Male HPV is a member of the genus A of the family of Papillomaviridae, the virus particles are 50-55nm in diameter without the membrane of the positive 20-sided body constituting the viral shell, with a circular double-stranded DNA composed of 7,900 base pairs, the size and morphology of the viral particles under the electron microscope are extremely similar to those of the oromaviruses. Papillomaviruses (PV) are species-specific, and HPV has not yet been able to reproduce in tissue culture or experimental animal models.
Some patients have been associated with the use of immunosuppressive drugs.
Smoking is also an independent risk factor for acromegaly. Studies have shown that the incidence of warts in smokers is more than three times higher than in nonsmokers, and the incidence increases with the age of smokers and the number of cigarettes smoked per day, while smoking promotes the recurrence of warts. Drinking alcohol affects the activity of T-lymphocytes and suppresses the body's immunity. At the same time, alcohol can inhibit the central nervous system, reduce anxiety, enhance sexual desire, increase high-risk sexual behavior, to a certain extent, increase the occurrence and recurrence of warts.
Performance symptoms of this disease often have no conscious symptoms, some patients may appear local pain or itching. The first damage is a small reddish pimple, varying in size, single or cluster distribution, moist and soft, papillary, corns or cauliflower-like protrusion, red or dirty gray, the root of the root often has a tip, and easy to erosion oozing, touch easy to bleed. The skin lesions often have purulent secretions in the cracks, resulting in a foul odor, and every scratching and secondary infections. Due to the role of constant local moisture and chronic stimulation, often rapid growth. There are often no conscious symptoms, but some patients may experience localized pain or itching. Occasionally it may transform into squamous cell carcinoma.
The most frequent sites of this disease are the coronal groove, glans, prepuce, prepuce tie, urethral opening, urethra, penile body and root, perineum, perianal and intra-anal (rectum), groin and other places.
The incubation period of male condyloma acuminatum is 3 weeks to 8 months, 3 months on average, mostly seen in sexually active young and middle-aged men, the peak age of onset is 20 to 25 years old. Male patients with a disease course of 3 to 5 months will develop shortly after sexual contact; while male patients with a disease course of an average of 12 months may not develop the disease in their sexual contacts. Subclinical infections are lesions that are not clinically recognizable to the naked eye, but can be seen as whitening of the HPV-infected area with a 3% to 5% acetic acid topical application or a wet compress for 5 to 10 minutes, the so-called "whitening of the acetic acid phenomenon".
Harmful ulcers, bleeding
After the lesions increase in size, warts can cause localized foreign body as well as discomfort. As the onset of warts is mostly within the foreskin, urethra, labia, vagina, perianal area, etc., these parts are easily infected by microorganisms, and the hazards of warts can easily lead to ulcers, pus, bleeding, pain and swelling of the lesions.
Highly contagious
Can be transmitted to family members or other people. Male warts can be transmitted not only through sexual contact, but also through indirect contact with family members or friends through contaminated bath towels, tubs, underwear and other items.
Psychological burden, affecting family harmony
Male warts are a sexually transmitted disease, once diagnosed, a lot of patients will carry a heavy psychological burden. When the couple is sick, they will be suspicious of each other, leading to family disharmony, and even likely to lead to a marriage crisis.
The risk of cancer exists if you don't get treatment
The immune system of male patients with warts is suppressed, and the disease can recur repeatedly over a long period of time, making it tiresome, and, finally, leading to the possibility of genital cancer.
Treatment methods surgical treatment
Treatment of triggers: circumcision, gonorrhea. For single, small warts, can be surgically removed; for huge acromegaly, can be removed by Mohs' surgery. The surgery is performed with frozen sections to check whether the damage is removed cleanly.
Therapy
The use of -196 ℃ low temperature liquid nitrogen, the use of pressure-freezing method of treatment of warts, to promote wart tissue necrosis off. This method is suitable for a small number of warts with a small area. It is feasible to have 1 to 2 treatments with an interval of one week.
Laser therapy
Usually with a CO2 laser, using the cauterization method to treat warts, this therapy is most suitable for the penis or perianal warts. This is the best way to get the most out of your time and money, and it's also a great way to get the most out of your time and money.
Electrocautery treatment
The use of high-frequency electric needles or electric knife to remove warts. This treatment is suitable for a small number of warts with a small area.
Microwave treatment
Using microwave surgical treatment, local anesthesia with lidocaine, the tip of the rod-shaped radiation probe is inserted into the warts straight to the base of the warts, when the warts are seen to become smaller, darker in color, and hardened from softness, then the coagulation of the thermal radiation is completed, and you can pull out the probe. The coagulated lesions can be removed with tweezers. To prevent recurrence, coagulation can be repeated once for the remaining base.
