Condyloma acuminatum is an epidermodysplastic lesion caused by human papillomavirus (HPV) infection and is one of the most common sexually transmitted diseases. HPV primarily invades human skin and mucous membranes and replicates in the nucleus of the epithelium. It has an incubation period of 3 weeks to 8 months, with an average of 3 months, and is most common in sexually active young and middle-aged men and women, with patients with an average disease duration of 3 to 5 months being the most infectious.
In men, the disease occurs in the prepuce, coronal sulcus, foreskin, urethra, penis, perianal area and scrotum. The disease begins as a light red or dirty red corn-like redundant organism, soft in nature, slightly pointed at the tip, and gradually grows or increases. They may develop into papillae or cysts, with a slightly wide base or band and a granular surface.
In the anus, they are often enlarged and resemble cauliflower, with a moist or bleeding surface, and pus often accumulates between the granules, emitting a foul odor, and can become secondary to infection after scratching. The genital warts are located in dry areas with low humidity, and the damage is often small and flat. The warm, moist mucous membrane of the female vulva is conducive to growth and reproduction, resulting in vulvar or vaginal warts.
Clinical infection is a clinically unrecognizable lesion, but can be detected by topical application of 3%-5% acetic acid or wet compresses for 5-10 minutes, resulting in a whitening of the HPV-infected area, known as the “white acetic acid phenomenon.
HPV infection mode: 1.
1, sexual contact infection: infection by inoculation of pathogens through sexual contact.
2, non-sexual direct contact infection: infection through contact with the lesion site and the patient’s secretions.
3, indirect contact: infection through the patient’s clothing and supplies.
4, medical source infection: through contact infection during examination, surgery, medication and other treatments for patients.
How to prevent and control?
The following points can be effective in preventing condyloma acuminata.
1, firmly eliminate sexual promiscuity.
2, to prevent contact infection: do not use other people’s underwear, swimsuits and bath tubs; in public baths do not wash basin ponds, advocate shower, not directly after bathing on the bath chair; in public toilets try to use squatting toilets; wash your hands with soap before going to the toilet; do not swim in the density, disinfection is not strict pool.
3, pay attention to personal hygiene: daily washing of the vulva, change of underwear, personal underwear wash separately. Even between family members should also do one person a basin, towels are used.
4, the spouse after the disease to prohibit sexual intercourse. If the spouse only physical therapy, although the vulva visible condyloma acuminata disappeared, but the patient still with human papilloma virus, but also should receive oral medication and topical drug comprehensive treatment, after treatment review. During this period, if sexual activity occurs, you can use condoms for protection.
5, pregnant women with condyloma acuminata in order to avoid infecting the fetus during delivery, you can choose to have a cesarean section. Do not bathe with the baby after delivery.
Treatment.
The treatment of condyloma acuminata includes two ways: physical treatment methods and topical medication.
The physical treatment includes laser, liquid nitrogen freezing, surgical excision and other treatment methods.
Topical medications include western and herbal topical medications and antiviral medications.
The topical drugs that are usually used to remove warts are generally divided into western preparations that contain corrosive ingredients and Chinese preparations that do not contain corrosive ingredients.
The actual fact is that you can find a lot of people who have been in the business for a long time.
Anti-viral drugs.
1, topical drugs: 5% phthalamide cream, or with 0.25% herpes net ointment, twice a day, topical application. alpha-interferon gel topical application also has a certain preventive effect.
2. Oral medication: acyclic guanosine orally, 5 times daily, 200mg each time.
3, muscle injection drugs: 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, for 2-3 weeks, the main side effects of flu-like symptoms, but still can not completely avoid the recurrence of condyloma acuminata.