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Genital warts, or condylomata, are an unpleasant disease of viral etiology. One of the most effective, rapid, and safe ways to resolve the issue is laser destruction of condylomata.
Read below for information on the procedure, how to prepare for it, and what rules to follow during the rehabilitation period. If you've discovered this sensitive problem, schedule an appointment with a dermatovenereologist at Expert Clinics. Our clinic utilizes advanced methods and modern equipment for the removal of such growths.
What are Condylomata
Condylomata are benign, flesh-colored growths. They can be solitary or multiple, small or large. Condylomata in women and men are located on the skin and mucous membranes in the perineal area, urethra, anus, on the external genitalia, in the rectum, in the vulva, on the cervix uteri, vaginal fornices, and sometimes in the throat and oral cavity. Without treatment, it can cause a lot of trouble, ranging from psychological discomfort to oncological diseases. Other complications include erosion and inflammation of the mucous membranes, and dysplasia. Therefore, it's necessary to contact a medical center immediately upon discovering the warts.
Causes of Condylomata Appearance
The causative agent of the disease is the Human Papillomavirus (Papillomavirus, HPV). It can provoke the formation of both common warts (papillomas) and acuminate (pointed) condylomata. Some forms of the virus are not dangerous to humans, but there are those that cause serious pathologies.
There are various routes of infection:
•        Direct bodily contact with an infected person, for example, in the presence of microtraumas.
•        Sexual contact. This is the most common route of infection among adults.
•        From mother to child during gestation (carrying the fetus). This is most common in children.
An infected person may lack external signs in the form of warts. The virus can remain in the lower layers of the epidermis for several years, existing in a latent, or asymptomatic form. However, most often, HPV reaches the upper layer of the dermis within 3–4 months after infection. Then, flat or papilliform (acuminate) condylomata appear on the surface.
The virus can be activated by various factors: weakened immunity, sexual intercourse without a condom, frequent change of sexual partners, infection with STIs (sexually transmitted infections), hormonal imbalance, exacerbation of a chronic disease, pregnancy (carrying a child), stressful situations, unhealthy dietary habits, tobacco smoking, excessive consumption of alcoholic beverages. All this leads to active viral replication. It is necessary to reduce its activity, to "put the HPV to sleep." It's not enough to eliminate the external symptoms—without comprehensive treatment, condylomata will reappear.
Indications for Condylomata Removal
Consulting a doctor is necessary in the following cases:
•        A large number of acuminate condylomata that do not disappear with the use of topical agents.
•        Active growth of the neoplasms.
•        Spreading to different parts of the body.
•        Fusion of the growths, forming conglomerates.
•        Pain, burning, discomfort.
•        Bleeding during sexual intercourse, washing, or natural bodily functions.
Condylomata can be transmitted to a partner sexually. Removal of the growths reduces the risk of infection, but does not eliminate it 100%. It also reduces the probability of HPV transitioning to a malignant form, decreases the risk of new neoplasias, and the development of cervical cancer, anal canal cancer, and skin cancer. If the problem arises in a pregnant woman, it is necessary to seek medical assistance and consultation as soon as possible, as the disease can be transmitted to the child.
Many people attempt to remove condylomata on their own using topical chemical solutions. Self-medication, as a rule, does not yield the desired result and leads to dangerous consequences.
Contraindications for Condylomata Removal
There are a number of contraindications for the procedure:
•        Suspicion of an oncological process changes the treatment strategy.
•        Chronic diseases in the exacerbation phase.
•        Severe form of diabetes mellitus—slows tissue regeneration, reduces immunity, impairs the healing process (high risk of wound infection, tissue necrosis).
•        Presence of inflammation, herpetic eruptions in the area of the procedure, infections in the body (ARVI, influenza, and other diseases accompanied by fever and deterioration of well-being)—reduce the effectiveness of the manipulations, provoke the appearance of complications.
•        Allergic reaction to the drugs used, including for anesthesia.
•        Poor blood clotting—possible hematoma formation, severe bleeding.
•        Gestation period (carrying a child), breastfeeding—the procedure may negatively affect the child's development, impair milk quality. In each specific case, the issue is resolved individually.
•        Mental disorders where the patient cannot adequately assess their health status and the course of treatment.
Before the procedure, diagnosis is carried out to establish the presence of contraindications and assess the risk of complications.
Main Methods of Condylomata Removal
The following methods are used in clinical practice:
•        Surgical excision. Removal is performed with a scalpel under local anesthesia. Applied for extensive lesions that do not respond to pharmacological treatment.
•        Laser removal—indicated for medium-sized, multiple condylomata, and lesions of the genitalia.
•        Radiowave method—exposure to high-frequency radio waves. Allows the removal of multiple, large neoplasms.
•        Electrocoagulation—the use of electric current. This results in sealing of blood vessels, the stalk of the condyloma is cauterized, and the growth sloughs off.
•        Cryodestruction. Involves instant freezing of the neoplasm with liquid nitrogen. Used mainly for solitary lesions, but can also be used for multiple condylomata, requiring several sessions.
•        Chemical removal. Acid-containing preparations are applied to the affected area. This is used to cauterize and eliminate solitary growths.
To consolidate the effect and prevent recurrence, antiviral ointments and immunomodulators are prescribed. The method is chosen based on medical examination and laboratory tests, considering the location and size of the tumors, the patient's health status, and the presence of sexual infections.
