Multiple condylomas
With 5–10 elements, the doctor plans removal in such a way as to treat all areas in one visit, including hard-to-reach ones (coronal sulcus, inner layer of the foreskin, perianal area). A blockade of the penis is used when localized on the shaft and head. After removal, antiviral and immunomodulatory therapy, testing for high-risk HPV, and the partner are prescribed. Control visit after 3–4 weeks: when new elements appear, they are removed while they are small.
Condylomas and HPV
Genital warts are growths on the skin and mucous membrane of the genital organs, caused by the human papillomavirus (usually types 6 and 11), which is sexually transmitted. They are contagious, grow and coalesce, and can affect the urethra and perianal area. Removal eliminates elements and reduces transmission of the virus, but not HPV itself, so relapses are possible (20–30%) - they are reduced by immunotherapy and treatment of the partner. In the price list of clinics, the cost depends on the number of elements.
Removal methods
A radio wave knife (Surgitron) and a laser remove condylomas without contact with minimal scarring and bleeding; electrocoagulation is effective for small elements; cryodestruction - for single cases. Large and atypical elements must be examined histologically to exclude giant condyloma and cancer. Healing 7-14 days without scarring with careful technique.
