Genital warts (condylomas) are among the most common manifestations of HPV infection. While cryotherapy is effective for small and superficial warts, warts with a broad base or those that have extended into deeper tissues require more advanced treatments. At this point, surgical excision and electrocauterization are used.
What Are Electrocauterization and Surgical Excision?
Surgical excision involves completely removing wart tissue, including its roots beneath the skin. Electrocauterization is the process of applying electrical current to the excised area to burn the tissue, ensuring complete removal and reducing the risk of recurrence. When used together, these methods ensure the wart is removed with its roots, significantly lowering the chance of regrowth.
How Are Surgical Procedures for Genital Warts Performed?
- The procedure is typically done under local anesthesia.
- The wart base and roots are removed using surgical excision.
- Electrocauterization is then applied to the lesion base to ensure complete tissue removal.
- The wound is generally left to heal naturally through secondary intention, without suturing.
Advantages of Surgical Treatments for Genital Warts
- Most effective for deeply located and broad-based warts.
- Lower recurrence risk compared to cryotherapy.
- Can be safely performed in a clinic setting.
- Provides a high long-term success rate.
Recovery After Genital Wart Surgery
- Healing may take slightly longer than with cryotherapy.
- Mild pain and tenderness can occur at the procedure site during the first days.
- The wound gradually heals on its own, with minimal scarring.
Final Notes
Electrocauterization and surgical excision are the gold standard for treating genital warts, especially for broad-based, deep tissue warts that do not respond to cryotherapy. When performed by experienced urologists, these procedures are safe, effective, and provide excellent results.
