Condyloma acuminatum is not only mild;
They may be a precursor to cancer.
Condyloma acuminatum is a fleshy growth found on or around the genitals or anus.
It is caused by human HPV (HPV)
This is a common sexually transmitted infection.
Condyloma acuminatum is common, especially among sexually active adolescents and young adults, but the prevalence in Malaysia has not yet been determined.
Patients with condyloma acuminatum are managed by family doctors and various experts according to their scope and location.
HPV infection has more than 100 types of HPV virus, of which about 40 are causing condyloma acuminatum.
Among them, the proportion of condyloma acuminatum caused by HPV type 6 and Type 11 was 90%.
Other high-risk HPV types can lead to cervical cancer.
HPV infects the epithelial cells on the skin and cavity lining, that is, the female genitals, anus, and mouth, for survival.
Once it enters the cell, it directs the cell to replicate and infect other healthy cells.
Infected cells eventually die and fall off the body along with other dead cells.
When the virus is cleared, it will infect another person.
HPV spreads through the skinto-
Skin contact during vaginal or anal sex, oral sex or shared sex toys.
Symptoms usually occur within two to three months of infection (
Incubation period)
Although there are reports that there is a one-year incubation period.
Hpv female condyloma acuminatum usually occurs around the vaginal opening (vulva)
Inside the vagina, between the vagina and the anus, around the anus.
The opening of the cervix and urethra is an uncommon site.
Male genital warts usually appear around the penis, the anus, the glans, the urethra and the foreskin.
The less common sites are the skin between the scrotal and the anus, and the scrotal itself.
At first, condyloma acuminatum was the growth of small meat with increased volume.
They appear separately, or they are clusters like cauliflower.
They are usually painless, but there may be itching and irritation, especially around the anus.
Condyloma acuminatum located within or around the urethra may affect the flow of urine.
Condyloma acuminatum bleeding may occur during or after sexual intercourse.
Condyloma acuminatum is usually diagnosed by visual examination, sometimes with a magnifying glass.
Vaginal and cervical condyloma acuminatum is diagnosed as an instrument called a Spector that is inserted into the vagina to facilitate visualization.
Similarly, an instrument called proctoscope is used to observe condyloma acuminatum in the anus and condyloma acuminatum in the urethra.
Depending on the medical history and results of the physical examination, the doctor may recommend a laboratory and/or imaging examination.
Local or Physical ablation treatment of hpv condyloma acuminatum.
The former includes treating condyloma acuminatum directly with drugs.
The latter includes the destruction of warts by various energy sources.
Local treatment is more effective for softer condyloma acuminatum and harder condyloma acuminatum.
Local or ablation therapy is used alone or in combination.
There are individual reactions to treatment.
It takes time to eliminate condyloma acuminatum, and more than one course of treatment is usually required.
Therefore, it is necessary to have patience and perseverance as part of the patient.
The treatment included the administration of podopotoxin, mimimode, and tricloacetic acid.
The podophydotoxin can destroy warts and is used to treat small clusters.
Liquid medicine is drafted by an application stick and dripped on condyloma acuminatum.
There may be some discomfort.
The application is periodic, the application is three days, and then the treatment is carried out.
Free time for four days
There are usually four to five applications before improvement.
Imiquimod is a cream that stimulates the immune system to attack condyloma acuminatum.
Apply to the larger condyloma acuminatum three times a week and wash it off after 6 to 10 hours.
Minor side effects include burning sensation, swelling, hardening of the skin, flowering, headache.
Acetic acid (TCA)
It destroys the protein in warts somatic cells and is suitable for small and hard warts bodies.
Can be used in pregnant women.
Since the TCA can also damage healthy skin, its application is done by a doctor or nurse.
There may be a short burning feeling after the application.
Physical ablation involves resection, electrocution, freezing, and laser surgery.
It is recommended to avoid sexual intercourse until fully healed after treatment.
Resection is used to treat small and hard condyloma acuminatum, especially when it is a cauliflower --shaped.
Inject local anesthetic and remove condyloma acuminatum with a surgical knife.
Then sew the wound.
Since scars may be formed after resection, they are usually not used for the treatment of large condyloma acuminatum.
There will be discomfort in the relocation site.
Electric Knife surgery is usually combined with resection surgery to treat large condyloma acuminatum, especially genital warts that do not respond to local treatment around the vulva or anus.
After resection, apply a metal device to the residual condyloma acuminatum and burn it out through the current.
