Condyloma represents a benign tumor, which has a papillary or warty appearance.
Warts are located both on the skin and on the mucous membranes. Formation always protrude above the skin surface and may be solid, pinkish, whitish or dark brown color.
Warts their rapid growth and tend to merge. The disease is common in men, women and children (in close household contact or infection during childbirth).
Causes
distinguish
- genital wartsWhich appear as a result of infection human papilloma virus,
- extensive warts (flat, syphilitic) - a consequence of fungal infection when syphilis, yaws.
Papillovirusnoy infection in case of genital warts is sexually transmitted (hetero- and homosexual contact, oral and anal intercourse).
The risk of developing genital warts include:
- person promiscuous;
- sex without barrier contraceptives;
- contact with people who have genital warts;
- early sexual activity;
- young people;
- failure to comply with hygiene regulations, slovenly person;
- People with reduced immunity (people with HIV, cancer patients, pregnant women).
It is not excluded and contact-household transmission path (common towel, washcloth, etc.).
Localization
Condylomata tend to arise in areas of constant friction and irritation (in skin folds). Especially attractive for them areas with high humidity.
Most often, warts appear in the perineum and genitals. Often warts affect the perianal region and rectum. Perhaps the emergence of entities in the armpits, on the face, in the oral mucosa region and larynx.
Photo: site of the Department of dermatology Tomsk Military Medical Institute
Symptoms of warts
Condyloma looks like warty formation on the stem, having a pinkish or skin color.
Genital warts appear in the field of injury to the genitals during sexual intercourse.
In women, genital warts, usually located on the large and small labia, in the area of the frenulum of the labia, clitoris on in the urethra area. Also often warts appear inside the vagina and on the cervix, which is an unfavorable sign.
In men, genital warts are located on the glans penis, the crown of the head, bridle of the foreskin.
Not ruled out the formation of warts in the crotch and pubic hair in both men and women.
With the defeat of the urethra there are difficulties with urination, urine is released and sprayed intermittently. If warts urethra is large, it is easily detectable.
Perianal warts are located around the anus. Warts, which are located in the rectum, often injured and bleeding stool.
Education tend to grow and merge, especially when weakened immunity. Warts cause discomfort his "owner" that they feel like something extraneous.
Also, patients complain of itching and burning.
The merger and the growth of education contributes to the development of the giant condyloma Buschke-Lowenstein. Such warts looks like a conglomeration of gigantic proportions on a broad basis and looks like a cauliflower. Over time, in the furrows of Education begins to stand out the secret with an unpleasant putrid odor, which irritating surface warts, causing its oozing, and the tumor is subjected to processes outside keratinization.
Condyloma Buschke-Lowenstein often turns into squamous cell carcinoma.
Diagnostics
Differential diagnosis of genital warts should be conducted with a secondary syphilis, molluscum contagiosum, Yaws and exophytic malignant formations of the skin.
Clinical data to establish the diagnosis in almost 100%. However, the necessary laboratory tests:
- blood syphilis (RW) and HIV infection;
- immunological studies;
- formation biopsy;
- colposcopy for diagnostic assays (in the presence of warts and cervical vaginal);
- onkotsitologiyu smears on a surface formations;
- polymerase chain reaction - PCR (blood).
Genital warts treatment
Treatment of genital warts has been a doctor, depending on their location. It can be proctologist, urologist, gynecologist or general surgeon.
Antivirals impossible to cure warts, so there is only a method to remove them:
Cleaning up
For this purpose, chemical agents are used, which include acid. Perhaps moxibustion podophyllin formations kondilinom, solkoderm or Epigenes-gel.
cryolysis
Freezing warts with liquid nitrogen. Education is destroyed in its place formed by the wound that heals in 1-2 weeks.
diathermocoagulation
Cauterization electrocoagulator warts or electrocautery cutting (high-frequency electric current effect). It is performed under local anesthetic lidocaine or novocaine.
Laser therapy
Destruction of structures with a laser beam. The most effective method.
Besides the local removal of warts appointed antivirals in rectal suppositories and / or tablets (panavir, Genferon, tsikloferon).
Appointment of rectal suppositories important in the localization of warts in the perianal region and on the genitals. Their action is to stop the growth and multiplication of entities.
Antiviral drugs in tablets have immunostimulatory effects, they affect not the virus itself, and on the formation of interferon involved in immunity.
Complications and prognosis
Warts, especially multiple and fast-growing, dangerous complications following:
- crack formations, which are accompanied by pain and bleeding;
- complicated during childbirth;
- higher risk of developing malignant tumors.
The prognosis for timely and adequate treatment is favorable, however, the removal of warts does not guarantee a full recovery, the disease can recur at weakening the body's defenses.
