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To prevent the development of cancer, it is important to pay timely attention to papillomas, including genital papillomas, and to remove them if necessary. What are papillomas, why do they form, and how to get rid of them?
What are Papillomas?
Papillomas are a benign tumor on the skin or mucous membrane caused by the Human Papillomavirus (HPV). They appear as soft, rounded nodules or warts and can occur on various parts of the body, including the face, neck, hands, genitals, and other areas. Papillomas are usually painless but can cause cosmetic and aesthetic problems, especially when located on visible parts of the body. Their main danger lies in their ability to provoke oncological diseases—cervical cancer, vaginal cancer, vulvar cancer, penile cancer, and laryngeal cancer.
HPV infection occurs through sexual contact or the virus is transmitted from mother to child during childbirth. Moreover, certain factors can serve as a favorable environment for the development of HPV. These include:
• Low immunity.
• Severe or chronic stress.
• Vaginal dysbiosis (disruption of the normal microflora).
• Hormonal imbalance.
• Frequent change of sexual partners.
Why do Papillomas and Condylomas Occur?
Genital warts (condylomas) are caused by the Human Papillomavirus (HPV). There are over 40 strains of this virus that affect the genital area. Types 6 and 11 cause the majority of Condylomata acuminata (pointed warts). These are larger growths, compared to papillomas, resembling a rooster's comb or cauliflower in shape. Condylomas can spread over a large area of the skin or mucous membrane of the anal and genital areas. Other types of HPV, such as 16 and 18, cause the appearance of flat condylomas and belong to the high-risk group because they can cause abnormal changes in the cells of the cervix. Any genital HPV is transmitted sexually, although in most cases, the immune system eliminates it without allowing the symptoms of the infection to develop.
Symptoms
Although most Condylomata acuminata are painless and asymptomatic, certain signs may indicate their presence, namely:
• Itching, burning, or pain in the affected area.
• Single warts or groups of them in the shape of a cauliflower, flesh-colored or gray, in the genital area.
• Bleeding during sexual intercourse (in women).
• Abnormal vaginal discharge.
Indications for Condyloma Removal
Treatment will depend on the extent and location of the lesions. That is, on the one hand, it is necessary to assess whether the lesions are few or numerous, and on the other hand, whether they are external or internal. For external and rare lesions, there are several treatment options depending on the patient's needs. Sometimes a watchful waiting approach is chosen; for example, during pregnancy, spontaneous cure is often possible. Conservative methods involve the use of topical agents (based on trichloroacetic acid, ointments based on podophyllin resin, and based on imiquimod), as well as measures aimed at boosting immunity. In the case of massive external lesions and/or lesions of the anal/rectal canal, surgical treatment is necessary. For this, there are different methods: CO2 laser treatment, electrocoagulation, cryotherapy (cryodestruction), radiofrequency therapy, surgical excision and, sometimes, when the lesions are very extensive, resection and application of skin flaps.
How is Vulvar Papilloma Removal Performed at Expert Clinics?
First of all, the doctor will talk to the patient about how the procedure will proceed, and ask about her current well-being. A calm psychological atmosphere is also very important during papilloma removal, so the specialist at Expert Clinics will do everything possible to ensure the patient is not worried and feels comfortable. After answering all the woman's questions, the doctor will apply an anesthetic cream to the treatment area. If there are many papillomas or they are large, local injectable anesthesia may be required. It is necessary to wait 15-20 minutes for the anesthetic to take effect. After this, the doctor will treat the vulva with an antiseptic to create a clean, sterile environment, and proceed to the main work—the removal of the papillomas.
The pre-selected method may include: electrocoagulation, cryodestruction, laser removal, or radiofrequency ablation. The gynecologist chooses the most optimal method taking into account the patient's general condition and the individual characteristics of the viral process.
Pain Relief During Condyloma Removal
To minimize discomfort, local anesthesia is used during the removal of genital papillomas.
Electrocoagulation
Papillomas can be removed at any phase of the menstrual cycle, but not during menstruation. After the interview, the patient will be asked to lie down on the gynecological chair. An electrocoagulator is used to remove papillomas—a special device that generates high-frequency alternating electrical current to an active wire electrode. It heats and coagulates the tissues, which leads to protein denaturation and the drying out of the papilloma's "stalk" (pedicle). After the wart is removed, a crust (eschar) forms, which eventually falls off on its own. Electrocoagulation is performed as follows: in one hand, the doctor holds forceps to lift the papilloma, and in the other—the device, the loop of which cuts the papilloma at its base. If the papilloma is benign, its removal is performed layer by layer. If a malignant nature of the neoplasm is suspected, it is excised with a special loop. After this, the sample of the removed tissue will be sent for histological examination. The manipulation is painless. The duration of the session depends on the number of condylomas. But overall, the procedure takes from 15 to 25 minutes.
