HPV types 16, 18, 31, 33, and 35 are also occasionally found in anogenital warts usually as co-infections with HPV 6 or 11 and can be associated with foci of high-grade squamous intraepithelial lesions HSIL , particularly in persons who have HIV infection. In addition to anogenital warts, HPV types 6 and 11 have been associated with conjunctival, nasal, oral, and laryngeal warts. Anogenital warts are usually asymptomatic, but depending on the size and anatomic location, they can be painful or pruritic. They are usually flat, papular, or pedunculated growths on the genital mucosa. Anogenital warts occur commonly at certain anatomic sites, including around the vaginal introitus, under the foreskin of the uncircumcised penis, and on the shaft of the circumcised penis. Warts can also occur at multiple sites in the anogenital epithelium or within the anogenital tract e.
Anal warts: Symptoms, diagnosis, and treatment
In a Pap test, your doctor uses a vaginal speculum to hold your vaginal walls apart and to see the cervix. Next, a sample of cells from your cervix is collected using a small cone-shaped brush and a tiny plastic spatula 1 and 2. Your doctor then rinses the brush and spatula in a liquid-filled vial 3 and sends the vial to a laboratory for testing. For women, it's important to have regular pelvic exams and Pap tests, which can help detect vaginal and cervical changes caused by genital warts or the early signs of cervical cancer. During a Pap test, your doctor uses a device called a speculum to hold open your vagina and see the passage between your vagina and your uterus cervix.
Anal warts are small warts that can occur inside and around the anus. The condition is also called condyloma acuminata. Anal warts are a form of genital warts.
The incidence of condylomata acuminata, commonly known as anogenital warts, is increasing. These guidelines conform to recommendations as for a Cochrane review and focus on sharing management between specialists and primary care physicians. There has been a shift in the focus of treatment towards topical self treatment for patients, using agents such as podophyllotoxin 0.