Remove manifestations and continue to observe
Condylomas are a visible manifestation of human papillomavirus infection. They are removed using the radio wave method, electrocoagulation or laser under local anesthesia: they are injured, bleed, grow and are transmitted to the partner. It is important to understand: removal removes the manifestations, but not the virus itself - it remains in the body, and in some women the formations reappear. Therefore, after the procedure, HPV testing with determination of oncogenic types, cytology, colposcopy and examination of the partner are required. It is the presence of oncogenic HPV types that determines the mode of further observation.
Cervical pathology: why it is important to treat
Changes in the cervix are asymptomatic for a long time. Moreover, this is where one of the few types of cancer develops that can be completely prevented, provided that precancerous conditions are detected and treated in a timely manner.
The human papillomavirus plays a key role: oncogenic types of HPV cause dysplasia, which, if left untreated, can turn into cancer over the years. Therefore, the modern approach is based on the combination of “cytology + HPV test + colposcopy”, and treatment is prescribed according to the results, and not “by eye”.
Key interventions
- coagulation - destruction of the superficial pathological area
- conization - excision of a cone-shaped section of the neck with capture of the canal
- extended conization - larger volume when the process spreads into the canal
- removal of condylomas and papillomas with HPV infection
Histology is required
During conization, the removed tissue is necessarily sent for histological examination. It shows the true extent of the changes - often more pronounced than according to the biopsy - and confirms that the pathological area has been removed within healthy tissue. Further surveillance tactics depend on this.