Procedures

Excision and fulguration of genital warts (condyloma)

Procedures

Excision and fulguration of genital warts (condyloma)

Appointments1
Approximate time30-45 min

Excision and fulguration of condyloma (genital warts)

Condyloma acuminatum (CA), also known as genital warts, are a sexually transmitted disease caused by the human papillomavirus (HPV). With over 100 identified strains, certain types have been directly linked to a heightened risk of neoplastic development in both men and women.

Being diagnosed with genital warts can be distressing for men. They may experience concerns about  their cosmetic appearance, personal health and sexual relationships. There’s often a social stigma around genital warts, adding to the burden.

What are genital warts?

They’re cauliflower-like or flat-like growths on the penis or scrotum.

They’re often asymmetrical and polymorphic.

They can occur anywhere on the body, especially in areas prone to increased friction, such as skin on skin, skin on mucous membrane or mucous membrane on mucous membrane.

They’re generally asymptomatic. However, itching and, more rarely, bleeding can occur.

When is surgery recommended to a patient?

Our urologists highly recommend this surgery if the lesions persist despite undergoing medical treatment, such as Condyline drops, Aldara cream (to stimulate the immune system) or liquid nitrogen. These treatments however, don’t get rid of HPV. A person who has been treated for HPV can still transmit the virus, even if the warts are no longer visible. Our urologists may also suggest a vaccine.

What exactly is a fulguration or an excision of genital warts?

The procedure is done in Dr Marois's clinics. The patient receives medicine that numbs the area around the warts (local anesthetic).

First, the lesions are outlined with a marker and then disinfected.

Small lesions are burned with an electronic scalpel; this is a fulguration.

Larger lesions are removed and the skin is closed with absorbable sutures; this is an excision.

The post-operative recommendations are the same for both procedures.

References

INESS: www.iness.qc.ca>condylomes_GUIDE_ITSS-EN

AGENCE DE LA SANTÉ PUBLIQUE DU CANADA: www.canada.ca/fr/sante-publique/services

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Prepare for the procedureHow to prepare for the excision or fulguration of condyloma

There’s no special preparation for this minor surgery. Patients must  clean the surface of the skin on the morning of the appointment.

Post-operative recommendations following an excision or a fulguration of condyloma

On the day of the procedure

  • Take 650 to 1,000 milligrams of Tylenol every 4 hours to help manage the pain.

The first week after the procedure

  • Change the dressings daily until the wounds are dry

  • Showers are allowed after 24 hours

  • Baths are allowed after 48 hours

  • Avoid exertion and physical activity for 24 hours

  • Avoid all sexual activity for 7 days

  • A follow-up appointment will be scheduled with one of our urologists 2 months after the procedure

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Would you like to make an appointment, or do you have any questions? Write to us and we will get back to you as soon as possible!

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