Genital Warts

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Genital Warts - Symptoms, Transmission and Treatment

Permanent genital warts removal in 1 visit

Painless, fast, discreet, with a definitive result in just 1 visit!

Do not hesitate. CO2 Laser treatment for warts is more painless, simple, discreet and effective than ever before. After just one session, you will feel comfortable with your body again and safely enjoy your private moments!

In addition, the carbon dioxide laser has the advantage of being able to detect and treat even very small lesions, in all areas where the lesions are located, and act while leaving the surrounding tissue intact.

This means safety, zero pain and immediate recovery!

Choice of male or female doctor for treatment
Complete and definitive treatment of warts in just 1 visit
Fully personalized treatment with CO2 Laser
Lower risk of recurrence in acute warts
Bloodless and painless treatment, without scarring and damage to surrounding tissues
No scars and embarrassment in your private moments
Short recovery time
Treatment accessible to all, without discrimination
Immediate return to daily activities

Treatment Method	Laser CO2
Treatment Duration	From 5-10 minutes depending on the extent of the damage
Result Appears	Immediately
Results Duration	Definitive treatment
Cost	Affordable to all
Doctor’s Specialty	Dermatologist – Venereologist
Anaesthesia	None
Pain Level	Painless
Sessions Needed	Only 1 – in the majority of cases
Recovery Time	Up to 7 days – depending on the size of the extent of the damage

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The specialized medical team, modern medical methods and the modern and luxurious spaces of the clinics offer the ultimate experience of hospitality, service and provision of health and beauty services.

DR TSIATOURA EXPLAINS THE TREATMENT

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Laser for genital warts and papillomas

Laser treatment permanently treats warts painlessly, without scars and scars.

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Do warts constantly recur?

If, despite treatment, genital warts “comeback” again and again, there are three possible reasons, explained by Dr. Amalia Tsiatoura, Dermatologist – Venereologist.

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Fast, safe and effective

Laser for definitive warts treatment

Complete elimination, painlessly, discreetly, in just 1 session! The treatment of warts with CO2 Laser is the most effective method. With the use of CO2 Laser, even the most tiny lesions that are not visible to the naked eye, but are a major cause of recurrences, can be treated. In addition to its effectiveness, Laser wart treatment has many other advantages:

The treatment is completely personalized. The doctor makes all the necessary adjustments to the laser according to the lesions, targeting the warts with absolute precision.
Laser wart treatment is bloodless, painless, leaves no scars or marks on the skin and the treatment of the problem is definitive – in just one session.
After the treatment there is an excellent aesthetic result.
Finally and very important: Clinical studies have shown that applying lasers to acute warts is associated with a lower risk of recurrence, as their reappearance afterwards is significantly reduced.

Laser treatment for warts

Examination and treatment for warts

Step by Step

1st Step

For many patients, the gender of the doctor who will perform the treatment for warts is important. At our clinic, you can choose to be treated by a male or female dermatologist.

The doctor clinically examines the lesions and asks for information about your medical history, sexual relationships, how long the lesions have been present, and whether you have had warts before.

During the examination, the doctor may check for other possible locations to fully map the lesions. If he or she deems it necessary, he or she will request a DNA test to determine the type of virus and the most appropriate treatment.

Visit to the dermatologist for warts.

2nd Step

The most reliable and effective treatment for warts is the CO2 Laser which eliminates all lesions, even those not visible to the naked eye, to minimize the chance of recurrence and transmission of the infection.

Treatment for warts with Laser CO2 is usually completed in a single session. After it is over, the doctor gives instructions on how to care for the area. Regular re-examination is recommended for some time to rule out any recurrence of the warts.

In addition, the doctor recommends checking the sexual partner to prevent reinfection between the couple and the inevitable recurrence of warts.

Laser treatment for warts

Genital Warts How to identify them

Genital warts vary and can look completely different in each patient. Some warts may be covered by the hair in the area making them more difficult to spot, while in some cases they may initially go unnoticed, looking like small pimples or moles.

In general, warts can be few or numerous, small or large, in groups or singly, with a smooth or rough surface, or protruding from the skin and looking like a tiny ‘cauliflower’. They may be white or the same color as the skin and are often extremely difficult to detect with the naked eye because of their small size. They usually do not cause itching, pain, or bleeding (unless they are larger and injured) and this is one of the reasons why a visit to the dermatologist may be delayed. throw

Transmission of genital warts

HPV is the most common sexually transmitted disease. Transmission of warts is easiest when clinically visible warts are present, while in subclinical cases the likelihood of transmission of warts is significantly lower, but not non-existent.

