Male genital warts treatment must be integrated: therapeutic incentives (prepuce, gonorrhea), improve immunity, antiviral. Generally as long as adhere to standardized comprehensive treatment are cured. Physical therapy may also be used, such as laser, electrocautery, freezing and so on. First, the need for increased immunity.
1. Surgical treatment
Treatment incentives: prepuce, gonorrhea. For single, small area warts can be surgically removed; on the huge warts and can be used Mohs's surgery. When surgical biopsy freeze damage if excision.
2. Cryotherapy
The use of low-temperature -196 ℃ liquid nitrogen, freezing method using pressure treatment of genital warts, and promote wart tissue necrosis. This law applies to a small number, a small area of genital warts. 1 to 2 times a feasible treatment interval of one week.
3. Laser treatment
Usually CO2 laser using cauterization treatment of genital warts, this therapy is ideal for penis or perianal warts. For single or small number of multiple warts possible one-time treatment of multiple warts or large area of 2 to 3 times a viable treatment interval is usually one week.
4. electrocautery treatment
High frequency electric knife excision EA or warts. This treatment applies to a small number, a small area of genital warts.
5. The microwave treatment
Microwave surgery, lidocaine local anesthesia, the rod-shaped probe tip of radiation directly to the wart genital warts insert substrate, when you see the wart smaller, darken, when the soft to hard, the completion of the solidification heat radiation, namely withdrawable probe. Solidification of the lesions can clamp the clip removed. To prevent recurrence, can repeat the bottom of the remaining base solidified again.
6.β- ray treatment
This method is effective, no pain, no injury, less side effects, recurrence rate, in clinical promotional value.
7. Drug Therapy
(1) podophyllin this therapy is suitable for warts moist areas, such as occurred in the prepuce and the glans never circumcision surgery genital warts. With 20% podophyllin tincture applied to lesions at or before treatment to protect the quality of oil antibacterial cream normal skin or mucous membrane lesions around, and then applicator. 4 to 6 hours after treatment with 30% boric acid water or soapy water. If necessary, repeat after 3 days of medication. The drug is a drug of choice for treatment of this disease abroad, usually with once more.
(2) drugs to kill the virus is present, the macrocyclic triterpenoids main principle is the main treatment, macrocyclic triterpenoids can kill hidden in the skin and mucous membranes of the HPV virus. These drugs long course of treatment, the wart off slower, but the recurrence rate is very low.
(3) abrasives or disinfectant commonly 30% to 50% trichloroacetic acid, dichloroacetic acid, or saturated, or 18% peracetic acid. With 10% salicylic acid, acetic acid or 40% formaldehyde, 2% liquefied phenol, 75% ethanol mixed solution of distilled water 100ml, dispensing topically, for the glans, perianal warts, daily or every other day, with good results. 20% of available iodine disinfectants treated, or 2.5% to 5% iodine was injected into the base of the wart or treated with benzalkonium bromide, or with topical 0.1% to 0.2%, the latter must comply with systemic therapy.
(4) ①5- anticancer drug fluorouracil (5-Fu) 2.5% ~ 5% fluorouracil wet compress treatment of penile, perianal genital warts. Polyethylene glycol can also be used as a substrate was added 5% of its dry mass of 5-Fu powder made of suppository treatment of genital warts male urethra. 5-Fu substrate can also be injected, multi-batch injection may. ② thiotepa is mainly used for 5-Fu treatment failure urethral warts, side effects have urethritis. 10mg FDA also added 10ml saline soak the affected area, treatment of male penis, the glans Coronal warts. Mainly used after other methods of treatment, there are remnants of the wart or recurrence. This solution may be further diluted twice partial immersion, to prevent recurrence. ③ colchicine can be 2% to 8% saline solution treated, treatment of penile warts, superficial erosion can occur after coating.
