Genital Warts Treatment: Overview
Treatment Options and Objectives
Should genital warts be treated? Reducing the burden of warts certainly increases the comfort and feeling of well-being in most patients. A reduction of symptoms is appreciated. Patients are usually very concerned about passing on the warts to partners so appreciate having them destroyed. The process of eliminating the warts probably increases the patients immune responsiveness to the virus and..
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Destruction/Excision Therapies
Liquid Nitrogen, Trichloracetic Acid, Electrosurgery, Ablative Laser Therapy, Excision by Scissor, Scalpel or Curetting..
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Antiproliferative Therapies
Podophyllin resin 10%-25%, Podophylox 0.5% solution or gel..
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Immunomodulatory Therapy
Imiquimod 0.5% cream. It enhances the cell killing immune response, which is usually seen as an inflammatory response. It acts to reduce the viral load, thereby reducing recurrence rates to very low levels..
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Prophylaxis
A quadrivalent HPV recombinant vaccine is now available in Canada, and is indicated in girls and women aged 9-26 years for the prevention of diseases caused by HPV types ..
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Combination Therapy
Often monotherapy can be inadequate for treating anogenital warts. Combination therapy can provide a better result. An approach of physically or chemically detroying the warts combined with a drug that stimulates the patients immune attach on HPV seems to make sense..
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Treatment Summary and Conclusion
if treatment is required, there are a number of destructive, antiproliferative, immunomodulatory modalities available. Combination therapies have been shown to be advantageous. Cryotherapy combined with imiquimod appears to be very commonly used..
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Genital Warts: Treatment Algorithm
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