Removal of condylomas by cryodestruction: features and advantages of the method

The sexually transmitted human papillomavirus is classified as a group of infections that are primarily dealt with by venereology. However, the localization of genital warts of viral origin, which prevails on the genitals, may also occur in the perianal space, oral mucosa or perineum. Then you should seek help from a urologist, proctologist or gynecologist.

Sexual contact with condylomas causes not only psychological problems. The possibility of injury is often realized and leads to bleeding, so the occurrence of condylomas includes the patient at an increased risk of developing bleeding and malignant oncological tumors.

A doctor who deals with the problem of genital warts usually recommends removal, especially in cases where the benign neoplasm is located at the site of contact with clothing, a partner, or feces. There are several possible destruction options, but choosing the most effective one can be difficult. It may depend on the location of the wart and its type, indications for use and general condition of the body.

Preparing to remove condylomas with nitrogen

Before cryodestruction of genital warts, the following is necessary:

• Examination by a doctor detailing complaints, the duration of the expected infection and assessing the number, size, and location of condylomas in a particular patient. For this purpose, women are examined in a gynecological chair.
• Research for the full range of sexually transmitted infections. To do this, a smear is taken from the urethra, cervix and vagina for women, and from the urethra for men, followed by laboratory testing. Laboratory diagnosis of scrapings and genital discharge is performed using microscopy and PCR.
• A smear test for oncocytology is performed for women with any manifestations of HPV to exclude dysplasia and cervical cancer.
• Blood tests for syphilis, HIV, viral hepatitis.

Simultaneous examination and treatment of the sexual partner is advisable.

Types of warts that can appear on intimate places

The content of the article

Genital warts or genital warts

- soft formations that often merge with each other, forming large lesions that resemble cauliflower or rooster combs in appearance. If you do not get rid of warts in intimate places in time, they will spread to the entire genital area, including the area around the anus. The formations hurt, fester, become inflamed, interfere with sexual activity, defecation and urination, causing an unpleasant odor emanating from the genitals. The virus can spread throughout the genital area, and in women it can affect the cervix, leading to the formation of cancerous tumors.

Bowenoid papulosis

– warty growths in intimate places, also caused by papillomavirus. Skin lesions occur on the genitals, perineum, area around the anus, and inner thighs. Warts are soft and smooth, with a brownish, pink, purple or yellowish color. There is another form of the disease in which flat, hard, warty growths appear on the genitals. The rashes form large lesions, bleed, and interfere with sexual activity, hygiene, and the exercise of natural needs.

Giant Buschke-Levenshtein condyloma

- a large warty growth in the intimate area, characterized by rapid growth and large size. The reason for their appearance is the papillomavirus, which spreads from untreated warts. The disease is classified as precancerous because it often becomes malignant.

Contraindications for cryodestruction of condylomas

Contraindications for removing condylomas with liquid nitrogen:

• The presence of other sexually transmitted infections (gonorrhea, trichomoniasis, chlamydia, urogenital mycoplasmosis, syphilis, genital herpes). Before cryodestruction of condylomas in these cases, preliminary sanitation of these infections is required.
• The presence of individual intolerance to cold. This may be indicated by the appearance of any itchy rash when exposed to cold (usually like urticaria). To perform a cold test, applying an ice cube to the skin can be used, followed by assessing the patient's condition.
• Feverish conditions accompanying ARVI, exacerbations of chronic diseases.
• Decompensation of diabetes mellitus, cardiac activity.

be careful

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Reviews from patients indicate a complete absence of pain:

Tatyana from Moscow : I have already removed many moles, despite the fact that the doctor did not recommend such actions. Getting rid of the defects was quick and painless. Recently, a condyloma of small size was discovered in the perineum. The doctor recommended waiting until she grows up. But I already knew the benefits of the laser and took the risk of removing it against his advice. After the operation there were no scars left, although I had to wait until it healed.

Pavel, Kostroma : The operation itself was simple, and it didn’t hurt at all. After that, any trip to the toilet was simply a punishment. But I never regret it, because I only saw two papillomas, but there were about a dozen of them. The proctologist said that they would have gathered in a cluster, and it is not known what else would have happened. And so I suffered a little, and even then it was not the time of the operation, but while it was healing.

Vasily, Omsk: I don’t understand much about medicine. There was some growth, it didn’t itch or hurt, and then I saw that there were already three of them. I was afraid and put it off, it became 4. I had to make a decision. It hurt while the medicine was being injected, but then everything turned out fine. Remove with laser. It's simple and fast.

We invite you to watch a video about laser removal of condylomas.

