How to treat male genital warts? A complete list of treatments for male genital warts

How to treat male genital warts? A complete list of treatments for male genital warts

Condyloma acuminatum is a common genital disease that can be transmitted through sexual intercourse, blood, saliva or other means. Men with condyloma acuminatum may experience genital itching, rashes and other symptoms, which seriously affect their life and reproductive health. Therefore, men with condyloma acuminatum should seek treatment as soon as possible.

1. Drug treatment

1: (1) 5% 5-fu ointment 5-fu is a commonly used anti-tumor drug that can inhibit cell proliferation. It is relatively mild and generally requires 2 to 3 weeks of treatment. (2) Acetic acid: Trichloroacetic acid is a strong acid that can be used to burn warts. It is generally used to treat type II lesions. Before applying, apply 2% cacao with a cotton ball to the lesion for 3-5 minutes, then apply 50% trichloroacetic acid with a cotton swab to the lesion so that the liquid reaches the base. Be careful not to damage the surrounding healthy mucosal tissue when applying the medicine. Do not use during menstruation. Use the medicine twice a week. Or apply 20% salicylic acid glacial acetic acid externally.

2. Microwave therapy

1: This is a treatment method that has emerged since the 1990s. Its principle is to use the high-frequency vibration of microwaves to evaporate the water inside the warts, causing them to necrotize and fall off. The characteristics of microwave treatment are that the warts are completely destroyed and are not easy to recur, but the wounds recover slowly and are prone to secondary infection. Therefore, microwave treatment is particularly suitable for treating large, isolated, scattered warts, and at the same time, they should be kept away from the frenulum of the foreskin to prevent damage to the frenulum and affect the male's sexual function.

3. Cryotherapy

1: Freeze with liquid nitrogen or carbon dioxide dry ice to necrotize the wart tissue (i.e. the local skin damage). Condyloma acuminatum is caused by infection with the condyloma acuminatum virus, which leads to benign hyperplasia of the skin and mucous membranes. It has a large number of small blood vessels and proliferates rapidly. The freezing method can freeze the condyloma acuminatum, forming a high degree of edema in the local tissue, thereby destroying the wart. The biggest advantage of cryotherapy is that it leaves no local marks, and the cure rate is about 70%. During the treatment process, except for local redness, pain and blister reaction, there are generally no obvious sequelae. Spray method or direct contact method can be used, which is suitable for flat and smaller warts. Generally, freezing is done once a week, for 2 to 3 consecutive times.

IV: Electrocautery

1: Electrocautery is an older treatment method. In the past, dermatologists often used high-frequency electric knives or electric soldering irons to cauterize common warts, moles, and other skin tumors. Its characteristics are simple operation and quick results. High-frequency electric knives can directly remove and dry warts, and the treatment is more thorough. However, the cauterized sore surface heals slowly. In summary, electrocautery treatment can be used to treat any condyloma acuminatum, but it requires high technical skills from the operator, and excessive or insufficient cauterization is harmful. At the same time, attention should be paid to aseptic operation to prevent infection. High-frequency electric knives or electroacupuncture are more suitable for treating minor lesions of the cervix or vagina. Larger warts may require electrocautery in batches.

5. Laser therapy

1: It is suitable for superficial warts such as those around the vulva and anus. It is characterized by rapid effects, and the warts can fall off during treatment. Carbon dioxide laser is commonly used to burn the warts, and generally the warts can fall off in one treatment. However, due to the over-concentration of the laser beam, laser treatment is only suitable for condyloma acuminatum with smaller warts. If the warts are larger, laser treatment is likely to cause recurrence. The cure rate can reach 80%.

6. Surgical Resection

1: For larger, isolated warts with pedicles, surgical excision may be considered. Surgical excision is generally not recommended for condyloma acuminatum, because after surgical treatment, condyloma acuminatum is prone to recurrence, making the treatment unsuccessful. However, for larger, pedunculated warts or those suspected of malignant changes, surgical excision may be considered. For some patients, condyloma acuminatum grows too quickly or is as large as cauliflower, and other treatments are very difficult, so surgical treatment may be considered. To prevent recurrence, other treatments should be combined after surgery. Depending on the warts and the area covered, choose lesion excision or vulvar excision.

VII: Surgical ligation

1: Suitable for single small lesions with burrs. After local disinfection and local anesthesia, lift the wart tissue with tweezers, clamp the root with hemostatic forceps, and then tie the base with No. 1 silk thread. Generally, the wart will fall off 3-5 days after ligation.

8: Surgical curettage

1: During treatment, use your left hand to tighten the skin or mucous membrane of the affected area, or use a sterilized scraper to scrape the affected tissue from the root with a little force; completely remove the remaining affected tissue on the wound surface, and then apply 33% trichloroacetic acid solution, pure carbonic acid solution or 3% ferric chloride solution locally.

9: Traditional physical therapy methods,

Cryotherapy, laser, electrocautery, surgery, etc. can only destroy the surface tissue of the warts. Antiviral treatment must be carried out after the operation. The patient is in great pain, the treatment time is long, the cost is expensive, and it is easy to relapse due to the decline of the body's own immune ability. Therefore, compared with the treatment after the disease occurs, male friends should do a good job of prevention.

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