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Treatment of genital warts

Dec 30th 2013 at 1:47 AM

genital wartsRecently successful techniques for replication of HPV have been reported, but cultures are not available for routine diagnostic work.
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Treatment of genital warts can be frustrating because it often requires many consultations and relapse is common.
HPV is recovered in apparently healthy margins of surgically respected warts, tables being responsible for some recurrent lesions.
Recurrence results from a failure in the eradication total epithelial cells containing HPV or reinjection from infected sex partners.
Local treatment is done by applying anytime tabulates or caustic agents (pod Phyllis, tricolor copacetic acid, fluorouracil), with cry therapy and surgical resection electro dissection. Patients with internal warts should be referred to specialist services.
All women with warts should undergo Pap smear to exclude coexisting CIN.
Though often used, laser surgery has not yet established efficacy in comparison with other treatment methods.
A severe restriction of laser therapy is the destruction of the lesion without histological evaluation to exclude malignancy.
Large, confluent necrotic lesions and rapidly increasing in elderly or immune compromised individuals should be biopsied before treatment with laser or other local destructive means. The patient should also be followed carefully.
Intraregional injection or intramuscular interferon has limited efficacy and severe side reactions. .

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