Stages of cryodestruction of condylomas

The procedure for removing condylomas with liquid nitrogen is as follows:

• After examining the doctor and conducting the necessary research, eliminating contraindications, the patient takes a comfortable position on the couch or gynecological chair, exposing the affected area from clothing.
• Preliminary anesthesia is not required, since the freezing procedure is short-term (10 to 30 seconds) and tolerable. A tingling sensation and slight burning sensation may be present.
• Liquid nitrogen is applied to the areas of condylomas using a cotton swab attached to a wooden stick or tweezers, after immersing them in a container of liquid nitrogen. It is also possible to apply non-contact liquid nitrogen in the form of an aerosol through a special apparatus - a cryodestructor. The time and area of ​​exposure to liquid nitrogen and the frequency of cooling are determined individually depending on the size of condylomas and their location.

After the cryodestruction procedure, the patient is able to work, but minimal restrictions are recommended.

How to get rid of warts in intimate places

If you have such formations on the skin, you should definitely contact the clinic. Various folk methods only contribute to the spread of infection and the spread of papillomavirus.

Modern medicine gets rid of warts in the intimate area without the formation of scars and retracted areas. After the procedures, the tissues heal quickly.

Methods for getting rid of warts in intimate places:

• Laser – in this case, you can get rid of warts on the pubis and genitals using a laser beam. The method is based on exposure to light emitted by carbon dioxide (CO2), neodymium and other types of lasers. At the same time, the cellular and intercellular fluid inside the wart heats up, and biochemical mechanisms are launched that destroy tissue. As a result, the growth evaporates, and in its place a crust forms - a scab, under which tissue regeneration takes place. After it falls off, a lightish or pinkish area remains, which gradually acquires its normal color.
• Radio wave – you can get rid of warts between the legs using a special device called a radio knife. This device emits high-frequency radio waves that heat the fluid inside the growth. As a result, the cells that make up the warts rupture and the liquid evaporates. A crust also remains at the site of exposure, which then falls off, leaving no scars or other noticeable marks.

Advantages of cryodestruction of condylomas

Among the advantages of removing condylomas with liquid nitrogen:

• no anesthesia is required, which is important if some patients are intolerant to local anesthetics;
• there is no violation of the integrity of the skin and mucous membranes, no bleeding occurs, the risks of secondary infection are reduced;
• no scars form after removal;
• the low temperature of liquid nitrogen has a detrimental effect on the human papillomavirus;
• If there is metal in the body and a fresh tan, cryodestruction is preferable, since hardware methods are impossible in these cases.

Surgery to remove growths

The traditional method of removing warts is cryodestruction. The procedure is carried out using gas, which at a temperature of -196 degrees cools and becomes liquid. Next comes the temperature effect on the growths.

Liquid nitrogen is applied to the affected area of ​​the body, which helps to freeze the water in the space between the cells and inside the cells themselves. As a result of freezing of water in the intercellular space, the cell “dies”, thus tissue necrosis occurs. Cells that are subject to pathological changes die, then the process of regeneration of the epidermis begins under the destroyed tissue.

The manipulation takes place without any particular discomfort, and therefore most often does not require pain relief. The exception is people who have a very low sensitivity threshold. Such patients are given local anesthesia with lidocaine or novocaine. One of the advantages of the operation is the complete absence of bleeding, because the influence of the low temperature completely blocks the damaged vessels.

The nitrogen method of genital wart removal allows you to destroy single growths and their overgrown neoplasms measuring 10 millimeters up to 20 pieces in just one procedure. The disadvantage of the manipulation is that it is impossible to control the depth of exposure to nitrogen, so the wart may not be completely destroyed and at least 1 more procedure will be required.

Recommendations for the patient after cryodestruction of genital warts

After removing condylomas with nitrogen, it is important:

• To prevent relapses, examination and treatment of the sexual partner is necessary.
• Limit intimacy until complete sanitation and restoration of the skin after removal of condylomas.
• Change your underwear daily and monitor the hygiene of your intimate areas. If a “wound” forms at the site of condyloma rejection, it is necessary to treat the skin defect with antiseptic agents (a solution of chlorhexidine, miramistin, aniline dyes, manganese).
• Replace household items (washcloths and razors) with new ones or thoroughly disinfect them. It is enough to wash towels and bed linen at maximum temperature and iron them with a hot iron.
• Refuse to visit swimming pools, baths and public bodies of water for a period of 1 month after cryodestruction.

Even if there are no complaints, you need to come for a follow-up examination to the doctor within the recommended time frame.