Laser Removal
During the procedure, a laser device is directed at the papilloma; the laser beam is absorbed by the papilloma tissue. This leads to the heating and destruction of the growth. Laser removal of papillomas allows for their pinpoint removal without damaging the surrounding healthy tissue. The advantages of laser removal of papillomas include:
• Minimal skin damage. Laser removal of papillomas allows for precise and safe removal, minimizing the risk of damage to adjacent tissues.
• Delicacy. There is no need to make incisions during laser removal of papillomas. This, in turn, reduces the risk of bleeding.
• Fast recovery. Usually, after the laser procedure, a crust forms at the site of the removed papilloma, which spontaneously peels off within a few days. The patient can return to normal life without a long rehabilitation period.
• Minimal risk of recurrence. The laser excises not only the visible part of the papilloma but also its root, which significantly reduces the risks of recurrence.
Cryodestruction (Cryotherapy)
Cryodestruction is the process of destroying papillomas by exposing them to low temperatures. The main active substance is liquid nitrogen. It liquefies at a temperature of −196∘C and becomes gas when the temperature rises. The cryodestruction procedure has several stages:
1. Using a special apparatus, the gynecologist applies liquid nitrogen to the neoplasm, causing the papilloma to freeze.
2. Under the influence of this substance, the process of crystallization of the cytoplasm in the papilloma cells and the destruction of its membrane occurs.
The woman feels a slight tingling sensation at this moment, and the condyloma itself turns pale. At this point, the active part of the removal of the neoplasm in the gynecologist's office ends.
3. Within a few hours after the procedure, the area of skin where the papilloma was located reddens and swells. This process indicates the restoration of blood circulation in the treated area.
4. Necrosis of the papilloma occurs over a period of 2 weeks to 1.5 months. As a result, a crust will remain at the site of the former neoplasm, and healthy and even tissue will form underneath it.
If the papillomas were large, the procedure may need to be repeated.
Contraindications to the Procedures
Despite the safety of the vulvar papilloma removal procedure, it has a number of absolute contraindications:
• Inflammatory process in the area with papillomas.
• Pregnancy and lactation period.
• Impaired blood clotting (coagulopathy).
• Infectious diseases.
• Period of exacerbation of chronic diseases.
• Fever (pyrexia).
• Endocrine pathologies.
• Oncological processes.
• Psychiatric disorders.
• Presence of a pacemaker.
How to Prepare for Vulvar Papilloma Removal at Expert Clinics?
In order for a woman to have papillomas removed by any method, she must undergo a gynecologist consultation. The specialist will conduct a thorough examination of the patient and determine the presence of contraindications to the procedure. For the safe removal of papillomas, the following examinations are required:
• Blood tests (complete blood count, biochemistry, STIs).
• Urinalysis.
• Vaginal swab for flora (microscopic examination).
• Digene-test (for high-risk HPV detection).
• Cytological smear (Pap smear).
• HPV testing and typing.
• Biopsy / Colposcopy (based on individual indications).
Recommendations After Removal of Genital Papillomas
The rehabilitation period plays a very important and significant role in the recovery of the vulva after the papilloma removal procedure. We have compiled a list of recommendations that must be adhered to:
• Do not scratch or peel off the crusts (eschar) formed after the papilloma removal. They may cause itching and swelling, but these symptoms are absolutely normal if they manifest within the first two weeks from the procedure.
• For the first three days, do not take a hot bath or shower, and do not visit saunas, solariums, or swimming pools.
• Refrain from sexual intercourse for two weeks.
• Do not wear tight or synthetic underwear. Give preference to loose cotton models.
• Follow all the doctor's recommendations. The gynecologist may prescribe painkillers, anti-inflammatory drugs, immunostimulating drugs, or antibiotics to improve the recovery process.
Advantages of Condyloma Removal at Expert Clinics
Condyloma removal at Expert Clinics has several advantages:
• Services are provided by qualified doctors with extensive experience in dermatology and gynecology, which ensures high quality of treatment.
• Advanced technologies and removal methods are used, such as laser therapy, radiofrequency surgery, or cryodestruction, which minimizes skin trauma and accelerates the healing process.
• Skillfully performed procedures do not require a long recovery, allowing for a quick return to normal life.
• The doctor will conduct a diagnosis and develop an individual treatment plan, taking into account the patient's characteristics and skin condition.
• Procedures are performed in a pleasant environment with minimal discomfort for the patient.
• Post-operative observation and consultation are provided to ensure successful healing and avoid recurrence.
• All sanitary norms and rules are observed in the clinic, which reduces the risk of infections and complications.
Contact the clinic directly for a detailed consultation.