Features of Laser Removal
The laser method for treating condylomata is most often used for removing neoplasias in intimate areas. The laser heats and vaporizes the cells of the growth without damaging healthy tissues. The virus located in the dermis is destroyed, and the wound is sterilized.
The laser coagulation procedure has undeniable advantages over other techniques:
•        Efficacy. Removes numerous, large growths in a single session. Recurrences are practically excluded.
•        Delicacy. The procedure is used on sensitive areas.
•        Painlessness. Thanks to local anesthesia, the patient experiences minimal discomfort or stinging.
•        Safety. The laser acts precisely on pathological cells, does not traumatize the skin, vessels, or nerves. Therefore, there is no bleeding, and no infection occurs after the intervention.
•        Speed. The removal takes no more than 30 minutes; there is no need to observe bed rest.
•        Absence of complex rehabilitation. It only takes a few weeks, during which the doctor's recommendations must be followed, avoiding thermal and mechanical exposure in the area of intervention.
It is very important that no scars, keloids, or pigmentation remain after laser coagulation. A small crust (scab) comes off within 1–1.5 weeks.
Preparation for Removal
The laser coagulation procedure does not require complex preparation. It is performed at a time convenient for the patient, ideally on the 7th–10th day of the menstrual cycle.
Before the condylomata are removed, consultation with a dermatovenereologist is necessary; men should also consult a urologist, and women a gynecologist. It is necessary to take swabs for HPV, STIs, oncocytology, and a blood test for HIV, syphilis, and to perform an immunogram. This allows for the determination of the virus type, assessment of the risk of transition to a malignant form, evaluation of the immune status, and exclusion of contraindications. Additional examinations are sometimes prescribed—bacteriological culture from the vagina or urethra, biopsy of the growth, smear from the cervix uteri.
For two weeks before condylomata removal, tanning on the beach and in a solarium, and deep peeling are prohibited. For 24 hours before coagulation, alcohol consumption and taking blood-thinning medications are prohibited.
How Condylomata are Removed with a Laser Beam
The procedure is performed on an outpatient basis. How it happens:
•        The patient lies down on a couch or in a gynecological chair.
•        The intervention zone is treated with an antiseptic.
•        An anesthetic (gel, cream, spray) is applied; in some cases, it is administered by injection.
•        The doctor and patient put on protective goggles.
•        Layer-by-layer excision of the tumors occurs with a laser beam using a manipulator. The exposure time for each growth is up to one minute.
•        The doctor treats the wound with an antiseptic and covers it with a sterile tampon or dressing.
The procedure lasts no more than half an hour. If necessary, the manipulation is repeated after some time.
Rehabilitation
Complete recovery requires no more than one month. On the 3rd–4th day, the patient visits the doctor again to assess the results of the intervention. Initially, the wound may be painful, inflamed, or swollen. However, after laser exposure, such consequences are extremely rare, as the tissues are not traumatized.
To achieve the desired effect, accelerate healing, and avoid complications, it is important to take the prescribed medications (antiviral agents, immunomodulators, antibiotics) and follow the doctor's recommendations.
What must be done during the rehabilitation period:
•        For 2 days, treat with antiseptic solutions, do not wet with water.
•        Regularly change the sterile dressing with a healing ointment—daily or more often, as it becomes soaked.
•        Maintain intimate hygiene, avoid overheating, overcooling, mechanical trauma in the laser treatment area.
•        Cancel workouts, do not visit the swimming pool, sauna, bathhouse, do not tan in a solarium.
•        Wear natural-fiber underwear and comfortable clothing to prevent compression of the external genitalia and skin irritation.
•        Abstain from sexual intercourse until full recovery. Even after the wound has healed, condoms should be used to avoid infecting a partner.
•        Maintain a healthy lifestyle, eat properly, give up smoking and alcohol consumption. It is also important to avoid stressful situations.
Condylomata are only the external manifestations of the virus, which remains in the body after the growths are removed. To avoid recurrences, it is important to strengthen health and immunity. And, of course, to be regularly screened for HPV and genitourinary infections. If alarming symptoms appear, a doctor must be consulted immediately.
If the HPV pathogen is detected in one partner, the second partner must also undergo examination, even if they have no growths.
If you need to be tested for HPV and have condylomata removed in intimate areas, contact the Expert Clinics in Moscow. We will help to quickly, painlessly, and comfortably remove unpleasant growths of any size, shape, and location. The procedure is performed by highly qualified specialists with solid work experience. We apply an individual approach to each patient, acting as gently and delicately as possible. To schedule a consultation, use the web form or call +7 (495) 165-55-95.
Question/Answer
1.        How long does the wound heal after laser removal of condylomata?
The thin crust (scab) falls off on the 10th day or earlier. No scar remains in its place. Complete recovery takes three to four weeks. The duration of healing depends on the number and size of the condylomata, their location, existing complications, and adherence to recommendations. The first results can be assessed as early as three days after removal.
2.        How much does laser coagulation of condylomata cost?
The cost depends on the location of the growths, their size, and number. The removal of genital warts at Expert Clinics costs from 15,750 rubles, including payment for medications, dressings, and anesthesia. All necessary analyses are paid for separately. To clarify the price, contact our managers and schedule a consultation.
3.        Which method of treating genital condylomata is the best?
One of the most effective and safe methods is laser coagulation. It allows for the quick removal of the growths in a delicate area and the possibility of forgetting about them forever. The laser removes tumors in the most sensitive and delicate areas, with minimal discomfort, and without scars or other unpleasant consequences.