Rehabilitation period after removal

During the procedure, laser beams stimulate the process of tissue regeneration, so recovery after laser removal of condylomas is quite fast. To avoid the development of adverse complications, several rules should be followed during the rehabilitation period:

• during the first days, treat the removal area with an antiseptic drug (as prescribed by a doctor);
• do not engage in intimate relationships;
• during the first 24 hours, refuse hygienic water procedures;
• avoid intense physical activity;
• do not visit the sauna, swimming pool and solarium;
• do not take hot baths.

Laser therapy is aimed at eliminating only the external manifestations of the disease, and not its cause. To avoid re-formation of condylomas, drug treatment is prescribed after laser removal.

It involves taking antiviral and immunoprotective drugs. Properly selected drug therapy can stop the spread of infection and increase the body's protective functions.

Is it painful to remove warts on the genitals and how long does this procedure take?

Removal of warts in the clinic using a radio knife and laser is not accompanied by severe pain. However, local anesthesia is performed to eliminate discomfort.

The duration of the procedure depends on the number of warts present, but it usually takes about 5 minutes. With a large number of growths or their large sizes, removal takes longer, so it is better to get rid of genital warts as early as possible.

What is the healing rate after coagulation?

If you are planning to remove condylomas, the main question will be: “How quickly does healing occur after coagulation?”

Before the procedure, the doctor will carefully examine the formation and make an accurate conclusion.

The timing of skin restoration will depend on the volume of the removed lesion.

You should take into account the number of condylomas removed and your state of health.

The average time frame is 1.5 – 3 weeks.

Usually this time is enough for complete regeneration.

Differences between laser and electrocoagulation methods

The mechanism of the effect of electricity on skin neoplasms causes an increase in the resistance of the skin to the discharge of electricity passed through them. As a result, the temperature at the site of exposure increases significantly, the cells become dehydrated and die.

Laser devices emit a focused laser beam at a high temperature onto the area affected by condyloma, which causes a similar process of skin loss of moisture, and then the destruction of its dehydrated cells.

Electrocoagulation of condylomas is carried out using special electrodes. They are installed on the new growth and burned out to the very base. In this case, the tip of the condyloma can be held with tweezers, while the action of the electrode “cuts” it from the skin from the base.

A laser device with a special attachment destroys condyloma from the top to the very base.

Both methods make it possible to get rid of not only genital warts. They are also used to remove:

• papillomas;
• dry calluses;
• plantar warts;
• hemangiomas;
• spider veins;
• molluscum contagiosum;
• milia;
• atherom.

In addition, exposure to current allows you to remove some new growths on the skin that cannot be removed by laser - these are warts, fibromas and xanthelasmas. At the same time, laser coagulation is used to remove tattoos and keloid scars.

Both methods are quite painful for the patient, so they are usually performed under local anesthesia.

Which doctor performs coagulation of condylomas?

If you are interested in which specialist performs the procedure, we will answer this question.

As a rule, manipulations are performed by a dermatologist or dermatovenerologist.

The procedure requires special skills.

Removal is carried out only in a medical office that meets the requirements.

Before the procedure, an examination and diagnosis are required.

The doctor will explain in detail all the advantages and disadvantages of condyloma coagulation and tell you how to prepare.

If infections or concomitant diseases are detected, the doctor will prescribe treatment.

Attention! You should not go to various beauty salons to remove growths or condylomas.

This is quite dangerous and can lead to complications.

It is not recommended to carry out manipulation at home.

In an ordinary room it is impossible to create the necessary conditions for performing a medical procedure.

If you need to remove condylomas efficiently, using electrocoagulation, or chemically, contact our medical center.

Our dermatologists have extensive experience in removing various formations.

They will help you choose the optimal removal method and carry out the procedure as safely as possible.

Independent chemical coagulation of condylomas

Nowadays it is quite easy to find drugs for chemical coagulation of condylomas.

They can be ordered at almost any pharmacy.

We strongly do not recommend removing condylomas at home using chemicals.

Experience shows that it is almost impossible to achieve a good result in this way.

As a result, burns from chemical coagulation of condylomas, scars and other unpleasant things appear.

Remember! Restoring the skin after such treatment is much more difficult.

If you need high-quality removal of condylomas, consult a specialist.

The doctor will conduct a full examination, examine the affected areas, and recommend the safest method of removal.

Do not forget about antiviral therapy, which is prescribed to prevent a rapid relapse.

When you are treating condylomas, your partner should also be examined.

HPV tends to be transmitted through sexual contact.

Even if you use contraception, this is possible.

Treatment is prescribed to both partners simultaneously in order to avoid relapses.

Therapy must be comprehensive.

After electrocoagulation, both partners are prescribed antiviral treatment.

The duration of medication and dosage are determined by the doctor.