WHAT IS ANAL KONDILOM?
The condyloma, or so-called wart, is an infectious viral disease located in the anal and genital area. The cause of the disease is HPV (Human Papilloma Virus). This virus, which has many subgroups, often causes lesions in the hands and feet. Benign lesions in the anal region are often caused by HPV 6 and 11, while HPV 16 and 18 have the potential for cancer.
HOW TO COMMUNICATE?
The main transmission route of anogenital warts is sexual intercourse.
However, people can also move the lesion to another area of their body through direct contact. Lesions in the anal region are usually caused by the spread of genital infection or by anal intercourse. As the number of sexual partners increases, the risk of infection increases.
The occurrence of the disease after an encounter with the HPV virus is approximately 1 to 6 months after the onset.
Anogenital region is known to be transmitted to the baby during vaginal delivery in women with warts.
WHAT ARE THE SYMPTOMS OF WARTS?
Anogenital warts are common in our society. Sometimes, because the symptoms of the disease are very faint, they are not recognized by the patients and sometimes they are ignored.
They are generally pink, pink-colored, overhanging cauliflower-shaped lesions. Their dimensions are variable. As they can be in the millimeter form, they can sometimes merge and close the anal region with a very large base. Lesions that are located with the handle may sometimes be considered as hemorrhoids by the patient.
The most common complaints are itching in the area. Those who are located in the breech channel can cause bleeding (because the lesions are fragile) and malodorous discharge.
HOW ARE WARTS DIAGNOSED?
The diagnosis can be made easily by the appearance of typical lesions of different sizes located in the genital and anal regions.
However, it should be noted that 80% of the patients with warts in the anal region also present in the breech canal, and rectosigmoidoscopic evaluation should be performed because of the possibility of cancerous warts in the canal.
WHAT ARE THE METHODS OF SURGICAL TREATMENT?
Surgical excision is a procedure performed by local anesthesia for small lesions that are few in number and not in combination. It is done using scissors or scalpel. The broad and diffuse lesions in tissue taken from another part of the part of the body (graft) tissue or be part of the next shifted from intact skin (flap) must be used.
Burning with electrocautery is the process of burning using high frequency electric current. It is used quite often but it should be used with caution in the case of large base lesions due to the damage caused by burns. stenosis due to burns on the recovery time of the removal of the lesions, particularly close to and surrounds the breech must be left intact skin penetration at intermediate areas may develop.
Another technique is the laser technique. It is advantageous because the radiation is given directly to the wart and therefore the skin is protected and recovery time is fast.
General or spinal anesthesia is preferred for the intervention of warts located within the anal canal. Local anesthesia can be applied in superficial and small lesions.
WHAT IS THE PROBABILITY OF REPETITION AFTER SURGERY?
We must remember that all lesions removed from patients during the next 6 months you should continue to remain in the follow-up at regular intervals. Because the people who are infected with HPV, the duration of the occurrence of visible lesions is approximately 6 months after infection, and the patient should be in cooperation with physicians during this time.