, talcum powder, or sodium bicarbonate (baking soda) or liquid soap may be applied to neutralize the excess, unreacted acid. This medication should not be used on hyperkeratotic or large, multiple, and large warts. Adverse reactions are local irritation, redness, swelling, erosion, etc.
4, cryotherapy
The use of -196 ℃ low-temperature liquid nitrogen, using pressure freezing method of treatment of condyloma acuminata, to promote necrosis of warts tissue off, easy to operate, efficient, easy to tolerate patients. This method is suitable for the number of small, small area of warts, feasible 1 to 2 times treatment, the interval for a week.
5, laser treatment
Usually with CO2 laser, using the cautery method to treat condyloma acuminata, single or a small number of multiple warts can be a one-time treatment, multiple or large area of warts can be 2 to 3 times treatment, the interval is generally a week.
6, electrocautery treatment
The use of high-frequency electric needle or electric knife to remove warts. This therapy is adapted to the number of small, small area of warts.
7, amino ketovaleric acid photodynamic therapy (ALA-PDT therapy)
This method can selectively kill proliferating exuberant cells, not only to the naked eye visible condyloma acuminata have a destructive effect, but also to remove subclinical damage and latent infected tissue. It has the advantages of high cure rate, low recurrence rate, few and mild adverse reactions, and good patient compliance.
8, surgical treatment
9, immunotherapy
Warm tip: Please combine the specific medication with the clinical situation, subject to the guidance of the doctor’s face-to-face consultation.