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What does this procedure entail?
It is a surgical treatment of genital warts – penis condylomas. They are usually removed using a sharp spoon and the base is burned with a high-frequency electric current (prevention of bleeding and recurrence in the same place).
The procedure is usually performed on an outpatient basis under general anaesthesia, but it is also possible to perform it during short-term hospitalisation.
What are the alternatives to this procedure?
- Local ointment application (Podophylline), cryodestruction (freezing) with liquid nitrogen.
What should I expect before this procedure?
If you regularly use Anopyrin, Clopidogrel, Warfarin, etc., you must tell your doctor. These medications can be associated with increased risk of bleeding during and after the surgery if they are not stopped in time. In some cases, it is necessary to replace these drugs with injection preparations. It is necessary to consult your general practitioner or cardiologist about this approach.
At the request of the referring physician, you will have to schedule preoperative examinations for procedures in general anaesthesia to assess your overall condition, including laboratory and instrumental tests. If the report does not preclude the indicated procedure, you will be admitted to the hospital. If you don’t undergo a preoperative examination or it is incomplete, you will not be able to have the surgery as scheduled. You will be admitted by a nurse and a member of the medical team will complete your examination and assess your fitness for the surgery. You will be asked not to eat or drink for at least 6 hours before the surgery!
Remember to inform your physician about the following possible facts before the surgery:
- artificial heart valve
- coronary artery stent
- artificial joint
- artificial vascular graft
- neurosurgical bypass
- other implanted foreign body
- use of the following prescription drugs: Acylpyrin, Anopyrin, Aspirin, Godasal, Clopidogrel, Plavix, Kardegic, Aspegic, Micristin, Ibustrin,Ticlid, Tagren, Ipaton Apo-Tic, Plavix, Persantin, Curantyl, Anturan, Aggrenox, Vessel due F.
- drug and other allergies
- any abnormalities or eventualities
It is NECESSARY to inform the physician about your use of drugs affecting blood clotting before your admission for the procedure.
What will happen during the surgery?
The procedure is performed under general anaesthesia. Individual warts are removed using a sharp spoon and their base is then burned with a high-frequency current. A layer of ointment with an antibiotic agent is applied to the individual wounds after the procedure. Removed warts are sometimes (in case of an ambiguous diagnosis) sent for histological examination. The surgery takes approximately 15-30 minutes, depending on the extent of the affection.
What will happen immediately after the procedure?
You will wake up at the post-operative unit equipped for constant monitoring of patients immediately after the procedure.
After the procedure is completed or when you are fully conscious, you should:
- ask if the planned outcome was achieved
- inform the medical staff about any problems
- ask what you can and cannot do
- ask all the questions you have for the healthcare professionals and members of the medical team.
- remember (and understand) why the surgery was performed, how it turned out, and what will follow
- After your fully wake up from of anaesthesia, you will be examined by an anaesthesiologist, and you may be discharged if they agree. You will be leaving accompanied by an adult person, who will ensure that you do not drive or operate machinery.
- You may feel discomfort or even mild pain for several days after the procedure – you can use common painkillers. An ointment is applied to the wound to prevent it from sticking to the underwear – it is recommended to wear loose underwear for 2-3 days. Starting day 2 after the surgery, baths in a lukewarm chamomile or rapeseed extract solution are recommended, with ointment application after drying (you will receive the prescription upon hospital discharge). Urination itself should not be affected by the surgery.
What are the postoperative risks or complications?
Common (10% of procedures of this type)
- Tenderness or even pain at the location of removed lesions (hours to days)
Occasional (2-10% of procedures of this type)
- Infections at the surgical site requiring further treatment.
- Bleeding from the wound, requiring possible surgical revision
Rare (may occur in 2% of procedures of this type)
- Recurrence of warts
- Altered penile sensitivity
What should I expect when I return home?
When you are discharged from the hospital, you should:
- Get recommendations on recovery at home.
- Ask when you can return to normal activities such as work, exercise, driving, housework and sexual activities.
- Get a contact number for further questions after returning home or in case of trouble.
- Ask about the date and place of subsequent check-ups (hospital or your doctor).
- Make sure you are aware of the reason, course and outcome of the surgery, the results of examinations or the removal of tissues or organs.
Upon your departure from the hospital (sometimes several days later), you will receive a hospitalisation report / report on the procedure. The document contains important information about your hospital stay, your surgery and recommended follow-up, including any histological findings. If you need to call your attending physician or visit the hospital for any reason, take this document with you so that the physician knows the details of your treatment. This is especially important if you need to consult another doctor or longer after discharge.
It will take at least 10 days until healing is noticeable – you can return to work if you feel well (it also depends on the nature of your work). You should avoid sexual intercourse for at least 4 weeks.
What else should I watch out for?
If you have any unclear problems that may be related to your procedure, see your doctor/urologist.
Framycoin ointment should be applied topically until healing. Most patients need 1-2 days rest at home. We recommend increased genital hygiene until complete healing.