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Genital warts

Other names

Venereal warts, condylomata acuminata.

Cause

Virus - Human papilloma virus (HPV).

Distribution

Worldwide.

Transmission

  • Sexual - Direct skin contact during sex.
  • Non-sexual - Occasionally, warts from the hands may be transmitted to the genitals.

Incubation

6 weeks to 8 months.

Symptoms

Warty or cauliflower-like growths on and around the external genitals and anus, internal warts (which usually go unnoticed) affecting the urethra, anal canal,  rectum, vagina and cervix.

Diagnosis

  • Physical examination.
  • Skin biopsy in atypical cases.
  • Colposcopy (examination of the cervix with a special magnifying instrument) may be used to detect early wart infection of the cervix.

Treatment

  • Application of podophyllin, podophyllotoxin or trichloacetic acid.
  • Liquid nitrogen.
  • Electrocauterisation (burning).
  • Excision(cutting).

Complications

  • Genital warts may enlarge rapidly during pregnancy and obstruct delivery.
  • Infants may develop laryngeal papillomatosis from ingesting infected secretions during its passage through the birth canal.
    Warts have also been linked with causing cancer of the cervix.

Comments

  • Pearly penile papules, a condition which causes pin-headsized outgrowths arranged neatly in rows on the base of the head of the penis may be mistaken for  genital warts. They are harmless and do not require tratment. Yearly Pap (cervical cancer) smears are recommended because of a possible link  between wart infection of the cervix and cancer of the cervix.