Genital warts or condylomas are a sexually transmitted disease caused by the human papillomavirus. They manifest as small exophytic papules (bumps) of skin color or brownish in the genital area and/or its surroundings. It is common for them to exist in a variable number, from one or two isolated lesions to dozens. Although most condylomas have a benign course, infection in women by certain serotypes of the papillomavirus increases the risk of cervical cancer, so early diagnosis and treatment of lesions in both men and women is essential. It is recommended to carry out a detailed physical examination of the patient and perform a serological study of other sexually transmitted diseases at the first visit, prior to offering treatment for condylomas. It is also possible to perform a smear of the condylomas and through a PCR study to know the serotype of the virus causing them.
The treatment of condylomas is a challenge, although they are used to obtaining very positive results. Traditionally, cryotherapy with liquid nitrogen applied in the office or the use of keratolytic solutions for their removal are usually used. In our opinion, in addition to the physical removal of warts, it is essential that the patient produces immunity against the human papillomavirus to facilitate their definitive elimination and prevent their reappearance. This is possible through the application of topical preparations or vaccination once the lesions that can be seen with the naked eye have been removed.
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See Blog posts for more information on condylomas and human papillomavirus infection:
→ General information and route of transmission of genital warts.
→ Diagnosis, treatment and frequently asked questions (FAQs).
Bibliographic references
Lebwohl MG, Rosen T, Stockfleth E. The role of human papillomavirus in common skin conditions: current viewpoints and therapeutic options. Cutis. 2010 Nov; 86(5):suppl 1-11.