Cauterization of papillomas: how it is carried out and what methods are used

The term papilloma refers to a group of various benign epithelial proliferations.

They can affect the appearance of the skin and the condition of the mucous membranes.

To remove papillomas, cauterization with various devices and medications is used.

Papilloma (condyloma) visually resembles a papilla attached to a narrow stalk.

The formation may be soft to the touch or have a dense structure.

In color - do not differ from the natural skin or be darker.

The localization of papillomas is varied.

Neoplasms affect the outer epidermis (facial skin, genitals, arms and legs).

So does the mucous membrane (vagina, cervix, colon, gastrointestinal tract).

In some cases, condylomas may form on the mucous membrane of the throat, which leads to difficulty breathing and voice disturbance.

The main cause of the formation of papillomas is HPV, a virus of the papillomavirus family, which includes about 170 strains.

HPV penetrates the skin or mucous membrane.

Mainly through small cracks or damage, and multiply inside cells.

HPV is transmitted by direct contact through affected areas of the skin or mucous membranes.

The most effective treatment for papillomas is their removal followed by therapy with antiviral and immunostimulating drugs.

There are a variety of methods for removing condylomas:

• laser
• surgical
• radio wave
• electric
• using low temperatures

Also, cauterization of papillomas can be carried out locally using medications (ointment or solution) that have a cytostatic effect.

Which therapy is suitable for the patient is decided on an individual basis.

The choice also depends on the nature of the warts and where they are located and how widely they have spread.

Cryodestruction of papillomas (cauterization with nitrogen)

Cryosurgery is used for a variety of benign, precancerous and malignant skin lesions.

Either as a primary or alternative form of treatment.

From a clinical point of view, the method is simple and safe.

The wide range of indications and relatively low cost of freezing make this method very popular in dermatological practice.

Cauterization of papillomas with nitrogen has a number of advantages:

• bloodless method (not accompanied by bleeding)
• does not provoke the development of scars and scar tissue
• in most cases no anesthesia is needed
• treatment can be single or multi-stage (repeated procedures are possible)
• low invasive method suitable for patients of all ages (most can be treated in outpatient clinics or day surgery centers)
• treatment of papillomas with nitrogen is safe and does not cause complications
• excellent cosmetic effect, minimal pain during the procedure

During cryodestruction, the active factor is liquid nitrogen.

The essence of the manipulation is to freeze the tumor at a temperature from -100°C to -180°C and then kill it.

Depending on the number of condylomas and their size, several procedures may be necessary.

In the first few hours after the manipulation, pronounced tissue swelling and redness are observed.

Over the next few days, symptoms become less severe.

After 7-10 days, complete death of the pathological tissue occurs.

Cryosurgery is not recommended for patients in the following cases:

• the presence of an acute infectious or inflammatory process (removal with nitrogen is carried out only after the disease has stopped)
• pathologies of internal organs that are under treatment
• hypersensitivity and intolerance to low temperatures

Disadvantages of cryodestruction:

• The skin takes a long time to recover; it will take about two weeks, sometimes more, until the tissue is completely healed
• nitrogen affects not only the pathologically altered area of ​​the epithelium, but also the surrounding tissues, including

The downside is that a specialist cannot always determine the advisability of cryotherapy.

As a result, it is not possible to completely remove the formation and there is a need for surgical excision of the papilloma.

Cryodestruction is most widespread in gynecology.

Cauterization of papillomas in the vagina and cervix is ​​considered the most gentle method of HPV treatment.

Does not have a negative effect on healthy areas of the mucosa.

Removal of tumors with nitrogen is the best option for nulliparous patients.

Radio wave excision of papillomas

Radio wave removal of papillomas is a method of non-contact surgery.

Based on the use of high frequency radio waves.

Radiosurgery is an atraumatic method of removing formations with simultaneous coagulation of soft tissues.

During the procedure, an optimal heat source with a low temperature of 4.0 MHz is used.

This technology allows you to simultaneously remove papillomas and coagulate surrounding tissue.

At the same time, preventing the development of bleeding, without causing burns, and also accelerating the regeneration process.

