From the Guidelines
Colorectal surgeons, general surgeons with specialized training in anorectal procedures, or dermatologists with expertise in this area are the healthcare professionals who typically remove anorectal condyloma. The removal procedure depends on the size, number, and location of the warts. Small warts might be treated with topical medications like imiquimod, podofilox, or trichloroacetic acid 1. Larger warts often require surgical removal through techniques such as excision (cutting them out), electrocautery (burning them off), laser therapy, or cryotherapy (freezing them off) 1. Some key points to consider when removing anorectal condyloma include:
- The use of cryotherapy with liquid nitrogen or cryoprobe, which can be repeated every 1–2 weeks 1
- The application of podophyllin resin 10%–25% in a compound tincture of benzoin, trichloroacetic acid (TCA) or Bichloroacetic acid (BCA) 80%–90% 1
- Surgical removal either by tangential scissor excision, tangential shave excision, curettage, or electrosurgery 1 These procedures are usually performed in an outpatient setting under local anesthesia, though extensive cases might require general anesthesia. After removal, patients should follow up with their healthcare provider as recurrence is common, and the underlying HPV infection that causes these warts may persist even after the visible warts are gone 1. Regular screening for other HPV-related complications may be recommended, especially for high-risk patients.
From the Research
Anorectal Condyloma Removal
- The removal of anorectal condyloma can be performed by various medical professionals, including general surgeons and specialists in the field of colorectal surgery 2, 3.
- According to a study published in 2020, general surgery residents have gained more experience in anorectal procedures over time, including the removal of anorectal condyloma 2.
- A case report published in 2011 described the successful treatment of anorectal condyloma using a combined approach of carbon dioxide laser excision and endoscopic argon plasma coagulation, performed by a medical professional with expertise in the field 4.
- Another study published in 2020 reported the successful topical treatment of anal giant condylomata acuminata in an infant, highlighting the potential benefits of non-invasive treatment options for anorectal condyloma in selected cases 5.
- The American Board of Surgery database was queried in a study published in 2002, which found that general surgeons perform a substantial number of colon resections and relatively few anorectal cases, suggesting that anorectal condyloma removal may be performed by specialists in the field of colorectal surgery 3.