Wart Virus Treatment Methods
In daily practice, I deal with genital warts in almost a quarter of my working hours. As I have been dealing with my patients under the age of 18 (thankfully, their number is not yet much), the patients are most frequently in the reproductive age, that is, between the ages of 18-45, and to a lesser extent after the menopause, with the wart problem.
* A detailed consultation containing all kinds of information on the subject after diagnosis,
* To give detailed information about treatment models,
* Choosing the appropriate treatment method,
* Detailed monitoring of treated areas and areas that have not yet been infected with wart after treatment
* A long solidarity and follow-up with the patient and his partner, if necessary, for the evaluation of cervical and lesions of the cervix, vagina and external genital skin for papillary lesions; needs to process.
Here I want to tell you about the treatment methods we apply for warts. The basis of the treatment is that the treatment model we apply can reach the basement membrane area where the wart virus is located. Combating the epidermis area on the skin and reaching the basement membrane, combating the lesion and wart viruses is possible only with the treatment tools that can reach this area.
Two types of methods can be used in the treatment of warts;
* Medical methods: Imikamol (aldara cream) and 5-fluorouracil can be used here. These products that we use in the form of cream should be used only on the wart and the healthy tissue around should be protected seriously. The use of widespread creams, including healthy tissues, is a big mistake in order to get more effective treatment or not to repeat during wart treatment. The contents of these creams are not acceptable for healthy cells.
Local cream applications may require a visit to the doctor once or twice a week, because the patient may not always be able to apply safely. Treatment success will be for Aldara in the form of full recovery in 50% cases and partial recovery in 25% cases. We can also mention 75% improvement for 5-fluorouracil.
Finally, using TCA (trichloroacetic acid), it can be recommended to treat warts by creating chemical destruction locally. Cryotherapy and trichloroacetic acid can be applied in warts that occur during pregnancy. In order not to cause formation and subsequent infection, the treatment should be focused on meticulously and only problematic areas. With larger warts, electrocauterization can be performed under local anesthesia. A controlled and meticulously electrocauterization gives safe results in large warts.
I have not applied the first two medical treatment methods, which are difficult to apply and have poor treatment success, for many years. I only occasionally use 85% TCA in pregnant women and very tiny warts.
*Surgical Methods: In practice, the most correct and preferred group is the surgical treatment methods.
Three groups of treatment choices can be made.
* In the treatment we call cryotherapy, cold cauterization can be done by creating ice on the warts with nitrogen gas. It is effective in the treatment of small and few warts. It may require repeat sessions. Wound healing may take a long time in cases that require very aggressive administration, but it is a useful and effective method. It may not always be possible to reach the basement membrane in cryocoterization. In very deep treatments, wide and deep wounds can occur. In fact, I do not use it very often in my practice because of the long treatment period, more frequent relapse and difficulties in wound healing.
* We cauterize warts using electric current by electrocauterization. My favorite and most effective method is electrocauterization. Mostly, I apply comfortable local anesthesia with very thin needles in my own clinic. Then, I usually perform cauterization of all warts in a single session, although common. Recurrence from the same area is quite rare after electrocauterization. If the virus is an active period, warts can come out from areas that have not been able to track warts but show microscopic locations. In this case, cauterization is repeated with a gentle local anesthesia. It is possible to make an application that protects the effective and healthy tissue very well when the cautery tip is selected correctly, which can be used according to the size of the warts in cauterization. In electrocauterization, the therapeutic flow necessarily reaches the basement membrane and the effectiveness of the treatment begins at this point.
* Finally, among the surgical methods, we can count the surgical removal of the warts in the very large wart areas. Loop tips can be preferred in layers to remove all diseased areas without tissue loss in excision. It is useful to perform the application with a mild sedative sleepiness called sedation anesthesia. A little more troublesome process may be required during the recovery, unfortunately more aggressive applications should be made in a wider area. It is a form of surgical treatment that is often combined with electrocauterization.
Here, we can say that the most important defense mechanism of the genital area is very rich, and after the procedures, the improvements are much healthier and easier than many areas of the body. After treatment, care is meticulously and appropriately by the patient, healing results are extremely satisfying.
After the treatments, we can see warts repeat, especially in the first year. This process may be related to contamination of the wart as a new infection, and activation of the latent (hidden phase, drowsiness) if it was previously infected. As a result, in the recurrent warts, the appropriate treatment method is selected according to their location and size at the earliest period without losing time and the lesions spread, and the more spreading and spreading of the warts are prevented.