Cauterization of papilloma with radio waves has a number of advantages:

• Absence of pain during manipulation. Exposure of the epidermis to a high-frequency wave promotes coagulation of nerve fibers, blocking muscle spasms. Thus, the effect on sensitive receptors is eliminated, and the pain syndrome is relieved. If there is an increased pain threshold or psycho-emotional anxiety, the patient may be given an injection of an anesthetic drug.
• Minimal damage to non-pathologically altered tissues. The incision with a radio wave scalpel is carried out without pressure on the skin, thus, there is practically no impact on healthy tissue. In terms of this parameter, other methods of cauterization of condylomas are significantly inferior to the radio wave procedure.
• High regeneration capabilities. Simultaneously with the removal of the papilloma, the radio wave has a bacteriostatic effect on the wound, destroying all possible infectious microorganisms. For this reason, rapid healing of the epidermis and the absence of an inflammatory process are observed.
• No scar formation. When removing papillomas with a radio knife, the tumor is precisely and accurately cut off, while healthy tissue is not affected. This helps prevent the development of scar tissue and deep scars.

When radio wave treatment is contraindicated:

• the presence of acute inflammatory and infectious pathologies
• diseases of internal organs that are in the process of therapy
• the patient has a pacemaker (there is a risk of malfunctioning of the medical device)

If there is a contraindication to the methods described above, it is recommended to cauterize the papillomas with a laser.

The method is completely painless and does not require additional anesthesia.

The laser beam after cauterization of the papilloma does not provoke such consequences as the development of scar tissue or the formation of scars.

Cauterization of papillomas with iodine

Cauterization of papillomas with iodine is the most accessible and cheapest method of eliminating formations.

Used in the presence of small growths.

As a rule, iodine is not used in its pure form, since it cannot have the desired effect on its own.

When removing small formations, 5% iodine is mixed with salicylic acid (2% solution).

In a ratio of 1:2 (one part iodine, two parts salicylic acid).

Apply baby cream or Vaseline to the area around the papilloma.

Next, using a cotton swab or ear swab, carefully apply the resulting mixture.

Salicylic acid has a softening effect, and iodine cauterizes and at the same time carries out coagulation.

Such treatment has no contraindications, except for the removal of papillomas that are located on the mucous membrane and individual intolerance to the components.

Cauterization of papillomas with iodine is relevant for neoplasms on the neck, face, and genital area that are not in contact with the mucous membranes.

But it is necessary to take into account that the procedure will not be able to completely eliminate the formation the first time.

As a rule, this therapy lasts for several weeks and even months.

Cost of services

Cauterization of condylomas (papillomas) with potassium permanganate

Potassium permanganate is a potassium salt from the manganese subgroup (HMnO4).

The molecular formula of potassium permanganate is KMnO4.

At room temperature, the salt is present as a red-violet, shiny metallic crystalline solid.

The crystals are moderately soluble in water.

Even in low concentrations they lead to an intense violet color of the liquid, for which the permanganate anion is responsible.

Potassium permanganate solution is used as an astringent and disinfectant.

For external use on the skin, including mycoses, herpes zoster.

In emergency medicine, a 0.1% solution of potassium permanganate is used to lavage the stomach in case of poisoning due to ingestion of oxidized toxins.

Cauterization of papilloma with potassium permanganate is a popular method for removing tumors at home.

For the procedure, prepare a saturated dark purple solution.

They need to treat the formation several times a day until the papilloma completely disappears.

Under the influence of potassium permanganate, condylomas become dark in color, dry out and fall off.

The solution must be applied with extreme caution, avoiding contact with healthy tissue.

Cauterization of papillomas with potassium permanganate is also possible in intimate places.

But provided that the neoplasms do not come into contact with the mucous membranes.

Cauterization of papillomas with celandine is also popular.

To do this, use the juice of the plant, which is applied to the condyloma or wart.

For small growths, celandine is effective.

But treatment in this way can take several months.

As an alternative to the plant, you can use Supercelandine to cauterize papillomas.

This is an extract sold in any pharmacy.

Cauterization of papillomas at home should be carried out only after consultation with a doctor.

Pharmaceutical preparations for cauterization of papillomas

In the treatment of papillomas, in particular genital ones, it is important that both partners undergo therapy.

Otherwise, there is a risk of continuous cross-infection.

There is no “best” treatment for genital warts.

Therapy depends on the location and volume of papillomas, as well as on the preference of the doctor and, of course, also on the request of the patient.

The following effective treatment options are available to treat genital warts:

• topical medications such as creams, ointments or solutions
• surgical removal (coagulation, radio wave, nitrogen cauterization)

Folk remedies

On the Internet you can find many recipes and techniques for removing papillomas and condylomas. However, you should not self-medicate. Only a doctor can safely and effectively get rid of the problem. Any attempts to bandage the formation with thread, cauterize it with celandine juice and other popular folk methods can provoke complications.