Beta-ray therapy
This method is effective, painless, non-invasive, with few side effects and a low recurrence rate.
Drug therapy
Pedicarpal fat: this therapy is applicable to warts in moist areas, such as glans warts occurring in the prepuce without previous circumcision. Apply 20% tincture of foot leaf grass fat to the lesion, or use an oily antibacterial ointment to protect the normal skin or mucous membrane around the lesion before applying the medicine. Wash with 30% boric acid water or soapy water 4 to 6 hours after application. Repeat the medication 3 days later if necessary. The drug is used abroad for the treatment of the disease of choice, generally used once can be cured.
Virus-killing drugs: at present, mainly to the big ring triterpenoids, its main principle of treatment is that the big ring triterpenoids can kill the HPV virus latent in the skin mucosa. This type of drug treatment course is long, warts off more slowly, but the recurrence rate is very low.
Corrosives or disinfectants: commonly used 30% to 50% trichloroacetic acid, or saturated dichloroacetic acid, or 18% peroxyacetic acid. With 10% salicylic acid, glacial acetic acid or 40% formaldehyde, 2% liquefied phenol, 75% ethanol distilled water 100 ml mixed solution, spot-coated local, for glans, perianal warts, daily or every other day, the effect is very good. Disinfectant can be used 20% tincture of iodine applied externally, or 2.5% to 5% tincture of iodine injected into the base of the warts or with new cleaner external coating, or with 0.1% to 0.2% external, the latter need to be combined with systemic therapy.
Anti-cancer drugs: 5-fluorouracil (5-Fu) 2.5% to 5% fluorouracil wet compress treatment of the penis, perianal warts. Can also use polyethylene glycol as a substrate, adding 5% of its dry mass of 5-Fu powder made of suppositories, the treatment of male urethral condyloma acuminatum. Can also be used 5-Fu basal injection, more than one can be injected in batches.
Tiatica: mainly used for 5-Fu treatment failure of intraurethral condyloma acuminatum, side effects of urethritis. It can also be used to treat male penile and glans coronal warts by soaking the affected area with 10mg of this product added to 10ml of saline. It is mainly used for those who still have residual warts or recurrence after treatment by other methods. You can also dilute this solution two times again to soak the local, to prevent recurrence.
Colchicine: 2% to 8% saline solution can be applied externally for the treatment of penile warts, and superficial erosion can occur after application.
Dietary care in the removal of warts, warts, should quit smoking, alcohol. Each cigarette can make the body lose about 3 to 5 milligrams of VC, which is an important vitamin to enhance immunity.
Consistently take honey or royal jelly to enhance their resistance and immunity. Recurrence of warts often occurs when resistance is low.
You can consume some shiitake mushrooms, which contain a large number of polysaccharides, which can effectively improve the patient's cellular immune function, thus reducing the rate of recurrence of condyloma acuminatum.
Eat more food with high protein content and do physical exercise at the same time.
Preventive measures to eliminate sexual promiscuity
60 percent of people with warts contracted the disease through sexual contact. One side of the family contracted the disease from the community, and through sexual life infected spouse, and may be through close contact with life to other people at home, not only brought physical pain, but also caused family discord, back to the mental pressure. The fact is that the most important thing you can do is to make sure that you have a good understanding of what you are doing and how you are doing it.
Preventing contact infection
No use of other people's underwear, swimwear and bath tubs; in the public **** bathtubs do not wash the basin, advocating the shower, not sitting directly on the bathtub chair after the bath; in the public **** bathroom as much as possible to use squatting toilet; wash your hands with soap before; do not swim in the density of the swimming pool, disinfection is not strict.
Pay attention to personal hygiene
Wash and change your underwear daily, and wash your personal underwear separately. Even among family members, there should be one basin for each person and towels for separate use.
Sex should be prohibited after the illness of the spouse
If sex occurs during this period, condoms can be used for protection.
Female wartsFemale warts are epithelial proliferative lesions caused by human papillomavirus infection, one of the important sexually transmitted diseases. Warm and moist vulvar skin mucosa is conducive to its growth and reproduction, forming vulvar or vaginal warts. However, not all of them are warts. The incubation period of female warts is 2 to 3 months on average, and the development of the disease is not self-limiting, the symptoms are local itching, pain, and a few patients are asymptomatic. The first thing you need to do is to get a good deal of money to pay for the services you need.
