How does Western medicine treat genital warts?

　　Genital warts are a sexually transmitted disease caused by human papillomavirus (HPV) infection disease . The main types are HPV types 1, 2, 6, 11, 16, 18, 31, 33 and 35, among which long-term infection with HPV types 16 and 18 may be related to female cervical cancer related to the occurrence.

　　Since there are no specific antiviral drugs at present, the treatment of genital warts must adopt comprehensive treatment.

　　(1) Treatment incentives: (excessive leucorrhea, excessive foreskin, gonorrhea).

　　(2) Improve the body’s immunity.

　　(3) Application of anti-disease drugs. Generally, as long as you adhere to regular comprehensive treatment, you can achieve clinical Recovered, but the chance of recurrence is over 90%.

　　1. Surgical therapy: Single and small condyloma can be surgically removed; large condyloma can be removed by Mohs surgery. During the operation, frozen sections are used to check whether the damage has been completely removed. The recurrence rate of a single operation is very high.

　　2. Cryotherapy uses liquid nitrogen at a low temperature of -196°C to treat condyloma acuminatum using a pressure freezing method to promote necrosis and shedding of wart tissue. This method is suitable for small numbers and small area of ​​condyloma. It can be treated in 1-2 times with an interval of one week. This method can generally remove warts and is prone to recurrence.

　　3. Laser treatment usually uses CO2 laser and cauterization method to treat genital warts. This therapy is most suitable for genital warts on the vulva, penis or perianal area. Single or a small number of multiple genital warts can be treated once, and multiple or large-area genital warts can be treated 2-3 times. The recurrence period is usually 20 days to 3 months.

　　4. Electrocautery treatment uses high-frequency electroacupuncture or electrosurgery to remove genital warts. Method: local anesthesia, followed by electrocautery. This therapy is suitable for a small number and small area of ​​genital warts. This method only removes the warts.

　　5. Microwave treatment uses a microwave surgical treatment machine and local anesthesia with lidocaine. The tip of the rod-shaped radiation probe is inserted into the sharp wettery until it reaches the base of the wart. When the wart becomes smaller, darker in color, and changes from soft to hard, the thermal radiation coagulation is completed and the probe can be withdrawn. Coagulated lesions can be removed with forceps. To prevent recurrence, the remaining base can be coagulated again.

　　6. Beta-ray treatment We have achieved relatively satisfactory results by applying beta-rays to treat genital warts. This method is highly effective, painless, non-injurious, has few side effects, and has a recurrence rate of over 80%. It has certain clinical promotion value.

　　7. Drug therapy

　　(1) Antiviral drugs: 5% phthalamide cream or 0.25% herpes net ointment can be used, applied externally twice a day. Acyclovir is taken orally, 200 mg 5 times a day, or used externally as an ointment, and 3 million units of α-interferon are injected daily, five days a week. Or inject 3 million units of interferon into the base of the wart, twice a week. If used continuously for 2-3 weeks, the main side effect is influenza-like syndrome, and the chance of recurrence is high with this method.

　　(2) Corrosives or disinfectants: 30%-50% trichloroacetic acid or saturated dichloroacetic acid, or 18% peracetic acid are commonly used. Use a 100ml mixed solution of 10% salicylic acid glacial acetic acid or 40% formaldehyde, 2% liquefied phenol, and 75% ethanol distilled water, and apply it locally on the glans and perianal condyloma. Once a day or every other day, the effect is very good. Disinfectant can be applied externally with 20% iodine tincture, or injected into the base of the wart with 2.5-5% iodine tincture, 0.1-1.5ml each time, or externally applied with oxalazole or 0.1-0.2%. The latter needs to be combined with systemic therapy to clear the wart.

　　(3) Anticancer drugs

　　①5-Fluorouracil (5-F u): Generally, 5% ointment or cream is used externally, twice a day, and 3 weeks is a course of treatment. 2.5%~5% fluorouracil wet compress is used to treat genital warts on the penis and perianal area. The application is applied for 20 minutes each time, once a day, and 6 times is a course of treatment. Polyethylene glycol can also be used as the base, and 5-FU powder accounting for 5% of the dry matter can be added to make a suppository to treat condylomata acuminatum in the urethra of men and women. 5-FU can also be injected basally, and more can be injected in batches.

　　② Thiotepa: Mainly used for condyloma in the urethra that fails to be treated with 5-FU. Suppositories (each containing 15 mg) should be used daily for 8 days. Thiotepa can also be added to 10-15ml of disinfected water and instilled into the urethra every week for half an hour. Side effects include urethritis. You can also add 10 mg of this product to 10 ml and soak the affected area 3 times a day for half an hour each time to treat condyloma of the penis and glans coronal sulcus. It is mainly used for those who have residual warts or relapse after treatment with other methods. This solution can also be diluted twice and soaked locally to prevent recurrence.

　　③ Colchicine: 2-8% normal saline solution can be applied externally, applied twice, 72 hours apart, to treat penile genital warts. Superficial erosion may occur after application.