PLEASE HELP -genital warts - conflicting info. 
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 PLEASE HELP -genital warts - conflicting info.

<snip>

Quote:
> Warts are warts. If they are caused by HPV type 6 or 11, regardless of
> how they were transmitted, they will pretty much look and behave the
> same. There's no way that I know of that will prove that a given case of
> warts has been acquired by {*filter*} contact or by another route.<snip>
> *Note: "HPV" = human papillomavirus, which is the cause of most or all
> warts, as well as other more serious conditions, depending on the type
> of the virus. Types 6 and 11 typically produce warts which are not
> cancerous and do not lead to cancer. Types 16, 18, and some others cause
> more flat lesions that may lead to certain types of cancer, especially of
> the cervix, vulva, and {*filter*}.

I have a similar question to the one you were answering - I was
diagnosed last week with HPV on the wall of my {*filter*}.  This is my
second bout with HPV - the first occurred about 3-4 months after my
first {*filter*} encounter with my current husband, about 5 years ago.
Those first warts were on my cervix and frozen off.  I also have two or
three warts on the fingers of my right hand - the hand I generally use
on my husband's {*filter*}.  Is it possible that I'm transferring the virus
from my hand to his {*filter*} and thereby into my {*filter*}, causing my current
outbreak of HPV?  The warts on my hands are small (one on each of
three fingers) and I generally don't do anything about them as they
don't grow.

I've been recommended by my gynecologist to have laser surgery to remove
the HPV due to its location on the {*filter*}l wall rather than on the
cervix.  Is this common accepted practice in the U.S.?  (I'm in the
Czech Republic)

Thanks for your advice...
Jen Hejtmanek



Thu, 16 Jul 1998 03:00:00 GMT
 PLEASE HELP -genital warts - conflicting info.

writes:

Quote:
>I have a similar question to the one you were answering - I was
>diagnosed last week with HPV on the wall of my {*filter*}.  This is my
>second bout with HPV - the first occurred about 3-4 months after my
>first {*filter*} encounter with my current husband, about 5 years ago.
>Those first warts were on my cervix and frozen off.  I also have two or
>three warts on the fingers of my right hand - the hand I generally use
>on my husband's {*filter*}.  Is it possible that I'm transferring the virus
>from my hand to his {*filter*} and thereby into my {*filter*}, causing my current
>outbreak of HPV?

I suppose that's a possibility, but I am not aware that this type of
inoculation has been proved. I guess one could have the hand warts
removed, but that would be like closing the gate after the horses have
escaped. The cervix and {*filter*} are going to have to be followed
indefinitely for recurrent disease. The strains that cause warts on the
hand are not generally the strains assocaied with cervical and vulvar
cancer, but the lesions on the cervix and {*filter*} may be of another type.

Quote:
>I've been recommended by my gynecologist to have laser surgery to remove
>the HPV due to its location on the {*filter*}l wall rather than on the
>cervix.  Is this common accepted practice in the U.S.?  (I'm in the
>Czech Republic)

I am not conversant on this, but maybe someone else can pick up on this
question.

Ed Uthman, MD               Note: Because of my provider's lousy

Pathologist                 messages. I'm not ignoring you. :)
Houston/Richmond, TX, USA



Thu, 16 Jul 1998 03:00:00 GMT
 PLEASE HELP -genital warts - conflicting info.

Quote:


>Subject: Re: PLEASE HELP -{*filter*} warts - conflicting info.
>Date: 28 Jan 1996 22:26:13 GMT

>writes:
>>I have a similar question to the one you were answering - I was
>>diagnosed last week with HPV on the wall of my {*filter*}.  This is my
>>second bout with HPV - the first occurred about 3-4 months after my
>>first {*filter*} encounter with my current husband, about 5 years ago.
>>Those first warts were on my cervix and frozen off.  I also have two or
>>three warts on the fingers of my right hand - the hand I generally use
>>on my husband's {*filter*}.  Is it possible that I'm transferring the virus
>>from my hand to his {*filter*} and thereby into my {*filter*}, causing my current
>>outbreak of HPV?
>I suppose that's a possibility, but I am not aware that this type of
>inoculation has been proved. I guess one could have the hand warts
>removed, but that would be like closing the gate after the horses have
>escaped. The cervix and {*filter*} are going to have to be followed
>indefinitely for recurrent disease. The strains that cause warts on the
>hand are not generally the strains assocaied with cervical and vulvar
>cancer, but the lesions on the cervix and {*filter*} may be of another type.
>>I've been recommended by my gynecologist to have laser surgery to remove
>>the HPV due to its location on the {*filter*}l wall rather than on the
>>cervix.  Is this common accepted practice in the U.S.?  (I'm in the
>>Czech Republic)
>I am not conversant on this, but maybe someone else can pick up on this
>question.
>Ed Uthman, MD            

No problem.  By the way, I enjoy Dr. Uthman's responses.

{*filter*} warts can be treated by a variety of methods, including placing acid
solution (TCA) or podophyllin on the warts, freezing them, using a type of
chemotherapy cream (5-flourouracil), or using the laser.  {*filter*}l warts
present a problem, because their location makes treatment more difficult.  
Laser therapy is a standard, accepted practice here, and is very useful for
{*filter*}l warts.  The main drawbacks to it's usage are cost and the potential
for 3rd degree burns (the most common cause of this is operator inexperience).
In experienced hands, however, laser is safe and very useful.

Please keep in mind that there is no way to say with any certainty that the
warts will be permanently cured, with any therapy.  Often, they come back.  I
agree with Dr. Uthman that you will always need regular (at least anually)
pelvic exams and pap smears.

I also agree that it is possible, but unlikely, that the {*filter*}l warts came
from hand warts.

Ashley Hill
D. Ashley Hill, M.D.



Thu, 16 Jul 1998 03:00:00 GMT
 
 [ 3 post ] 

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