Evaluation for Outcomes of Perianal Condyloma Accuminatum Patients treated with Surgical Resection and Electrocauterization

Abstract

Aim: Condyloma acuminatum (CA) is a sexually transmitted disease. Genital human papillomavirus causes the disease whcih characterized warts in perianal region and genital organs. Epidemiological studies in western countries reported that 1% of the sexually active population affected with this disease. Topical treatments which are applied by the patient or physician, cryotherapy with liquid nitrogen, electrocautery and surgical excision are some of the treatment modalities. When the treatment modalities are investigated, the most important problem is the high recurrence rates, although the treatment results are similar. Electrocauterization is accepted as the modality with the lowest recurrence rate in the treatment of CA. Method: Between August 2014-December 2017, patients with CA who were treated in general surgery department of an university hospital in İstanbul. Results: Ten of the patients (50%) who underwent surgical excision and electrocauterization with CA were female. The mean age of the patients was 32.8 years (19-52 years). Mean complaint duration of the patients were 7.6 months (2-48 months). Five of the patients (25%) were referred to surgery after cryotherapy in the dermatology clinic. Twelve patients (60%) applied directly to the general surgery with complaints of cutaneous bleeding, painful stools and itching. It was found that only one patient’s (5%) human immunodeficiency virus serologic test was positive and also he had been under treatment. Conclusion: Combination of surgical excision and electrocauterization could be a satisfactory teratment for CA. Carefully examination of the anal canal and electrocauterization of mucosal lesions will reduce the recurrence rate as well as the clerarance rates.

Keywords

• Condyloma acuminatum
• anogenital wart
• electrocoutery