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Podophyllotoxin cream or solution for cauterizing papillomas

Podophyllotoxinum is a medicine obtained from the root of Podophyllum thyroid.

More often it can be found on sale in the form of a cream for external use.

The drug is applied to papillomas twice a day for three days, followed by a four-day break.

If the procedure does not give the desired result, the manipulation can be repeated after four to five days.

This cycle of procedures can be repeated 2-3 times, but no more than four.

Podophyllotoxin is especially recommended for genital warts that have not yet been treated.

However, for larger papillomas, the size of which is 2 cm or more, podophyllotoxin is not suitable, since the maximum daily dose is 0.5 mg of the substance.

Additionally, Podophyllotoxin should not be used to treat genital warts located in the vagina or anus.

About half of the patients using the subphyllotoxin preparation noted a slight burning sensation.

Redness of the skin may occur as a side effect.

Podophyllotoxin is a toxin that blocks the division of pathological cells.

Therefore, it is strictly prohibited for the treatment of children, pregnant and lactating women.

Podophyllotoxin, a product for cauterizing papillomas, can be purchased at a pharmacy without a doctor's prescription.

Trichloroacetic acid for cauterization of papillomas

Trichloroacetic acid is a liquid for cauterizing papillomas.

Stops the development of infected cells and prevents their further reproduction.

Trichloroacetic acid is applied by a doctor with a cotton swab to warts, papillomas/condylomas.

This treatment method is suitable for small, soft genital warts in the mucous membrane area (in the vagina).

Among the disadvantages of the method, it is worth noting burning and pain after applying the solution.

The advantage is the elimination of formations without tissue scarring.

Acid can only be used in very small quantities.

Excessive use requires neutralization with sodium bicarbonate.

Due to the potentially high risk of misuse, trichloroacetic acid should only be used by a physician in an outpatient setting.

Today, this method of therapy is rarely used; it has been replaced by more modern and gentle therapeutic methods.

An analogue of trichloroacetic acid is Solkovagin, which is also used to cauterize papillomas and warts.

The second, more expensive drug is Solcoderm, which can cauterize papillomas in intimate places.

Possible methods of infection with HPV

The virus remains viable in the environment. Transmission of infection occurs from a carrier to a healthy person in the following ways:

• during sexual intercourse;
• through household means (through personal hygiene items);
• in bathhouses, saunas, gyms when common items are infected;
• from mother to child during childbirth;
• self-infection - during hygiene procedures or in places of friction.

The risk of infection and degeneration of papillomas into malignant formations increases with decreased immunity. Factors that increase the risk of infection are:

• early onset of sexual activity, different partners;
• the presence of urogenital infections (chlamydia, trichomoniasis, bacterial vaginosis, HIV, etc.);
• local irritating mucous discharge in the genital area;
• dysbiotic conditions;
• bad habits.

Depending on the type of virus and the state of immunity, the rate of spread of infection varies. Some types of papillomas may not manifest themselves for years. It is better to remove condylomas immediately - they almost always degenerate into malignant formations.

Imiquimod cream for cauterization of papillomas

Imiquimod does not have a direct antiviral effect.

The cream modifies the immune response by activating messenger substances.

Such as interferons and cytokines, which play a role in cell communication and can influence cell function.

The product can also be found under the name Keravort.

Local therapy is carried out three times a week, the drug is applied to the papilloma before bedtime.

The maximum duration of use of the drug is 4 months.

The advantage of Imiquimod cream is the low incidence of recurrent genital warts (less than 20% as a result of a sustained immune response).

Imiquimod should not be used for genital papillomas in the vagina, cervix, lining of the glans penis or anus.

Diagnosis: which doctor to contact

The examination is prescribed by a dermatovenerologist after a visual examination in a number of cases:

• the presence of papillomas on the skin or mucous membranes (or their presence in a sexual partner);
• pregnancy planning;
• infertility or unsuccessful pregnancies in the past.

The very fact of detecting a virus is not decisive - it is much more important to identify its type and degree of oncogenicity.

The following methods are used for diagnosis:

• colposcopic examination - examination using a special microscope of the cervix and vagina;
• cytological examination - taking a smear, has low accuracy; if the result is poor, additional analysis is carried out;
• histological examination of a biopsy specimen - sampling of a small fragment of tissue for analysis;
• PCR (polymerase chain reaction) - the material for the study is a smear, urine or blood, the accuracy is close to 100%.

PCR is most often used in specialized clinics. The accuracy of the result depends on compliance with the research technique. Such analysis is best done in laboratories with strict compliance with standards.