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Anal warts

What is the cause of anal warts?
How are anal warts diagnosed?
What treatment methods are available?
Prevention of recurrence of anal warts
Anal warts (or genital warts) are growths in the form of warts on the skin around the anus or inside the anal canal. Appearing as small warts the size of a match head, they can become quite bulky, resembling cauliflower in appearance.

What is the cause of anal warts?

Anal warts are a viral disease caused by a virus human papilloma virus (HPV). According to WHO, papillomavirus infection is currently one of the most common sexually transmitted diseases.: HPV is infected with 9-15% of the adult population worldwide.Currently, more than 100 types of this virus are known. HPV of "high oncogenic risk" (primarily 16, 18, 31, 33 and 35) increases the risk of cervical cancer, squamous cell carcinoma of the anal canal and perianal skin. Low-risk HPV types (mainly 6 and 11) cause genital warts. The simultaneous presence of HPV strains of high and low oncogenic risk is possible in the body, therefore, after the treatment of anal warts, it is mandatory to monitor HPV infection of high oncogenic risk in patients of both sexes in order to prevent oncological diseases of the genitals, rectum and anal canal.

How are anal warts diagnosed?

The main sign of the disease is the presence of pathological growths in the anus, possibly the presence of similar formations on the skin of the perineum and / or genitals. Warts are usually painless, but patients may complain of itching, discharge from the anal canal, and burning in the anus. As warts grow, they cause significant discomfort, get injured, get wet and bleed, dirty laundry, make it difficult to carry out hygiene procedures, and infection is possible.

To assess the degree of damage to the anus and anal canal, the doctor usually uses simple anoscopy (examination of the anal canal) and high-resolution anoscopy (assessment of the condition of the mucous membrane of the anal canal under a microscope to detect intraepithelial changes under the influence of HPV)

What treatment methods are available?

Treatment of genital warts is carried out by a dermatologist with the participation of an immunologist and, if necessary, surgical treatment by a coloproctologist. If the warts are small and located only on the skin around the anus (perianal warts), medical treatment can be performed — topical application of medications for several weeks. The treatment is carried out with great care so as not to damage healthy skin.Immunomodulators (drugs that increase the body's resistance to viral infection) may be prescribed. Surgical removal of perianal condylomas is indicated in the absence of the effect of drug treatment and with large sizes of formations.

If there are warts of any size directly in the anus (intraanal warts), surgical removal is required. There are different ways to excise condylomas — the radio wave method, laser or coagulator excision.The operation is performed under local anesthesia. After surgery, treatment of postoperative wounds is required, which the patient usually performs independently at home with medications recommended by the doctor. The bandage is applied only to those areas that are irritated by the laundry. A follow-up examination is performed 7 days after the operation, and a follow-up examination is recommended after 1 month.

Any type of surgical treatment of large formations with a dense base is performed only after consultation with an oncologist at the EMC Oncology and Hematology Clinic. If the formations are more than 1 cm in diameter, the doctor takes a piece of the wart for histological examination (biopsy) before the operation.

Prevention of recurrence of anal warts

Removal of warts solves mainly a cosmetic problem, it does not eliminate HPV infection and does not prevent further transmission of the virus.The recurrence (re-development) of warts occurs due to the fact that the human papillomavirus, once in the human body, is constantly present in it, sometimes without causing clinical manifestations.A recurrence of warts occurs when general and local immunity is weakened, and when the skin and mucous membranes are injured during sexual intercourse. Therefore, EMC coloproctologists recommend that patients be regularly monitored by their doctor after genital warts are removed and that newly formed warts be removed in a timely manner.

If the patient is a woman, after removal of the anal warts, follow—up with a gynecologist and screening for papillomavirus infection is recommended: regular analysis of smears from the cervical cytology and colposcopy.

If the patient is a man, consultation with a urologist and subsequent monitoring of papillomavirus infection by taking swabs from the urethra is recommended.

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City: Moscow
Top-class surgeon
Dear Evgeny Alexandrovich, I have no words to express my gratitude to you for your timely diagnosis and masterfully performed thoracic surgery. Your professionalism and care for patients can be felt in everything-from the first consultation until the operation itself and
subsequent recovery.I am very glad that fate sent you to help me, because from the first minute I felt absolute confidence in your opinion, based on the colossal experience and vast practice of conducting such operations.You instilled in me confidence in the success of the proposed treatment and surrounded me with the care that is so necessary to recover from a complex surgical intervention.Thank you very much, give people life and hope, and may your professional success always accompany you!
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City: -
An attentive doctor
Marina Bissessar is an attentive and sensitive doctor.

City: -
Thanks to Dr. Marina A. Bissessar
I would like to express my deep gratitude to Dr. Marina A. Bissessar for the perfect operation!

City: Moscow
A Real Surgeon!
Evgeny Alexandrovich is a Doctor from God, a real Surgeon and a Man! Highly professional, knowledgeable, thinking, always focused, focused on solving the problem, responsive, calm and kind Doctor! This is exactly what it should be a real Doctor!I admire his high professional and
human qualities !I am immensely grateful to him for saving my life, for a successful operation, for his attention, sensitivity, cordiality and care!Thank you so much for everything!!!Be always healthy and happy, Doctor, as well as your family may always be healthy and happy!!!
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City: Moscow
A sensitive doctor and a true professional!
I had an appointment with Marina Alexandrovna today (an initial consultation after a toe surgery in another clinic). I got answers to all my questions and detailed tips on how to take care of my finger at home. Marina Alexandrovna treated me with great respect. great attention and
care. It is very pleasant when the doctor is calm, humane and knows his business! Thank you so much for such a careful attitude to patients!!
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City: Moscow
Thank you to Dr. Yuldashev (Surgery Clinic)!
I am very grateful for your noble work. You are a very smart person!

City: Moscow
Thank you so much from me and my husband!
I would like to express my gratitude to the wonderful thoracic surgeon, Evgeny Alexandrovich Tarabrin, for giving your consent to perform an emergency operation on my husband. The operation was performed at a high professional level, using state-of-the-art equipment. using
advanced materials, in the least traumatic way that allows you to shorten the postoperative recovery and rehabilitation period.Thank you so much from me and my husband!
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City: Boston USA
Alekcey is a doctor who you can trust completely
Alekcey is a doctor who you can trust completely. He is very experienced and knowledgeable. He has a great personality as well. That is extremely important for everyone. I would highly recommend that doctor to everyone who is looking a high expertise.

City: Turkey
Mr. Tsilenko was quite well
Mr. Tsilenko was quite well with the solution of the my son's nail problem

City: Москва
The end result looks great
My daughter Anne fell and cracked her eyebrow. I was very happy with how quickly she came to see a doctor (Dr Tsilenko) and his patience with an anxious girl and my two other children were also in the clinic. The end result looks great and I expect we will hardly see the scar
as she grows. Thanks
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