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Genital Warts (Condylomata Acuminata) - a Sexually Transmitted Infection

Written by
Dr. Suvash Sahu
and medically reviewed by iCliniq medical review team.

Published on Jan 05, 2017 and last reviewed on Sep 07, 2018   -  3 min read

Abstract

Abstract

Current evidence suggests that over 50% of sexually active adults (15 to 25 years of age) have been infected with one or more human papilloma virus - HPV infection. The underlying HPV infection may increase the evidence and prevalence of genital warts.

Genital Warts (Condylomata Acuminata) - a Sexually Transmitted Infection
Contents

Condyloma, a Greek word with the meaning of round tumor, has been recognized as a distinct entity since ancient times. Mucosal HPV infections are the most common sexually transmitted infections (STIs). It can occur on anogenital or oral mucosa or skin. HPV present in the birth canal can be transmitted to a newborn during vaginal delivery and it may persist for years in a dormant state and become infectious intermittently.

Causative Organism

The causative organism is human papilloma virus. The most common subtypes are 6, 11, 16 and 18. Less common subtypes are 31, 33, 35, 39 and 51 to 59.

Transmission of Virus

Genital HPV infections are transmitted primarily through sexual contact such as genital to genital, oral to genital or genital to anal, but digital and perinatal transmission can also occur. The incubation period is several weeks to months.

Clinical Features

The most common sites affected are frenulum, coronal sulcus, inner surface of prepuce, urethral meatus, cervix, vagina and vulva. It can also affect the anal region of the homosexuals. It is usually asymptomatic, single or multiple, soft, pink or whitish, sessile tumor (immobile) with fine papillary projections. It may bleed on friction or slight trauma.

Clinical Variants

  1. Small papular.
  2. Cauliflower like floret.
  3. Sessile.
  4. Flat-topped papules or plaques.
  5. Giant condyloma (Buschke-Lowenstein tumor).

Complications

Investigations

Clinical examination is sufficient to diagnose most of the external genital warts. Laboratory examinations are also used in a few cases. They are as follows:

  1. Acetowhite test for subclinical genital HPV.
  2. Pap smear.
  3. Skin biopsy for koilocytes, mature squamous cells with a large clear perinuclear zone and smudgy nuclei.
  4. Detection of HPV DNA.
  5. Serology test.

Treatment

Counseling

Clear information and counseling must be given to accomplish proper management. Female individuals, who have HPV infection, should get counseling about regular participation in cervical cytology screening programs. He or she should be encouraged to use barrier protection with new sexual contacts until successful treatment has been completed.

To know more about genital warts and its treatment, consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist

 

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Last reviewed at:
07 Sep 2018  -  3 min read

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Dr. Suvash Sahu

Dr. Suvash Sahu

MBBS, DNB (DERMATOLOGY,LEPROLOGY& VENEREOLOGY)

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