What are Papillomas?
Papillomas are a benign tumor on the skin or mucous membrane caused by the Human Papillomavirus (HPV). They appear as soft, rounded nodules or warts and can occur on various parts of the body, including the face, neck, hands, genitals, and other areas. Papillomas are usually painless but can cause cosmetic and aesthetic problems, especially when located on visible parts of the body. Their main danger lies in their ability to provoke oncological diseases—cervical cancer, vaginal cancer, vulvar cancer, penile cancer, and laryngeal cancer.
HPV infection occurs through sexual contact or the virus is transmitted from mother to child during childbirth. Moreover, certain factors can serve as a favorable environment for the development of HPV. These include:
• Low immunity.
• Severe or chronic stress.
• Vaginal dysbiosis (disruption of the normal microflora).
• Hormonal imbalance.
• Frequent change of sexual partners.
Why do Papillomas and Condylomas Occur?
Genital warts (condylomas) are caused by the Human Papillomavirus (HPV). There are over 40 strains of this virus that affect the genital area. Types 6 and 11 cause the majority of Condylomata acuminata (pointed warts). These are larger growths, compared to papillomas, resembling a rooster's comb or cauliflower in shape. Condylomas can spread over a large area of the skin or mucous membrane of the anal and genital areas. Other types of HPV, such as 16 and 18, cause the appearance of flat condylomas and belong to the high-risk group because they can cause abnormal changes in the cells of the cervix. Any genital HPV is transmitted sexually, although in most cases, the immune system eliminates it without allowing the symptoms of the infection to develop.
Symptoms
Although most Condylomata acuminata are painless and asymptomatic, certain signs may indicate their presence, namely:
• Itching, burning, or pain in the affected area.
• Single warts or groups of them in the shape of a cauliflower, flesh-colored or gray, in the genital area.
• Bleeding during sexual intercourse (in women).
• Abnormal vaginal discharge.
Indications for Condyloma Removal
Treatment will depend on the extent and location of the lesions. That is, on the one hand, it is necessary to assess whether the lesions are few or numerous, and on the other hand, whether they are external or internal. For external and rare lesions, there are several treatment options depending on the patient's needs. Sometimes a watchful waiting approach is chosen; for example, during pregnancy, spontaneous cure is often possible. Conservative methods involve the use of topical agents (based on trichloroacetic acid, ointments based on podophyllin resin, and based on imiquimod), as well as measures aimed at boosting immunity. In the case of massive external lesions and/or lesions of the anal/rectal canal, surgical treatment is necessary. For this, there are different methods: CO2 laser treatment, electrocoagulation, cryotherapy (cryodestruction), radiofrequency therapy, surgical excision and, sometimes, when the lesions are very extensive, resection and application of skin flaps.
How is Vulvar Papilloma Removal Performed at Expert Clinics?
First of all, the doctor will talk to the patient about how the procedure will proceed, and ask about her current well-being. A calm psychological atmosphere is also very important during papilloma removal, so the specialist at Expert Clinics will do everything possible to ensure the patient is not worried and feels comfortable. After answering all the woman's questions, the doctor will apply an anesthetic cream to the treatment area. If there are many papillomas or they are large, local injectable anesthesia may be required. It is necessary to wait 15-20 minutes for the anesthetic to take effect. After this, the doctor will treat the vulva with an antiseptic to create a clean, sterile environment, and proceed to the main work—the removal of the papillomas.
The pre-selected method may include: electrocoagulation, cryodestruction, laser removal, or radiofrequency ablation. The gynecologist chooses the most optimal method taking into account the patient's general condition and the individual characteristics of the viral process.
Pain Relief During Condyloma Removal
To minimize discomfort, local anesthesia is used during the removal of genital papillomas.
Electrocoagulation
Papillomas can be removed at any phase of the menstrual cycle, but not during menstruation. After the interview, the patient will be asked to lie down on the gynecological chair. An electrocoagulator is used to remove papillomas—a special device that generates high-frequency alternating electrical current to an active wire electrode. It heats and coagulates the tissues, which leads to protein denaturation and the drying out of the papilloma's "stalk" (pedicle). After the wart is removed, a crust (eschar) forms, which eventually falls off on its own. Electrocoagulation is performed as follows: in one hand, the doctor holds forceps to lift the papilloma, and in the other—the device, the loop of which cuts the papilloma at its base. If the papilloma is benign, its removal is performed layer by layer. If a malignant nature of the neoplasm is suspected, it is excised with a special loop. After this, the sample of the removed tissue will be sent for histological examination. The manipulation is painless. The duration of the session depends on the number of condylomas. But overall, the procedure takes from 15 to 25 minutes.
