Outpatient treatment of perianal warts by scissor excision.

McMillan, A; Scott, Glyn

doi:10.1136/sti.63.2.114

Cited by 9 publications

(3 citation statements)

References 7 publications

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“…These findings are in line with previous studies reporting a clearance rate of 60%-100% and a recurrence rate of 3%-77%. 18,27,36,37 In a recent retrospective study comparing the Holmium laser, cryotherapy, conventional surgery and podophyllin, Ghiasy et al found that the Holmium laser was the best treatment of genital and meatal warts, with the highest clearance rate (92.2%) through a single session and the lowest recurrence rate (14.3%), compared to other treatments. 25 However, the follow-up period of this study was only 6 months, and the patients treated by the holmium laser were 39.…”

Section: Discussionmentioning

confidence: 99%

Holmium:YAG Laser for the Treatment of Genital and urethral Warts: Multicentre Prospective Evaluation of Safety and Efficacy

et al. 2021

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Introduction: Genital condylomatosis is a highly contagious disease caused by the human papilloma virus (HPV). The aim of this prospective multicentre study was to evaluate the safety and efficacy of the Holmium:YAG (yttrium-aluminium-garnet) laser in the treatment of genital and intra-urethral warts; the secondary aim was to assess the patients’ postoperative satisfaction and cosmetic results. Methods: From December 2016 to March 2019, patients with genital warts were prospectively enrolled in three hospitals. The inclusion criteria were male gender, age over 18 years-old and treatment-naïve. External and urethral genitalia warts were treated by the Holmium YAG laser. The follow-up analysis consisted of physical examination, flexible urethro-cystoscopy in case of meatal lesions, and administration of Dermatology Quality of Life Index (DLQI) and Patient Global Impression of Improvement (PGI-I) questionnaires at 1, 3, 6 and 12 months after surgery and subsequently yearly. Results: Sixty patients were enrolled. The single treatment was effective in 57/60 patients (95%). At a mean follow-up of 26 months, recurrences occurred in 8 patients (13.3%). No peri- or post-operative complication occurred. An improvement in pre-operative condition was highlighted with PGI-I and DLQI questionnaires. Conclusion: Our prospective multicentre study showed that holmium laser surgery seems to be a safe and effective treatment for external genital and urethral warts. Good dermatological outcomes aid to further improve patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Holmium:YAG Laser for the Treatment of Genital and urethral Warts: Multicentre Prospective Evaluation of Safety and Efficacy

et al. 2021

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“…Previous trials have reported a cure rate of 60%-100%, 60%-97%, 56%-93.3% and 19%-80% when genital warts were treated with holmium laser, cryotherapy, conventional surgery and podophyllin respectively. 20,24,25 Treatment with podophyllin and cryotherapy are simpler procedures than other treatments while holmium laser needs a laser machine and fibre. In terms of recurrence rate, this study shows a recurrence rate of 14.3%, 33.4%, 34.2 and 71.8% when lesions removed by holmium laser, cryotherapy, conventional surgery and podophyllin respectively.…”

Section: Discussionmentioning

confidence: 99%

Is Holmium Laser an Appropriate Modality to Treat Genital Warts?

et al. 2018

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Introduction: Genital warts in young adults aged 18-28 years are very common. Several approaches are routinely used in the treatment of warts, viz., medical treatment (podophyllin and trichloroacetic acid), conventional surgery (excision or electrocautery), cryotherapy, and laser treatment. Because of high recurrence rates after treatment, complications and long duration of treatment, newer modalities have been developed. One of these newer methods is laser, which has been used in several urologic diseases. However, there are only a few studies about use of Holmium laser for treatment of genital warts. This retrospective study compared the success rate of Holmium laser with other available treatments for genital warts. Methods: Between October 2011 and May 2016, 142 patients with genital warts attended the urology clinics at Shohada-e-Tajrish hospital in Tehran, Iran. Out of these, a total of 101 patients were included in this study consisting of 42, 39, 11 and 9 patients treated with cryotherapy, laser, conventional surgery and podophyllin respectively. Results: The most successfully cleared lesions were seen in the holmium laser treatment group (P=0.001). The lowest recurrence rate was observed in the holmium laser treatment group (P=0.001). 17 patients had one of these following problems: dysuria, initial hematuria or a change in the force and caliber of their urinary stream that after physical examination showed them to have a meatal wart. These patients then underwent cystoscopy up to urinary sphincter. All of them in addition to the meatus wart had a penile shaft lesion(s). Thirteen patients had meatal lesions, 9 of whom received holmium laser therapy and 4 patients were treated with electrocautery. Based on routine follow up after treatment, none of the patients treated with holmium laser had urinary stricture, but one case treated with electrocautery returned with a penile urethral stricture. Conclusion: This study showed that treatment with Holmium laser has the highest clearance rate (92.2%) and lowest recurrence rate (14.3%) compared to other available treatments in this study. It may be concluded that holmium laser is a safe and effective treatment for genital warts with a low rate of recurrence.

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“…If the anal canal or urethra is involved, staged treatments may be necessary to prevent stenosis. With a view to minimising posttreatment scarring, Thompson [55] described a scissor excision technique, subsequently adapted for use in out-patient departments, [56] in which islands of epithelium are left between treated areas. Infectious HPV DNA may be inhaled in smoke generated during electro-or laser-surgery [57,58].…”

Section: Eiectrosurgery and Surgical Excisionmentioning

confidence: 99%

Treatment of anogenital warts

Handley

Dinsmore

1994

Acad Dermatol Venereol

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This article critically reviews both established and experimental treatment modalities for anogenital (AG) warts. Efficacy, cost, safety, advantages and disadvantages of each therapy are directly compared and treatment algorithms are suggested. Treatment of AG warts in pregnant women and prepubertal children is discussed. As AG warts are a sexually transmitted disease (STD) prevention of infection and the need to screen and treat patients and their sexual partners for other concurrent infections is stressed. The majority of patients with AG warts also have subclinical or latent HPV infection/ associated disease of the AG tract. In this regard all such women should be screened for the presence of cervical intraepithelial neoplasia (CIN).

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Outpatient treatment of perianal warts by scissor excision.

Abstract: SUMMARY A method of scissor excision of perianal warts, which is suitable for use in outpatient departments, is described. The low recurrence rate (two of 24 patients) three months after treatment is encouraging.

Cited by 9 publications

References 7 publications

Holmium:YAG Laser for the Treatment of Genital and urethral Warts: Multicentre Prospective Evaluation of Safety and Efficacy

Holmium:YAG Laser for the Treatment of Genital and urethral Warts: Multicentre Prospective Evaluation of Safety and Efficacy

Is Holmium Laser an Appropriate Modality to Treat Genital Warts?

Treatment of anogenital warts

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