Pseudo warts incubation period of 3 days to 3 weeks, self-limiting, generally asymptomatic, some local itching, most of the two sides of the labia minora symmetric distribution, rare two parts at the same time, the lesion was fish-like or pearl-like papules, some polyps, villi, do not merge, without a history of sexual promiscuity, 5% acetic acid coated with non-white. The etiology is not clear, it is thought to be mostly related to glucocorticoids, fungal infections or other chronic irritation.
Causes Bad Sex
Most sexually transmitted diseases are caused by bad sex. Women who have multiple sexual partners are very likely to have warts. Women who have sex at too young an age are also very likely to have warts, and if they have warts at a young age, it can have a serious impact on their fertility.
Immunity
Immunity is very easy to be infected by some diseases, such as lupus erythematosus, malignant tumors, kidney transplantation, the application of glucocorticoids, warts and the chances of recurrence will be doubled, and warts are large, not easy to treat. For immunocompromised patients must be careful to protect their own body, in life to do a good job of all kinds of preventive measures, so as to be able to well prevent the occurrence of warts.
Other Sexually Transmitted Diseases
Some other sexually transmitted diseases are also very likely to cause warts in women. Like gonorrhea, trichomoniasis, melioidosis, fungal infections, etc., these diseases will destroy the mucosal protective barrier, so that the ability to resist these infections, and make the local environment of the genitals become moist, so that the virus is easy to breed and multiply, which will lead to women to develop warts.
These are the first time I've ever seen a woman with an acromegaly in her body, and I've never seen a woman with an acromegaly in her body, so I've never seen a woman with an acromegaly in her body. Because some localized very hot and humid and has a chronic irritation, so the warts will quickly become larger, eventually became the size of the shape, such as papillary, cauliflower, corns or mycotic, these warts are very soft nature, a touch will be very easy to bleed.
Some patients with warts produce a white, dirty or reddish discharge during the onset of the disease, infiltrating the surface of the warts and causing great inconvenience to the lives of female patients. The root of the wart is very narrow and has a tip, the surface is also very wet, often oozing, vesicles, skin lesions, while in the fissure between the very purulent secretion pushed inside, so it is very easy to bacterial infection, and there is also a very strong foul odor. Women themselves feel the symptoms of the affected area is very itchy, burning pain or pressure.
Papillomas that harm non-genital areas
Through direct contact or indirect contact with contaminated items, they can lead to papillomas of the conjunctiva of the eye and papillomas of the oral mucosa.
Cancer
Malignant tumors are the most serious symptoms of warts. hpv16,18 infection, if the treatment is not the first time, in the future may lead to penile cancer, cervical cancer and other malignant tumors, early and thorough treatment is the most effective way to prevent warts cancer.
These are the first time that a person has ever had a wart in his or her life, and they are the first time that a person has ever had a wart in his or her life.
Ulceration, bleeding
The lesions can cause localized foreign body and discomfort when they increase in size and number. Because most of the lesions are found in the prepuce, urethra, labia, vagina, and perianal area, these areas are susceptible to microbial infections, leading to ulceration, pus, bleeding, pain, and swelling of the lesions.
Treatment MethodsSurgical Therapy
For single, small warts, they can be surgically removed; for huge warts, they can be removed with Mohs' surgery, which uses frozen sections to check whether the damage is removed cleanly.
Therapy
The use of -196 ℃ low temperature liquid nitrogen, the use of pressure-freezing method of treatment of warts, to promote warts necrosis of the tissue off, the method is suitable for a small number of small area of warts, feasible 1 ~ 2 times treatment, the interval time is one week.
Laser therapy
The CO2 laser is usually used to treat warts by cauterizing the warts, and this therapy is most suitable for warts on the female genitalia, penis or perianal area. The actual laser can be used to burn the skin, and it can also be used to burn the skin.
Electrocautery treatment
The use of high-frequency electric needles or electric knife to remove warts. The method: local anesthesia, and then electrocautery, this treatment is adapted to a small number of warts, small area.
Microwave treatment
Using microwave surgical treatment machine, lidocaine local anesthesia, the tip of the rod-shaped radiation probe will be inserted into the acromegaly straight to the base of the warts, when you see on the body to become smaller, darker, from soft to hard, then the thermal radiation coagulation is complete, you can pull out the probe. The coagulated lesions can be removed with tweezers. To prevent recurrence, coagulation can be repeated once for the remaining base.
Beta ray treatment
We applied beta ray treatment of condyloma acuminatum to achieve more satisfactory results, the method of high efficacy, painless, non-invasive, few side effects, low recurrence rate, and in the clinical promotion of value.
