Condyloma acuminatum, also known as genital warts, is a sexually transmitted disease caused by human papillomavirus (HPV) infection, which mainly affects the genital, perineal and anal areas. Sexual contact is the main route of transmission, but a few people can be infected through close contact with non-sexual transmission.
Incubation period, three weeks to eight months, average three months.
Symptoms and signs are found on the foreskin, glans, coronal sulcus, ligament, penis, urethra, perineum and scrotum in males, and on the labia majora and minora, urethra, vagina, perineum, perineum, vaginal wall and cervix in females.
The initial lesions appear as tiny papules, the size of a pinhead to a green bean, which gradually increase in size and spread to the surrounding area, developing into papillae or corns.
Condyloma acuminatum
The clinical diagnosis of the case should be consistent with the clinical presentation, with or without epidemiological history.
A confirmed case should meet both the requirements for a clinical diagnosis and any one of the following laboratory tests.
1. pathological examination; 2. nucleic acid amplification test.
Treatment options
I. Patient’s own medication
1. 0.5% tincture of pediculosis toxin, or 0.15% cream of pediculosis toxin, topical application twice a day for 3 days, then stop for 4 days, 7 days as a course of treatment, if necessary, can be repeated for 3 courses of treatment.
After using the drug should be left to dry naturally, pay attention to protect the normal skin and mucous membrane around the lesions. Side effects are mainly local irritation, itching, burning pain, redness, swelling, erosion and necrosis. In addition, this drug is prohibited for pregnant women.
2, 5% Imiquimod cream, applied to the wart, every other day at night, three times a week, after 10 hours of medication, with soap, and water to wash the medication site. The longest available is up to 16 weeks. It is not to be used by pregnant women.
Second, the hospital application
1.Carbon dioxide laser.
2.Liquid nitrogen freezing.
3.High-frequency electrotherapy
4.Photodynamic therapy
5, surgical excision
The first 3 months after the treatment of condyloma acuminata, the patient should be instructed to follow up at least once every two weeks to observe whether there is a recurrence, recurrence occurs in the first 3 months, 3 months later, the follow-up interval can be extended until 6 months after the last treatment.
Avoid sexual intercourse during treatment and for 3 months after clinical cure.