Genital warts: just a nuisance?

Sheppard, Sarah E.; White, Marion I.; Walzman, M

doi:10.1136/sti.71.3.194

Cited by 10 publications

(9 citation statements)

References 7 publications

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“…These sites were more prone to microtrauma during sexual intercourse which facilitates viral access to the basal layer. 9,10 Genital Warts are broadly divided into acuminate, flat or macular warts and keratinised wart. 11 Even though various therapeutic modalities being available, no single therapy has been found to be efficacious and cosmetically acceptable in majority of the patients.…”

Section: Discussionmentioning

confidence: 99%

A prospective clinical study on homologous autoinoculation in anogenital wart

Narayanan

Nallu²,

Venu³

et al. 2019

Int J Res Dermatol

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Background: Ano-genital wart, an infection of the anal and genital mucosa with their adjoining area is caused by human papilloma virus. Genital warts pose a bigger challenge, because of the lack of cell mediated immunity and its propensity to relapse and the reluctance of patients to consult a physician. The main aim of our study is to determine whether autoinoculation is effective in treatment of ano-genital warts.Methods: 25 cases of anogenital warts of either sex, who attended RTI/STI clinic in Chengalpattu Medical College from September 2017 to September 2018. The study design was prospective. A detailed history taking, thorough clinical examination and appropriate relevant investigations were done for all the patients who fulfilled the inclusion and exclusion criteria. Autoinoculation was done for those patients. They were assessed periodically for clinical outcome.Results: A sample size of 25 patients (20 men and 5 women) was included in the study. After 3 months of therapy 8 (32%) patients recovered completely and more than 75% improvement occurred in another 7 (28%) patients. At 6 months 15 (60%) patients showed complete resolution. No significant complication was documented.Conclusions: Autoinoculation is a single time minimal invasive procedure effective in management of anogenital wart. It also reduces the recurrence of lesions.

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Section: Discussionmentioning

confidence: 99%

A prospective clinical study on homologous autoinoculation in anogenital wart

Narayanan

Nallu²,

Venu³

et al. 2019

Int J Res Dermatol

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“…Although fear is a common reaction to STDs, the relationship of HPV to cancer makes the occurrence of genital warts particularly frightening. Misinformation from the lay media and healthcare providers often leads to considerable anxiety about cancer 10,13,16,19 .…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of an STD often comes as a shock to both patients and physicians 10,17,19 . In many cases, patients are not aware that genital warts is an STD.…”

Section: Discussionmentioning

confidence: 99%

An international survey of patients with genital warts: perceptions regarding treatment and impact on lifestyle

Maw¹,

Reitano²,

Roy³

1998

Int J STD AIDS

156

118

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Our aim was to determine country-specific attitudes and perceptions of patients with genital warts and to understand the psychosexual impact of the disease and its treatment. We used a standardized discussion guide to interview patients with genital warts in Canada, France, Germany, the UK, and the USA about their perceptions and concerns regarding the diagnosis, treatment, and psychosexual impact of the disease. Interviews were conducted in person and lasted approximately 30 min. The study group included 80 men and 86 women with genital warts. Forty-seven per cent were currently undergoing treatment. Overall, 49% of the men had first consulted a general or family practitioner, and 52% of the women had first consulted a gynaecologist. Although all the patients eventually consulted a physician about their warts, one-third delayed seeing a doctor because they thought the condition would resolve on its own or that the problem was not serious. Most patients reported that treatment was associated with pain, discomfort, and embarrassment. Sixty per cent of patients experienced a recurrence after initial clearance with treatment. More than 80% stated that they had had little or no involvement in the selection of treatment. Globally, 52% of men and 61% of women were 'quite concerned' or 'very concerned' about having genital warts, although there were significant variations by country. Approximately two-thirds of patients had made lifestyle changes regarding sexual relationships. In addition, two-thirds believed that there were risks associated with having genital warts; the most common risk identified was a link to cancer (cervical and unspecified). A high level of anxiety is associated with the diagnosis and treatment of genital warts. Patients with genital warts require understanding and an acknowledgement of their concerns. A better understanding of the psychosexual aspect of the disease by health-care providers is pivotal to effective disease management and patient counselling.

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“…Quality of life is defined here as the psychological, social and physical well-being of the patient. The sparse literature identified during the present study [ 3 , 14 , 15 , 32 - 45 ] indicated that patients with GWs suffer anxiety about the effect of the disease on their love life and sexual [ 3 , 32 , 36 - 38 , 40 , 43 , 44 ] and social relationships [ 32 , 36 ], the stigma of having contracted a venereal disease [ 34 , 35 , 38 , 39 , 43 , 45 ], the uncertain treatment success and time to cure [ 3 , 14 , 32 , 34 - 36 , 40 , 44 ] and transmission of the disease to others [ 3 , 32 , 36 , 40 , 37 ]. Several studies report that the negative psychological effects of the disease are the most difficult [ 14 , 35 , 36 , 38 , 43 , 45 ].…”

Section: Introductionmentioning

confidence: 99%

The quality of life of patients with genital warts: a qualitative study

Mortensen¹,

Larsen

2010

BMC Public Health

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BackgroundGenital warts, which are caused by infection with human papillomavirus (HPV), are one of the most common sexually transmitted diseases in Europe. Although genital warts are commonly perceived as a non-serious condition, treatment is often long, of varying effectiveness and the recurrence rate is high. Very few studies have been performed on the personal consequences of genital warts. The aim of this qualitative study, set in Denmark, was to examine the ways in which genital warts may affect patients' quality of life.MethodsTo obtain an in-depth understanding of patients' perceptions of genital warts, we used qualitative focus-group interviews with five men and five women aged between 18 and 30 years who had genital warts. The interview guide was based on a literature review that identified important issues and questions. The data were analysed using a medical anthropological approach.ResultsPatients' experiences were related to cultural conceptions of venereal diseases and the respective identities and sexuality of the sexes. The disease had negative psychological and social effects both for men and for women and it affected their sex and love lives, in particular. The psychological burden of the disease was increased by the uncertain timeline and the varying effectiveness of treatment. We identified a need for more patient information about the disease and its psycho-sexual aspects.ConclusionsThe men and women participating in this study considered their quality of life to be significantly lowered because of genital warts. The experiences described by the participants give insights that may be valuable in treatment and counselling.The quadrivalent HPV vaccine that has now been added to the childhood vaccination programme for girls in Denmark for the prevention of cervical cancer can also prevent 90% of cases of genital warts. Our results suggest that HPV vaccination could considerably reduce the largely unacknowledged psychological and social burden associated with genital warts, in men as well as women.

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Genital warts: just a nuisance?

Cited by 10 publications

References 7 publications

A prospective clinical study on homologous autoinoculation in anogenital wart

A prospective clinical study on homologous autoinoculation in anogenital wart

An international survey of patients with genital warts: perceptions regarding treatment and impact on lifestyle

The quality of life of patients with genital warts: a qualitative study

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