Condylomas, also called genital warts with skin changes, which are caused by infection with the human papillomavirus. The infection is sexually transmitted, and the transmission of the virus from the mother to the child during childbirth is also possible.
There are two main forms: condylomata acuminata and giant condylomata (condylomata gigantea, Buschke-Lowenstein tumors).
Condylomas are whitish or brownish pimples or nodules that gradually increase in number and size. Over time, their surface changes from smooth to uneven, with the growth reminiscent of cauliflower. Infected skin areas sometimes do not cause pain, but itching is possible. In older ones, there may be discharge and even slight bleeding during sexual intercourse. In women, they are most often localized in the area of the labia majora and labia minora, the vagina and sometimes the cervix. In men, the glans penis, the entrance to the urethra and the foreskin are most often affected. In both sexes, it can be localized around the anus. Genital warts in women are a condition that requires immediate treatment, because if they appear in the area of the cervix, the conditions for the improvement of cancer are created.
Giant condylomas of Buschke-Löwenstein are a variety of condylomas acuminata. They are massive growths, most often located around the anus or around the foreskin. They begin as simple acute condylomas, which quickly grow and form tumor-like formations, in which malignant degeneration is also possible.
Treatment of warts is often difficult, and it is possible for them to reappear after their removal. This happens not because of a new infection, but because treatment only destroys the existing wart, but does not destroy the virus that continues to live in the skin. There is no known method to completely remove the virus from the body.
The treatment depends on the size, location and number of warts by applying local means (solutions, creams), means to increase the local and general immunity of the person. Removal of condylomas is done with laser, cryotherapy or surgery.