Drug therapy
The foot leaf herb fat this therapy applies to the wet area of the warts, for example, occurred in the circumcision and has not been circumcision excision of the glans and perineum of the warts. However, cervical condyloma acuminatum cannot be treated with pedicel. With 20% foot leaf grass fat tincture coated to the lesions or before using the drug, there is an oily antibacterial ointment to protect the normal skin around the lesions or mucous membranes, and then coated with the drug, with 4 to 6 hours after the use of 30% of the boric acid water or soapy water to wash, if necessary, repeat the drug 3 days later, the drug is used abroad for the treatment of the disease of choice of the drug, usually with a time can be healed. However, there are many shortcomings, such as destructive to the tissue, improper use can cause local ulcers. Toxicity, mainly manifested as nausea, intestinal obstruction, leukocytes and thrombocytopenia, tachycardia, urinary closure or oliguria, so the use of the drug must be cautious, and when the above reactions are found, the drug should be stopped immediately.
Antiviral drugs can be 5% phthalidomide cream, or 0.25% herpes net ointment, twice a day, external application. Cyclic guanosine is taken orally five times a day, or its ointment is used externally, and alpha-interferon is injected 3 million units daily and used five days a week. Or interferon injected into the base of the wart twice a week. Used for two to three weeks in a row, the main side effect is flu-like syndrome, topical side effects are fewer and mild.
Corrosives or disinfectants commonly used are 30% to 50% trichloroacetic acid or saturated dichloroacetic acid, or 18% peroxyacetic acid. With 10% salicylic acid glacial acetic acid or 40% formaldehyde, 2% liquefied phenol, 75% ethanol distilled water 100 ml mixed solution, spot-coated local, for glans, perianal warts, daily or every other day, the effect is very good. Disinfectant can be used 20% tincture of iodine applied externally, or 2.5% to 5% tincture of iodine injected at the base of the warts, or with the use of Neosporin applied externally or with 0.1% to 0.2% externally, the latter need to be combined with systemic therapy.
Dietary care 1, the treatment of warts in the diet should pay attention to more intake of vitamin content of food, such as apples, barley, ginger, grapes, straw mushrooms, onions, tea, peaches, cauliflower, asparagus, fungus, bitter gourd, carrots, spinach, sweet potatoes, aquatic shellfish and so on can improve the body's immune function. Sour milk, garlic and mushrooms should also be consumed as they have both antiviral properties and stimulate immune function. Sour milk enhances the activity of natural killer cells and promotes the body's ability to kill viruses.
2, due to the strong recurrence of warts, enhance the patient's own resistance and immunity is very important, you can choose to insist on taking honey or royal jelly. The recurrence of acromegaly often occurs when the resistance is low; acromegaly patients should eat more protein-rich food, and physical exercise at the same time.
3, if only thought of how to make up, and did not pay attention to some contraindicated food, will only bring a burden to the patient. Therefore, in the treatment of acromegaly diet should pay attention to: after removing the acromegaly warts, should quit smoking, alcohol. In addition, wine, chili, onions and garlic, leeks, ginger, parsley, dog meat, mutton is also can not eat; acromegaly diet note: eat less seafood food, like lobster, crab, carp in fresh water are not eaten, but also to avoid alcohol and spicy food.
Preventive measures 1, resolutely to eliminate sexual promiscuity: 60% of patients with warts through sexual contact. The family is infected from the society, and through sexual life infected spouse, there is a possibility of close life contact to other people at home, not only bring physical pain, but also cause family disharmony, back to the mental pressure.
2, to prevent contact with the infection: do not use other people's underwear, swimsuits and bath tub; in the public **** bath not wash basin, advocate shower, after the bath not directly sitting on the bathtub chair; in the public **** toilets as much as possible to use squatting toilet; on the toilet before washing his hands with soap; do not in the density of large, disinfection of swimming pools are not strict swimming.
3, pay attention to personal hygiene: wash the vulva every day, change underwear, personal underwear separate washing. Even among family members, one person should do a basin, towels are used separately.
4, the spouse after the disease to prohibit sexual intercourse. If the spouse only physical therapy, although the vulva visible warts disappeared, but the patient is still with human papilloma virus, should also receive oral medication and external washing medicine comprehensive treatment, after treatment review. If you have sex during this period, you can use a condom for protection.
5, pregnant women with warts in order to avoid the birth of a fetus infection, can choose cesarean section. Do not bathe with the baby in the same tub after delivery.