6.3.5. Infections of the Genital Tract - Anogenital Warts

Question 1

What causes Anogenital Warts?

Answer 1

Human Papilloma Virus Types 6 and 11 (and occasionally Type 1)
Note - These are different strains from that which cause Cervical Cancer

Question 2

What are the Symptoms of Anogenital Warts?

Answer 2

1. Lumps with a Surface Texture of a small Cauliflower

2. Occasionally Itching / Bleeding - Especially if Perianal / Intraurethral

Question 3

What is the Epidemiology of Anogenital Warts?

Answer 3

1. > 90% of the UK Population have a genital HPV infection at some point in their life
2. Only 20% of those infected actually get a Wart
3. Drop in cases is anticipated in response to the Quadrivalent HPV Vaccine

Question 4

What are the Complications of Anogenital Warts?

Answer 4

1. None Common

2. Neonatal Laryngeal Papillomatosis

Question 5

How is an Anogenital Wart Diagnosed?

Answer 5

1. Appearance

2. Biopsy if Unusual - to exclude Intraepithelial Neoplasia (Rarely needed)

Question 6

What is the Treatment of Anogenital Warts?

Answer 6

1. Home Treatments:
2. a) Podophyllotoxin (Warticon / Condyline)
3. b) Imiquimod (Aldara)
4. Cryotherapy
5. Diathermy / Scissor Removal - For Bulky Warts