Laser Removal
During the procedure, a laser device is directed at the papilloma; the laser beam is absorbed by the papilloma tissue. This leads to the heating and destruction of the growth. Laser removal of papillomas allows for their pinpoint removal without damaging the surrounding healthy tissue. The advantages of laser removal of papillomas include:
• Minimal skin damage. Laser removal of papillomas allows for precise and safe removal, minimizing the risk of damage to adjacent tissues.
• Delicacy. There is no need to make incisions during laser removal of papillomas. This, in turn, reduces the risk of bleeding.
• Fast recovery. Usually, after the laser procedure, a crust forms at the site of the removed papilloma, which spontaneously peels off within a few days. The patient can return to normal life without a long rehabilitation period.
• Minimal risk of recurrence. The laser excises not only the visible part of the papilloma but also its root, which significantly reduces the risks of recurrence.
Cryodestruction (Cryotherapy)
Cryodestruction is the process of destroying papillomas by exposing them to low temperatures. The main active substance is liquid nitrogen. It liquefies at a temperature of −196∘C and becomes gas when the temperature rises. The cryodestruction procedure has several stages:
1. Using a special apparatus, the gynecologist applies liquid nitrogen to the neoplasm, causing the papilloma to freeze.
2. Under the influence of this substance, the process of crystallization of the cytoplasm in the papilloma cells and the destruction of its membrane occurs.
The woman feels a slight tingling sensation at this moment, and the condyloma itself turns pale. At this point, the active part of the removal of the neoplasm in the gynecologist's office ends.
3. Within a few hours after the procedure, the area of skin where the papilloma was located reddens and swells. This process indicates the restoration of blood circulation in the treated area.
4. Necrosis of the papilloma occurs over a period of 2 weeks to 1.5 months. As a result, a crust will remain at the site of the former neoplasm, and healthy and even tissue will form underneath it.
If the papillomas were large, the procedure may need to be repeated.
Contraindications to the Procedures
Despite the safety of the vulvar papilloma removal procedure, it has a number of absolute contraindications:
• Inflammatory process in the area with papillomas.
• Pregnancy and lactation period.
• Impaired blood clotting (coagulopathy).
• Infectious diseases.
• Period of exacerbation of chronic diseases.
• Fever (pyrexia).
• Endocrine pathologies.
• Oncological processes.
• Psychiatric disorders.
• Presence of a pacemaker.
How to Prepare for Vulvar Papilloma Removal at Expert Clinics?
In order for a woman to have papillomas removed by any method, she must undergo a gynecologist consultation. The specialist will conduct a thorough examination of the patient and determine the presence of contraindications to the procedure. For the safe removal of papillomas, the following examinations are required:
• Blood tests (complete blood count, biochemistry, STIs).
• Urinalysis.
• Vaginal swab for flora (microscopic examination).
• Digene-test (for high-risk HPV detection).
• Cytological smear (Pap smear).
• HPV testing and typing.
• Biopsy / Colposcopy (based on individual indications).
Recommendations After Removal of Genital Papillomas
The rehabilitation period plays a very important and significant role in the recovery of the vulva after the papilloma removal procedure. We have compiled a list of recommendations that must be adhered to:
• Do not scratch or peel off the crusts (eschar) formed after the papilloma removal. They may cause itching and swelling, but these symptoms are absolutely normal if they manifest within the first two weeks from the procedure.
• For the first three days, do not take a hot bath or shower, and do not visit saunas, solariums, or swimming pools.
• Refrain from sexual intercourse for two weeks.
• Do not wear tight or synthetic underwear. Give preference to loose cotton models.
• Follow all the doctor's recommendations. The gynecologist may prescribe painkillers, anti-inflammatory drugs, immunostimulating drugs, or antibiotics to improve the recovery process.
Advantages of Condyloma Removal at Expert Clinics
Condyloma removal at Expert Clinics has several advantages:
• Services are provided by qualified doctors with extensive experience in dermatology and gynecology, which ensures high quality of treatment.
• Advanced technologies and removal methods are used, such as laser therapy, radiofrequency surgery, or cryodestruction, which minimizes skin trauma and accelerates the healing process.
• Skillfully performed procedures do not require a long recovery, allowing for a quick return to normal life.
• The doctor will conduct a diagnosis and develop an individual treatment plan, taking into account the patient's characteristics and skin condition.
• Procedures are performed in a pleasant environment with minimal discomfort for the patient.
• Post-operative observation and consultation are provided to ensure successful healing and avoid recurrence.
• All sanitary norms and rules are observed in the clinic, which reduces the risk of infections and complications.
Contact the clinic directly for a detailed consultation.
+7 (495) 154-21-44 
admin@expertclinics.ru 
Moscow, Starovolynskaya st., 12 bld. 1