How to correctly diagnose and treat genital warts

 　　Mr. Li has been having trouble sleeping and eating recently. There are two small black spots like moles on my penis inexplicably. I don’t know what they are. After searching on the Internet, he felt that it looked like genital warts, which made him even more frightened. So he went to the drugstore to buy the corrosive agent and applied it according to the method online.……

　　Genital warts are easily associated with other non- sexually transmitted diseases of skin disease If you are confused and find abnormalities in your genital skin, you should go to a regular Hospital dermatology and venereology specialists.

　　Papules on the genitals are not necessarily sexually transmitted diseases

　　sexual organs disease It does not mean that it is a sexually transmitted disease. Papules on the genital skin do not necessarily mean genital warts. Genital warts are easily confused with other genital skin diseases, such as pearly papulosis, pseudocondyloma, plana condyloma, Bowenoid papulosis, etc. Some penile cancers also have such symptoms in their early stages.

　　Genital warts are easily confused with common warts and flat warts. However, there are obvious differences between the three. The small papules produced by genital warts are usually small cone-shaped fleshy particles, which are often found on the external genitalia and perianal area. They are mostly pink and cauliflower-shaped. The surface is very brittle and can be easily removed by hand. They are prone to bleeding and infection. The papules of common warts and flat warts generally have flat surfaces, the former is rough and the latter is smooth, mostly black or brown. Flat warts tend to occur on the face and back of hands and can be removed by scraping them hard. ； Common warts tend to occur on the fingers, toes, and soles of the feet and are difficult to remove unless you use scissors.

　　Cannot rely on anecdotal methods to identify

　　It is rumored on the Internet that genital warts can be tested by soaking them in white vinegar. If the color turns white after soaking, the diagnosis can be confirmed. The concentration of acetic acid used in medical acetic acid whitening tests to detect genital warts is about 5%, while the concentration of acetic acid for household consumption is less than 1%. This statement is not accurate.

　　Even the acetic acid whitening experiment was only conducted in Asia clinical Useful during the infectious and overt infectious periods. In the subclinical stage of infection, no symptoms are often visible to the naked eye, but viral infection can be detected through an acetate white test. If small, cauliflower-like excrescences appear, gradually increase in number and grow in size, it indicates that the infection has entered the dominant infection stage, and doctors can confirm the diagnosis through naked eye observation. There is an incubation period before subclinical infection. The patient is infected with the virus but has no clinical manifestations and cannot be detected by the acetate white test. The diagnosis can only be confirmed through viral nucleic acid detection. There is also a situation where the virus does not necessarily cause illness, but it can be transmitted to people around you through sexual and non-sexual contact (such as person-object-person).

　　tip Genital warts usually require multiple treatments

　　Genital warts are a disease that is prone to recurrence, and the recurrence rate after one treatment is 40% to 60%. The cause of recurrence is related to the depth and scope of treatment and subclinical infection. The environment that causes genital warts locally (such as microtrauma to the vulva, bacterial and fungal infections) and improper lifestyle may also lead to recurrence.

　　To treat genital warts, you should go to a regular hospital for medical treatment at a dermatology and venereal disease specialist. Do not go to small clinics, and do not listen to advertisements or online rumors to treat yourself to prevent improper use of medication, which may lead to rot, edema or ulcers in the affected area, aggravating the condition. Although the "little fleshy particles" of genital warts only grow on the surface of the epidermis, the virus has already penetrated deep into the epidermis. Therefore, even if the "little fleshy particles" can be easily picked off, the virus still exists. For recurring male For genital warts, excessive foreskin may be one of the susceptibility factors, and the foreskin should be removed.

　　At present, the treatment of genital warts generally uses laser, microwave, freezing, electrocautery, topical drugs and immunotherapy. If necessary, surgical removal is required. There is also a new type of photodynamic therapy that can reduce the number of recurrences.