Condyloma Acuminatum Follow-up

Updated: Jan 05, 2017
  • Author: Delaram Ghadishah, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Follow-up

Further Outpatient Care

Patient should have a follow-up visit with OB/GYN (female) or with urology (male) within 1 week. Treat patient using medications and, if ineffective, with cryotherapy, curettage, electrodesiccation, surgical excision, carbon dioxide laser treatment, or combination therapy. Evaluate and treat sexual partner(s). Perform workup for human papillomavirus (HPV) and other sexually transmitted diseases (STDs).

Search for immunosuppression in patients with treatment failures and recurrences.

Look for biopsy recurrences and treatment failures.

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Further Inpatient Care

Generally, no further inpatient care is necessary unless the patient has malignant transformation of lesions to carcinoma.

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Inpatient & Outpatient Medications

Podofilox (purified podophyllotoxin) is available for home use by the patient.

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Deterrence/Prevention

No medications or vaccines are 100% effective. One human papillomavirus vaccine (9-valent) is available in the United States for the prevention of HPV-associated genital warts (condylomata acuminata). [8]

Sexual abstinence and monogamy are protective.

Condoms may discourage transmission.

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Complications

See the list below:

  • Local disfigurement
  • Transformation to genitourinary malignancies in both males and females [11]
  • Transmission to neonate or partners
  • Recurrence of condyloma acuminatum
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Prognosis

Many patients either fail to respond to treatment, or condyloma acuminatum recurs after adequate response.

Recurrence rate of cervical dysplasia in women is not altered by treatment of sexual partners.

Recurrence rates exceed 50% after 1 year and have been attributed to the following:

  • Repeat infection from sexual contact
  • Long incubation period of HPV
  • Location of virus in superficial skin layers away from lymphatics
  • Persistence of virus in surrounding skin, hair follicles, or sites not adequately reached by intervention used
  • Missed or deep lesions
  • Subclinical lesions
  • An underlying immunosuppression
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Patient Education

Identify and educate individuals at risk for condyloma acuminatum.

For excellent patient education resources, visit eMedicineHealth's Sexual Health Center. Also, see eMedicineHealth's patient education article Genital Warts (HPV Infection).

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