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HPV is the most common tumor of the vulva. The incubation period varies from weeks to
Clinical evaluation
Condyloma acuminata lesions appear as rough, verrucous papillomas on the genitalia human papilloma virus and genital warts, papiloma, worts. Enlargement often occurs during pregnancy and sometimes
No practical screening tests for subclinical infection exist. Pap smear diagnosis of HPV does not correlate well with detection of HPV DNA.
Treatment of genital/perianal warts
Cryosurgery with liquid nitrogen or cryoprobe is more effective than
Podophyllin 25% in of benzoin may be applied and washed off 4 hours later. Two or 3 applications, 1 week apart, may be needed. Podophyllin should not be used on the vagina or cervix; it is contraindicated in
Podofilox 0.5% ( Condylox) solution for self-treatment: Apply twice daily for 3 days followed by 4 days of no therapy. This cycle may be
Surgical excision and electrocoagulation or laser may be
Large, bulky or extensive lesions
General anesthesia and wire loop cautery is effective.
Topical 5-fluorouracil cream in a 1-2% concentration is effective in the treatment of vaginal condylomata; it is
Recurrence rates are high (25% within 3 months). No therapy has been proven to eradicate HPV.
Partner referral
Examination is
Annual Pap smears are recommended for partners, independent of
The use of condoms may