By Disease Name > Condyloma

Condyloma

Top  Previous  Next

tip - trouble getting rid of genital warts, stop smoking!  (smoking seems to decrease the immune response to HPV)

 

treatment:

picato gel
Ted Rosen - KOH 5% daily x 12 weeks

 

Both TCA and BCA are caustic agents that destroy warts by chemical coagulation of proteins. Although these preparations are widely used, they have not been investigated thoroughly. TCA solutions have a low viscosity comparable with that of water and can spread rapidly if applied excessively; therefore, they can damage adjacent tissues. A small amount should be applied only to the warts and allowed to dry before the patient sits or stands, at which time a white frosting develops. If pain is intense, the acid can be neutralized with soap or sodium bicarbonate. If an excess amount of acid is applied, the treated area should be powdered with talc, sodium bicarbonate (i.e., baking soda), or liquid soap preparations to remove unreacted acid. This treatment can be repeated weekly, if necessary.

 

Treatment via chemical cautery with a solution of 60 to 90 percent trichloroacetic acid (TCA) is most effective when treating few small, moist lesions, although TCA also can be used for vaginal or anal lesions. A small amount should be applied and allowed to dry until a white frosting develops. If excess TCA is applied to nonaffected tissue, the patient should be instructed to wash the area with liquid soap or sodium bicarbonate (i.e. banking soda).