Nowadays, genital warts are considered to be one of the most common and frequently sexually transmitted diseases. It is estimated that 50-70% of sexually active individuals will be infected with HPV (Human Papilloma Virus) at some point in their lives, while during each unsafe or unprotected sexual intercourse with an HPV infected individual, there is 70% chance for the partner to acquire the infection.
Genital warts will appear in only 10% of those infected, as in several cases the immune system fights against the disease, resulting in non-manifestation of the virus which lies dormant (latent).
HPV types are often referred to as “high-risk” strains, meaning that they are implicated in various malformations as well as the development of cancer, or “low-risk” strains. HPV low-risk genotypes are those mainly responsible for the 90% incidence of genital warts.
The diagnosis of genital warts is clinical, since the format of genital warts is characteristic, and an experienced Dermatologist can conclude to the correct diagnosis. Biopsy is rarely required and is only applied if we need to differentiate genital warts from lesions of other etiology that occur in the area and mimic their clinical presentation, such as syphilis, nevi-moles, papillomas, warts, molluscum contagiosum, malformations and genital cancers.
Owing to HPV DNA detection test, it is now possible to make an accurate diagnosis of HPV infections and to identify precisely the type of the virus responsible for the lesion. Also, we can determine if the virus is of low or high risk. It can be used all types of HPV lesions, in both men and women where the diagnosis can be made using cervical smear samples.
At Cosmetic Derma Medicine, the HPV DNA detection test is applied in all cases of recurrent genital warts and HPV infections.
Depending on the number and size of lesions, genital warts treatments include:
Cosmetic Derma Medicine’s specialized Departments of Dermatology & Plastic Surgery allows us to provide all possible ranges of treatment of genital warts, even in just on session. This is achieved by CO2 Laser treatment, combined with Surgical Excision, when necessary.
The incubation period of genital warts ranges from 1‑8 months, and sometimes even longer. In most cases, the infection remains asymptomatic and do not cause pain or pruritus (itching); meaning that patients may not realize that they have been infected. The aforementioned complications are often accompanied with severe psychological stress.
In women, genital warts are usually found in the vagina, the cervix, the labia majora and labia minora (vaginal lips), the urethra and occasionally, they can also grow on the urinary bladder. Among others, the main causes that promote the growth of condylomata acuminata are trichomonas infection, some other infections that cause wetting of the area from vaginal secretions and pregnancy. In pregnancy, genital warts can acquire a highly hyperplastic, exophytic form and become easily spread.
In men, genital warts are usually found in the glans, the body of the penis, the scrotum, the mons pubis (pudenda), the inner aspect of the foreskin, the urethra and less frequently, they can be detected in the bladder. the main causes that promote the growth of condylomata acuminata include the topical use of corticosteroids, urethritis, phimosis, immunosuppression and enterobiasis. High incidence rates of genital warts are found in HIV carriers, in people with chronic use of immunosuppressive drugs and in cases of diabetes mellitus.
Complications are classified as:
At Cosmetic Derma Medicine, our specialized Dermatology & Plastic Surgery Departments along with our state-of-the-art technology allow us to treat even the most difficult cases of genital warts by CO2 Laser, Cryotherapy, Diathermy Coagulation and Surgical Excision.