The main ways of HPV transmission:

Vaginal contact
Rectal contact
Oral and genital contact
Contact with infected fingers
Contact with contaminated sex toys

A decisive factor in avoiding the transmission of the warts from one area to another is to avoid rubbing the area, e.g. with a sponge and shaving with a razor.

HPV virus

Diagnosis of warts

HPV type identification

Accurate diagnosis of warts and identification of the type of HPV is extremely important before treatment, as some types of the virus can be oncogenic, so the monitoring and treatment plan changes.

The best method of identification is the HPV virus DNA detection test, which also determines whether the virus is low or high risk. It is applied to all HPV lesions, both in the man and the woman by taking a cervical smear in women or a tissue sample from the lesion in men.

DNA test for the detection of HPV viruses

Other treatment methods for warts

It is a simple and well-tested method that has been used for over 50 years to treat warts. The lesions are cooled either directly, with liquid nitrogen injected in the form of a spray or using a cryostat. Usually, no local anesthesia is needed as the procedure causes only mild discomfort. It is considered a safe method of wart treatment, which can also be applied during pregnancy. It is repeated every 1-2 weeks, until the complete disappearance of the lesions. As a wart treatment method, it is inferior to laser as it causes greater damage and scarring and is associated with higher recurrence rates.

When the warts are few, electrodiathermy may be chosen, which is performed under local anesthesia. Treatment of warts with diathermy coagulation is inferior to that with laser as there is a great deal of thermal damage to healthy tissue resulting in scarring. After the operation there is post-operative pain and bleeding and the recurrence rate is quite high.

Areas where warts appear

Warts in women

In women, warts are usually found in the vaginal area, cervix, labia minora and majora, and urethra, and sometimes, more rarely, they can develop in the bladder. The causes that encourage acute warts to develop are trichomoniasis infection, some other infections that cause increased vaginal discharge and pregnancy. In pregnancy, warts can grow and spread more easily.

Finally, warts can develop inside the oral cavity, on the lips, or even the throat, in both men and women.
Warts in men

In men, warts are usually located in the area of the glans, the body of the penis, the scrotum, the epididymis, the inner petal of the foreskin, the urethra and rarely in the bladder. Causes that help acute warts to develop are topical corticosteroid use, urethritis, mucositis, immunosuppression and oxyuria. We have high incidence rates in the development of warts in HIV carriers, in chronic immunosuppressive drug users and in patients with diabetes mellitus.

Finally, warts can develop inside the oral cavity, on the lips or even the pharynx in both men and women.

Acute warts Precancerous lesions

There are about 70 different genotypes of the human papillomavirus (HPV) and they are divided into high-risk and low-risk. Those classified as high-risk are associated with various cancers such as cervical, vaginal and vulvar, anal, penile and oropharyngeal cancers. An annual examination at the gynecologist and a regular Pap test can detect potentially cancerous lesions due to HPV in women promptly.

The low-risk HPV types are the ones most associated with warts, with HPV genotypes 6 and 11 being responsible for 90% of cases. HPV infection may have no symptoms at all and maybe fought by the immune system. But if this does not happen, then it can manifest itself in the form of warts (acute warts) on the genitals, in the oral cavity, or various other parts of the body.

FAQs

The method of treating genital warts with CO2 Laser has significant advantages:

It is bloodless, painless and minimally invasive
It does not require stitches and leaves no permanent scars or marks.
It does not require a long recovery time.
It has the lowest recurrence rate in HPV lesions and is thus the most effective genital warts treatment.

HPV viruses are divided into high-risk and low-risk viruses. HPV 16 and HPV 18 are oncogenic viruses. The complications of warts are classified into:

Mild complications: formation of erosions and wounds on the skin and mucous membranes (sores), bleeding, inflammation, and problems with urination and defecation. They are usually accompanied by intense psychological stress.
Major complications: Huge increases in the size of the warts (giant warts), precancerous lesions, and malignant neoplasms of the genital area, penis, vulva, anus and even the bowel.

HPV 16 and HPV 18 in women are associated with the development of cervical cancer. Therefore, when there is HPV infection and genital warts occurrence, there may be an increased chance of developing cancer. In men, genital cancer may be associated with HPV infection, from HPV 33, HPV 35, HPV 56 and HPV 58.

Low-risk HPV genotypes, the ones responsible for the development of warts, can occur in any sexually active person. The only way, therefore, to reduce the risk of infection is to abstain from sexual intercourse or to have intercourse only with a partner who only has intercourse with you. Even the use of condoms does not offer 100% protection against transmission of the virus. If a person develops genital warts, then abstinence from all sexual activity is recommended until the lesions are completely removed.

