International Journal of STD & AIDS > Volume 19, Number 6 > Pp. 367-369

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bushby, S A Articles by Chauhan, M Search for Related Content PubMed PubMed Citation Social Bookmarking                      What's this?

Original research articles

Management of internal genital warts: do we all agree? A postal survey

S A Bushby MRCP DipGUM  and M Chauhan FRCOG

Department of Genito-urinary Medicine, Sunderland Royal Hospital, Kayll Road, Sunderland, Tyne & Wear SR4 7TP, UK

Correspondence to: Dr Stephen A Bushby Email: stephen.bushby{at}chs.northy.nhs.uk

A postal survey was undertaken to determine whether there was any consensus of opinion regarding the management of internal genital warts in genitourinary medicine clinics in the UK. Overall, 110 forms were returned (57% response). The majority of clinics would refer patients with cervical warts for colposcopy especially if the patient was over the age of 25 or HIV-positive. Proctoscopy or anoscopy was performed in 60% of clinics for patients with perianal warts to determine the presence of warts within the anal canal or rectum. Only 24% of patients with intra-anal warts are referred directly to surgery for biopsy, increasing to 61% if the patient has HIV infection. Cryotherapy is the main treatment for all types of internal warts. Our findings suggest there is no consensus and we recommend that all HIV-positive patients with anal or cervical condyloma should be investigated for evidence of intraepithelial neoplasia.

Key Words: papillomavirus • anal intraepithelial neoplasia • HIV

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?