Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case report
Background: Visible genital warts are caused by the nearly 100 recognized strains of human papillomavirus (HPV). HPV infections caused by high-risk strains are associated with significant morbidity and mortality rates. Genital warts are diagnosed by visual inspection and treated by three major metho...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911220300564 |
| _version_ | 1818037030898106368 |
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| author | Paula Gutierrez John Garza Kushal Gandhi Alesia Voice Elea Stout Gary Ventolini |
| author_facet | Paula Gutierrez John Garza Kushal Gandhi Alesia Voice Elea Stout Gary Ventolini |
| author_sort | Paula Gutierrez |
| collection | DOAJ |
| description | Background: Visible genital warts are caused by the nearly 100 recognized strains of human papillomavirus (HPV). HPV infections caused by high-risk strains are associated with significant morbidity and mortality rates. Genital warts are diagnosed by visual inspection and treated by three major methods: topical agents, systemic agents, and surgical therapies. CO2 laser ablation is the best treatment option for warts that present as refractory, thick, extensive lesions. CO2 ablation offers benefits such as a painless procedure, increased clearance rate, lesser side-effects and decreased pain. Case Presentation: An 18-year old patient was referred to the obstetric/gynecology clinic and presented with severe urinary complications. She complained of dysuria, frequency, vaginal irritation, and spraying while voiding. Physical exam was within normal limits; however, genital examination revealed a 3 cm fungating mass corresponding to a large genital wart at the urethral meatus and peri-urethral area. Due to her progressing symptomatology, CO2 laser ablation therapy was advised. Discussion: HPV directly impacts the public health system, affecting 1% of the US population with an estimated 10–20% prevalence rate. Treatment options such as CO2 laser ablation offers complete removal for most patients with limited side-effects. Accurate follow-up is necessary to monitor proper recovery. Conclusion: CO2 laser ablation is considered an effective form of therapy in cases where immediate removal is desired and surgical excision is not recommended. CO2 laser ablation provides high clearance rates and minimal instances of recurrence, as well as superior aesthetic outcome. |
| first_indexed | 2024-12-10T07:20:22Z |
| format | Article |
| id | doaj.art-8905d085db4743beabe30d93997ced5d |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-12-10T07:20:22Z |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-8905d085db4743beabe30d93997ced5d2022-12-22T01:57:50ZengElsevierCase Reports in Women's Health2214-91122020-07-0127e00226Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case reportPaula Gutierrez0John Garza1Kushal Gandhi2Alesia Voice3Elea Stout4Gary Ventolini5School of Medicine, Texas Tech University Health Sciences Center (TTUHSC) at the Permian Basin, TX, USA; The University of Texas Permian Basin (UTPB), Odessa, TX, USASchool of Medicine, Texas Tech University Health Sciences Center (TTUHSC) at the Permian Basin, TX, USA; The University of Texas Permian Basin (UTPB), Odessa, TX, USASchool of Medicine, Texas Tech University Health Sciences Center (TTUHSC) at the Permian Basin, TX, USASchool of Medicine, Texas Tech University Health Sciences Center (TTUHSC) at the Permian Basin, TX, USASchool of Medicine, Texas Tech University Health Sciences Center (TTUHSC) at the Permian Basin, TX, USA; The University of Texas Permian Basin (UTPB), Odessa, TX, USASchool of Medicine, Texas Tech University Health Sciences Center (TTUHSC) at the Permian Basin, TX, USA; Corresponding author at: School of Medicine, Texas Tech University Health Sciences Center at the Permian Basin, 800 W. 4th Street, Odessa, TX 79763, USA.Background: Visible genital warts are caused by the nearly 100 recognized strains of human papillomavirus (HPV). HPV infections caused by high-risk strains are associated with significant morbidity and mortality rates. Genital warts are diagnosed by visual inspection and treated by three major methods: topical agents, systemic agents, and surgical therapies. CO2 laser ablation is the best treatment option for warts that present as refractory, thick, extensive lesions. CO2 ablation offers benefits such as a painless procedure, increased clearance rate, lesser side-effects and decreased pain. Case Presentation: An 18-year old patient was referred to the obstetric/gynecology clinic and presented with severe urinary complications. She complained of dysuria, frequency, vaginal irritation, and spraying while voiding. Physical exam was within normal limits; however, genital examination revealed a 3 cm fungating mass corresponding to a large genital wart at the urethral meatus and peri-urethral area. Due to her progressing symptomatology, CO2 laser ablation therapy was advised. Discussion: HPV directly impacts the public health system, affecting 1% of the US population with an estimated 10–20% prevalence rate. Treatment options such as CO2 laser ablation offers complete removal for most patients with limited side-effects. Accurate follow-up is necessary to monitor proper recovery. Conclusion: CO2 laser ablation is considered an effective form of therapy in cases where immediate removal is desired and surgical excision is not recommended. CO2 laser ablation provides high clearance rates and minimal instances of recurrence, as well as superior aesthetic outcome.http://www.sciencedirect.com/science/article/pii/S2214911220300564Human papillomavirusGenital wartSexually transmitted diseaseCO2 laser ablationCase report |
| spellingShingle | Paula Gutierrez John Garza Kushal Gandhi Alesia Voice Elea Stout Gary Ventolini Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case report Case Reports in Women's Health Human papillomavirus Genital wart Sexually transmitted disease CO2 laser ablation Case report |
| title | Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case report |
| title_full | Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case report |
| title_fullStr | Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case report |
| title_full_unstemmed | Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case report |
| title_short | Carbon dioxide (CO2) laser ablation treatment of a peri-urethral genital wart: A case report |
| title_sort | carbon dioxide co2 laser ablation treatment of a peri urethral genital wart a case report |
| topic | Human papillomavirus Genital wart Sexually transmitted disease CO2 laser ablation Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2214911220300564 |
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