Because “strict monogamy” is practically impractical, the best way of prevention is to use a condom at every sexual intercourse, not to change sexual partners too often, to regularly visit and get examined by a dermatologist and to apply the HPV vaccine before starting sexual intercourse.

In addition to people who regularly change sexual partners, people with weakened immune systems are more susceptible to infection. The percentage of sexually active men who are about to become infected with HPV is as high as 50%, and research has shown that a woman’s chance of becoming infected with HPV is higher in women who consume several alcoholic drinks, as well as in those who have regular sexual intercourse. The riskiest age for a woman is in her 20s and gradually decreases until 35.

The diagnosis of genital warts is clinical, as their form is characteristic and should be carried out by an experienced dermatologist in order to suggest the appropriate method of treatment for the affected area, Whereas biopsy is used only in cases where a differential diagnosis of warts from other lesions occurring in the area and presenting the same clinical picture is required, such as syphilis, nevi, papillomas, warts, infectious tremor, genital malformations and cancers.

The symptoms of genital warts vary and are never the same in every patient. In many cases the virus does not cause warts to appear and is only detected by clinical and laboratory tests. Furthermore, there are cases where warts are not immediately visible as they are covered by the hair in the area. When they do occur, genital warts appear as skin protrusions and may look like small pimples or moles. They may be white or the same colour as the skin and are often extremely difficult to detect with naked eye due to their small size. In this case, they can only be detected with an HPV DNA test and are called “subclinical”.

Many times, the symptoms of genital warts can mimic the clinical picture of other lesions, such as syphilis, moles, infectious termites, which can take a brownish form, papillomas and warts. The clinical distinction of the above lesions from warts can only be made by a Dermatologist – Venereologist.

Warts may be numerous, small and isolated, clustered or solitary and quite large with a smooth or blossom-shaped surface. Usually, the symptoms of warts do not include pain or bleeding, but these are not excluded in very large warts that can be injured. The most common areas are:

Vulva
Penis
Anal
Urethra
Clitoris
Scrotum
Mouth
Tongue
Lips

In many cases our immune system fights the virus on its own, or renders it inactive, through its endogenous defense mechanisms. Thus, there are quite a few times when a person, even if infected with the virus, does not develop genital warts. Furthermore, due to the general asymptomatology of the virus, warts may not be noticed by the patient. In any case, any person with an active sexual life should be examined regularly by a dermatologist for the presence of warts.

In women, genital warts are usually found on the vaginal area, cervix, labia, urethra and sometimes, more rarely, they may develop on the bladder. The causes that help acute warts to develop are infection with trichomoniasis, some other infections that cause the area to be wetted by vaginal secretions and pregnancy. In pregnancy warts can become hyperplastic strongly exophytic and can spread very easily.

In men, the location of warts is usually in the area of the glans, the penis, the scrotum, the epididymis, the inner petal of the foreskin, the urethra and, less frequently, the bladder. Causes that help acute warts to develop are topical corticosteroid use, urethritis, mucositis, immunosuppression and oxyuria. High incidence rates in the development of warts are seen in HIV carriers, chronic use of immunosuppressive drugs and in cases of diabetes mellitus.

One of the advantages of genital warts treatment with CO2 Laser is that the recovery period is minimized and patients are able to return to their daily activities immediately. There is no pain, discomfort, bleeding and scarring. The patient can return to work and daily activities on the same day.

Pregnant women are also potential targets of the human papillomavirus (HPV). In general, infection should not be a cause for concern as it does not cause any problems. However, in some cases, multiple warts may develop or increase in size.

Less commonly, the presence of warts may lead to cellular changes. For this reason, it is very important that all pregnant women have a cervical screening, especially those who have not had a test at least a year before pregnancy.

If there are active warts at the time of delivery, a Caesarean section should be performed.

Cosmetic Derma Medicine Medical Group is the largest and most specialized medical group with 15 clinics in Greece & Cyprus, and more than 15 years of experience in the field of Dermatology & Plastic Surgery.

Thanks to the latest generation equipment, it is possible to treat genital warts with CO2 Laser, Cryotherapy, Cauterizing or Surgically. The high rates of successful treatment of genital warts in just a single visit prove the effectiveness of the use of CO2 Laser, in combination with the specialized medical staff of Cosmetic Derma Medicine.

The Dermatology & Plastic Surgery Department of the clinic, headed by the Dermatologist – Venereologist Dr. Amalia Tsiatoura and the Plastic Surgeon Dr. Anastasios Vekris, provide a full range of treatment for even the most challenging cases of genital warts. Our medical team is at the patient’s side 24/7 for whatever is needed.