Condyloma

The reasons

Localization

Signs of warts

Diagnostics

Treatment of condylomas

Complications and prognosis

Condyloma is a benign tumor that has a warty or papillary appearance.

Condylomas are localized both on the skin and mucous membranes. Formations always protrude above the surface of the skin and may be flesh-colored, pinkish, whitish or dark brown.

Condylomas are fast growing and prone to fusion. The disease occurs in men, women and children (with close household contact or infection during childbirth).

The reasons

genital warts, which appear as a result of infection with human papillomavirus,

widespread condylomas (flat, syphilitic) – a consequence of fungal infection in syphilis, yaws.

Papilovirus infection in the case of genital warts is transmitted sexually (heterosexual and homosexual contact, oral and anal intercourse).

The risk group for the development of genital warts includes:

  • sex workers;
  • sexual intercourse without barrier contraceptives;
  • contact with people with genital warts;
  • early sex life;
  • young people;
  • non-compliance with personal hygiene, sloppy faces;
  • people with reduced immunity (HIV-infected, cancer patients, pregnant).
  • A contact-household transmission path (general towel, washcloth, etc.) is not excluded.

Localization

Condylomas tend to occur in places of constant friction and irritation (in the skin folds). Particularly attractive for them areas with high humidity.

Most often, warts appear in the perineal region and genitals. Often warts affect the perianal region and the rectum. There may be formations in the armpits, on the face, in the oral area and in the laryngeal mucosa.

Signs of warts

Condyloma looks like a warty pedicle, having a pinkish or flesh color.

Genital genital warts appear in the places of genital trauma during sexual intercourse.

In women, genital warts are usually located on the large and small labia, in the bridle of the labia, on the clitoris, in the region of the urethra. Also, condylomas often appear in the vagina and on the cervix, which is an unfavorable sign.

In men, genital genital warts are located on the head of the penis, the crown of the head, the bridle of the foreskin.

The formation of genital warts in the perineum and pubic, both in men and women, is not excluded.

With the defeat of the urethra there are difficulties with urination, urine is released intermittently and sprayed. If the condyloma of the urethra is large, it is easily palpable.

Perianal warts are located around the anus. Condylomas that are localized in the rectum are often injured by feces and bleed.

Formations are prone to growth and fusion, especially with weakened immunity. Condylomas cause discomfort to its “owner,” who feels like something else.

Also, patients complain of itching and burning.

The merger and growth of formations contributes to the development of the giant warts Bushke-Levenshteyn. Such a condyloma looks like a gigantic conglomerate on a wide basis and looks like a cauliflower. Over time, a secret begins to stand out in the furrows of the formation with an unpleasant putrid odor that irritates the surface of the warts, causing it to become weeping, and the tumor itself undergoes keratinization from the outside.

Condyloma Buschke-Levenshtein often turns into squamous cell carcinoma.

Diagnostics

Differential diagnosis of condylo should be carried out with secondary syphilis, molluscum contagiosum, yaws and malignant exophytic skin formations.

Clinical data allows you to establish the diagnosis of almost 100%. However, laboratory tests are needed:

  • blood for syphilis (RW) and HIV infection;
  • immunological studies;
  • biopsy of education;
  • colposcopy with diagnostic tests (in the presence of vaginal and cervical condylomas);
  • smears on oncocytology from the surface of the formations;
  • polymerase chain reaction method – PCR (blood).

Treatment of condylomas

The treatment of condylomas is done by the doctor depending on their location. These may be a proctologist, a urologist, a gynecologist, or a general practitioner.

Antiviral drugs can not cure condylomas, so there is only a method for their removal:

Chemical removal

For this purpose, apply chemicals, which include acids. Cauterization of the formations with podophyllin, condyline, solkoderm or epigen-gel is possible.

Cryodestruction

Condyloma freezing with liquid nitrogen. Education is destroyed, in its place forms a wound, which heals in 1-2 weeks.

Diathermocoagulation

Cauterization of condylo by electrocoagulator or their cutting by electrocautery (action of high-frequency electric current). It is performed under local anesthesia with lidocaine or novocaine solution.

Laser therapy

The destruction of formations of the laser beam. The most effective method.

In addition to local removal of condylomas, antiviral preparations are prescribed in rectal suppositories and / or tablets (Panavir, Genferon, Cycloferon).

Appointment of rectal suppositories is important when localizing condylomas in the perianal region and on the genitals. Their action is to stop the growth and reproduction of formations.

Antiviral drugs in tablets have an immunostimulating effect, they do not affect the virus itself, but on the formation of interferon involved in immunity.

Complications and prognosis

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Condylomas, especially multiple and rapidly growing, are dangerous with the following complications:

cracks formations that are accompanied by pain and bleeding;

complicated course of labor;

high risk of developing malignant tumors.

The prognosis for timely and adequate treatment is favorable, however, removal of the warts does not guarantee complete recovery, the disease can recur when the body’s defenses are weakened.

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