Regional or general anesthesia is required due to pain in surgery.
Cryostherapy is used to treat small and frequent condyloma acuminatum, especially those on or near the axis of the vulva and penis.
Liquid nitrogen is used to split the outer membrane of warts by freezing.
During surgery, there is usually a burning sensation, followed by irritation, blisters formation and discomfort.
When there is a pathway problem, the laser is used to treat large condyloma acuminatum, such as the depths of the anus or urethra, and pregnant women who do not respond to TCA.
Local, regional or general anesthesia is required due to surgical pain.
There will be irritation, blisters formation and discomfort after surgery.
It is important not to use oversold creamthe-
Treatment of condyloma acuminatum, because they are only useful for condyloma acuminatum on the opponent.
Prevention matters the best prevention is to have a sexual partner who has no other sexual partner.
The more partners, the greater the risk of infection. Condom (male or female)
Both vaginal and anal, used in each sexual contact, are effective ways to prevent the spread of HPV and other sexually transmitted infections (STI)
HIV/AIDS like chlamydia.
Sex toys should be avoided.
If there is sharing, wash and cover them with a condom before using them again.
If either side has condyloma acuminatum, it is better not to have sexual intercourse before the treatment is completed. Regular follow-
Ups and cervical scraping tablets are important to prevent HPV transmission and its impact on one's health.
Two vaccines can prevent type 16 and 18 HPV, which can lead to cervical cancer.
In addition, it also provides protection against HPV type 6 and Type 11 that cause condyloma acuminatum.
It is believed to be 99% effective in preventing condyloma acuminatum in men and women.
Australia is the first country in the world to introduce a nationally funded HPV vaccination program.
The study of the program is reported in the medical literature.
Fairley and others reported that the number of condyloma acuminatum declined rapidly after the vaccination program was implemented.
"The proportion of women diagnosed with condyloma acuminatum under the age of 28 decreased by 25.
By contrast, the quarterly growth in 2008 was 1% per cent, a negligible increase.
From the beginning of 2004 to the end of 2007, there were 8% people per quarter, including women under the age of 28. (
Sexual infection 2009; 85: 499-502)
Donovan et al said in a January 2011 study of HPV vaccination and trends in condyloma acuminatum in Australia: "Before the start of the vaccine program, the proportion of women or heterosexual men diagnosed with condyloma acuminatum did not change.
After the start of vaccination, the number of diagnosis of condyloma acuminatum in young female residents decreased (59%).
Women without significant decline
Residents, women over the age of 26 in July 2007 or men who have sex with men.
"However, during the vaccine period, the proportion of men of the opposite sex diagnosed with condyloma acuminatum was less (28%)
This effect is more evident among young people.
They concluded: "Due to the high coverage of HPV vaccine, the frequency of condyloma acuminatum in young Australian women is reduced, which may have a protective effect on heterosexual men through group immunization. ” (Lancet 2011; 39-44)
Sarah Woodhall et al. analyzed the cost and quality of treatmentadjusted life-
In the United Kingdom, the years lost due to condyloma acuminatum concluded: "condyloma acuminatum poses a significant burden on individuals and health services.
Data on the burden of condyloma acuminatum should be included in the economic assessment of the human hpv vaccination strategy. ” (
Sexually transmitted diseases of 2009 per cent; 515-521)
Brotherton and others pointed out in their report on "The early impact of HPV vaccination programs on cervical abnormalities in Victoria" published on June 2011 in bayonet: "our study was the first to report the impact of the national vaccination program for human HPV on cervical abnormalities at a population level.
"Data for a state
Based on the cervical screening record, we showed high-
Cervical abnormalities in young women after the vaccination program was implemented. ” (Lancet 2011; 2085-2092)
Although vaccination has a good protective effect on condyloma acuminatum, it cannot prevent other sexually transmitted diseases.
Vaccination, therefore, cannot replace condoms to prevent the disease.
There are several effective treatment methods for condyloma acuminatum.
Its healing requires patience and perseverance.
Only one sexual partner and the use of a condom can effectively prevent its transmission.
Report on the reduction of incidence of condyloma acuminatum and condyloma acuminatum
The degree of cervical abnormalities after HPV vaccination is very encouraging.
Dr. Milton Lumm is a member of the Malaysian medical Defense Commission.
This article is not intended to replace, dictate or define the assessment of a qualified physician.
The views expressed do not represent the views of any organization associated with the author.