What are the common treatments for condyloma acuminatum?

       1, surgical treatment for a single, small area of warts, can be surgically removed; for huge condyloma acuminata, available Mohs surgical removal, surgery with frozen section to check whether the damage is removed clean.  2, cryotherapy The use of -196 ℃ low temperature liquid nitrogen, using the pressure freezing method of treatment of condyloma acuminata, to promote the necrosis of wart tissue off, this method is suitable for the number of small, small area of warts, feasible 1-2 times the treatment, the interval of a week.  3, laser treatment usually with CO2 laser, using the cautery method to treat condyloma acuminata, this therapy is most suitable for female vagina, penis or perianal warts. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.  4, electrocautery treatment using high-frequency electric needle or electric knife to remove warts. The method: local anesthesia, and then electrocautery, this therapy to adapt to the number of small, small area of warts.  5, microwave therapy using microwave surgery treatment machine, lidocaine local anesthesia, the tip of the rod-shaped radiation probe inserted into the acutely wet straight to the base of the wart, when you see the body becomes smaller, darker, from soft to hard, the thermal radiation coagulation is complete, you can withdraw the probe. The coagulated lesions can be removed with forceps. In order to prevent recurrence, coagulation can be repeated once for the residual base.  6, beta-radiation therapy We apply beta-radiation treatment of condyloma acuminata has achieved more satisfactory results, the method is highly effective, no pain, no damage, less side effects, low recurrence rate, in the clinical promotion value.  7, drug therapy (1) foot leaf grease: this therapy is applicable to moist areas of warts, such as the occurrence of prepuce and have not made circumcision surgery glans and perineum warts. However, cervical warts should not be treated with pedicel resin. The actual tincture of the 20% footwear tincture is applied to the lesions or before the medication, there is an oily antibacterial ointment to protect the normal skin or mucous membrane around the lesions, then apply the medication, after 4-6 hours, with 30% boric acid water or soap and water to wash, if necessary, after 3 days to repeat the medication, the medication is the first foreign medication used for the treatment of this disease, generally with a healing. But there are many shortcomings, such as the destructive nature of the tissue, improper use can cause local ulcers. Toxicity, mainly manifested as nausea, intestinal obstruction, leukocyte and thrombocytopenia, tachycardia, urinary closure or oliguria, so the use must be cautious, and when the above reactions are found, the drug should be discontinued immediately.  (2) Antiviral drugs: 5% phthalamide cream or 0.25% herpes net ointment, applied externally twice a day can be used. Acyclic guanosine oral, 5 times a day, each time 200mg, or its ointment for external use, alpha-interferon daily injection of 3 million units, five days a week medication. Or interferon 3 million units injected into the base of the wart twice a week. The main side effects are flu-like syndrome, and the topical side effects are fewer and milder.  (3) corrosive or disinfectant: commonly used are 30%-50% trichloroacetic acid or saturated dichloroacetic acid, or 18% peroxyacetic acid. The 10% salicylic acid glacial acetic acid or 40% formaldehyde, 2% liquefied phenol, 75% ethanol distilled water 100ml mixed solution, spot coating local, for glans, perianal warts, daily or every other day, the effect is very good. The disinfectant can be applied externally with 20% tincture of iodine, or 2.5-5% tincture of iodine injected into the base of the wart, 0.1-1.5ml each time, or with the new Jieer externally or with 0.1-0.2% externally, the latter needs to be combined with systemic therapy.  (4) anti-cancer drugs ① 5-fluorouracil (5-F u): general topical 5% ointment or cream, twice a day, 3 weeks for a course. 2.5% to 5% fluorouracil wet dressing treatment penis, perianal warts, each dressing 20 minutes, once a day, 6 times for a course. It is also possible to use polyethylene glycol as a base, adding 5% of its dry 5-F u powder to make a suppository, treatment of male and female urethral warts, also available 5-F u base injection, more than one can be injected in batches.  ② Tiotepe: mainly used for 5-F u treatment failure of intra-urethral condyloma, daily suppositories (each containing 15mg) for 8 days, also can add 60mg of this product to 10-15ml of sterile water, weekly drops into the urethra, keep half an hour, side effects have urethritis. You can also add 10mg of this product to 10ml of soaked affected area, 3 times a day for half an hour, for the treatment of penile and glans coronal warts, mainly for those who still have residual warts or recurrence after other methods of treatment. You can also dilute this solution twice to soak the area to prevent recurrence.     Pingyangmycin is a substitute for contouromycin, the usage is basically the same, also use Pingyangmycin 10 mg dissolved in 10% procaine 20ml for injection.  8, immunotherapy ① autologous vaccine method: with the patient’s own warts tissue homogenate (melt cold inactivated virus), and heating treatment (56 ℃ an hour) to collect the supernatant injection, can be used for stubborn perianal warts.  ② Interferon inducing agents: polymyocyte and tilorone are available. Polymyxin is injected 2 ml daily for 10 days, and then continued after 1-2 months of discontinuation. Tilorone 300 mg 3 times daily for 4 days with discontinuation, or 600 mg orally every other day. ③ Combination of interferon, interleukin II, luciferin, and Libido is more effective.