Total excision and V-Y plasty technique in the anal area condyloma acuminatum

Abstract

Condyloma acuminatum is located in the perianal region, anal canal, vagina and the perineum. It is caused by human papillomavirus types 6 and 11. A 18 year-old man was admitted to the clinic because of a perianal mass. On examination of the patient's perianal area and inside the anal canal, a mass was found, which was nearly 8 × 8 cm in size. We could not obtain any information about venereal transmission. The mass was totally excised and the defect was reconstructed with a bilateral V-Y advancement flap. This technique has been used for sacrococcygeal, ischial and other defects but rarely used for condyloma acuminatum. We think that total excision and the use of the V-Y advancement flap technique is safe and has low morbidity in the treatment of condyloma acuminatum.

Management of giant anal condyloma by wide local excision and anoplasty

“…In the literature, several methods have been described to cover the skin defect, including mesh-skin grafting [5,6], S-plasty [7], myocutaneous flap [8] or other forms of reconstruction. There are few references to V-Y flap reconstruction, except for one case published by Demirel et al [9] and our previous publication of six cases [10]. Both publications report small numbers with a short follow-up, making it difficult to draw any definitive conclusion on the validity of the procedure at the moment.…”

“…There are few references to V–Y flap reconstruction, except for one case published by Demirel et al. [9] and our previous publication of six cases [10]. Both publications report small numbers with a short follow‐up, making it difficult to draw any definitive conclusion on the validity of the procedure at the moment.…”

“…The largest study dealing with HIV-positive condyloma patients [15], reported experience with 20 patients [9], but many had small lesions and many of the operations were minor, being performed in ambulatory conditions without requiring flap reconstruction.…”

Bilateral V-Y flap for a perianal basal cell carcinoma: A case report

“…The bilateral local V-Y advancement fasciocutaneous flap is a useful flap for closure of skin defects in the perianal area [19] , being quick and easy to design and raise [20] , with a low degree of complexity and morbidity. The former is important because the literature reveals that most cases of perianal BCCs present in elderly patients, thus low morbidity interventions should be preferred.…”

Surgical treatment of giant anal condyloma in HIV patients: unanswered questions

“…The treatment that has shown the lowest recurrence rates is surgery. However, when used for giant condyloma it requires extensive resection leaving a large perianal defect that may require reconstruction [4][5][6][7].…”