Management of Large Condyloma Acuminata (Giant anal Warts) management by Surgical excision and fulgration

 The case with large condyloma Acuminata (Giant Anal warts) of the patient which was managed by surgical excision and fulgration. (This is part 7a of the series of management of Ano-genital warts) 

warts management gaint condyloma 7a from pawanlal on Vimeo.

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This is part 7 of the series of management of ano-genital warts. This is a case of giant anal warts (Gaint Anal Condyloma Acuminata). Patient had history of unprotected sex 2 years back after which he started developing anal warts. He tried all sorts of home remedies, he could find on google, but none of them worked on him. Finally he sought medical advise after one and half year of the occurence of warts. By this time the warts had grown to large size and had involved whole of anal canal and surrounding area. Patient was advised medical management first, but since he was having repeated infections and bleeding and also difficulty in passing stools, it was decided to go for surgical excision and fulgration of warts. In this video the demonstration of removal of the warts with the fulgration of base is done. Each wart is individually removed and base fulgrated. The surgery was done in local anaesthesia and patient tolerated it well. Local anaesthesia avoids complications of regional and general anesthesia. Also the recovery is faster and patient mobilized almost immediately.

The post operative recovery was good, there was no scarring or pigmentation of the peri-anal skin but unfortunately patient had recurrence. The recurrence was attributed to the remaining intra-anal warts (warts left behind in anal canal). The management of intra-anal warts will be discussed and demonstrated in subsequent video (part 7b of the series of management of ano-genital warts)