JCOGP
Journal of Controversies in Obstetrics & Gynecology and Pediatrics

As of January 2023, our "Journal of Controversies Obstetrics & Gynecology and Pediatrics" has been published under the Medihealth Academy to publish all articles, reviews and case reports on Pediatrics, especially in the field of Obstetrics and Gynecology. In order to facilitate the citation of the articles, to take our place in internationally respected indexes and to reach a wider readership, we will pay attention to the fact that our article language is only English in terms of acceptance. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Case Report
Treatment experience with laser of perianal giant condylomas in a pregnant patient
Abstract
Condyloma acuminatum is a multitude of large giant polypoid lesions with exophytic appearance that occur in and around the vagina, cervix, anal and perineal region as a result of human papilloma virus (HPV) infection. The most commonly preferred treatments for these lesions currently include surgical excision, laser, electrocautery and/or trichloroacetic acid application. A 33-year-old woman with 2nd pregnancy, parity 1, complained of a painful bleeding itchy mass around the anus at the gynecologic control approximately 1 week before delivery. She stated that these masses, which were very small a few months ago, had grown rapidly in the last few weeks. No condyloma was detected in the cervix and vagina. During the general surgical examination, giant condylomas with fragile bleeding were detected in the perianal region on the right and left sides of the anal entrance

Keywords : Condyloma acuminatum, pregnant patient, surgical excision

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1. Rhea WG, Jr, Bourgeois BM, Sewell DR. Condyloma acuminata: a fataldisease?Am Surg.1998; 64(11):1082-1087.
2. Wiley DJ, Douglas J, Beutner K, et al. External genital warts: diagnosis,treatment, and prevention. Clin Infect Dis. 2002;35:210-224.
3. Cates W Jr. Estimates of the incidence and prevalence of sexuallytransmitted diseases in the United States. American Social HealthAssociation Panel. Sex Transm Dis. 1999;26(4):2-7.
4. Dinh TH, Sternberg M, Dunne EF, et al. Genital warts among 18-to 59-year-olds in the united states, national health and nutritionexamination survey, 1999-2004. Sex Transm Dis. 2008;35:357-360.
5. Workowski KA, Bolan GA. Centers for disease control and prevention.Sexually transmitted diseases treatment guidelines. MMWR RecommRep. 2015;64(3):1-137.
6. Shunya S, Koji N, Takayuki E.Management of condyloma acuminata inpregnancy: a review. Sex Transm Dis. 2021;48(6):403-409. doi: 10.1097/OLQ.0000000000001322
7. Garozzo G, Nuciforo G, Rocchi CM, et al. Büschke-Lowenstein tumorin pregnancy.Eur J Obstet Gynecol Reproduct Biol.2003;111(1):88-90.doi:10.1016/S0301-2115(03)00112-X
8. Rando RF, Lindheim S, Hasty L, Sedlacek TV, Woodland M, EderC. Increased frequency of detection of human papillomavirusdeoxyribonucleic acid in exfoliated cervical cells during pregnancy.AmJ Obstet Gynecol.1989;161(1):50-55. doi:10.1016/0002-9378(89)90231-7
9. Fehr MK, Hornung R, Degen A, et al. Photodynamic therapy of vulvarand vaginal condyloma and intraepithelial neoplasia using topicallyapplied 5-aminolevulinic acid.Lasers Surg Med.2002;30(4): 273-279.doi:10.1002/lsm.10048
10. Yang YG, Zou XB, Zhao H, Zhang YJ, Li HJ. Photodynamictherapy of condyloma acuminata in pregnant women.Chinese MedJ.2012;125(16):2925-2928.
11. Kennedy CM, Boardman LA. New approaches to externalgenital warts and vulvar intraepithelial neoplasia.Clin ObstetGynecol.2008;51(3):518-526. doi:10.1097/GRF.0b013e31818092a3
12. Monia MM, Fethi BA, Asma F, Hedi R. Giant condyloma inpregnancy.Tunisie Medicale.2013;91(6):422-423.
13. Nigam A, Mishra A. Condyloma acuminatum: atypical presentationduring pregnancy.Int J STD AIDS.2011;22(9):534-535. doi:10.1258/ijsa.2009.009114
14. Parnell BA, Geller EJ, Jannelli ML. Urethral condyloma acuminatecausing bladder outlet obstruction in pregnancy.J Reproduct MedObstet Gynecol.2010;55(11-12):514-516.
15. Cohen E, Levy A, Holcberg G, Wiznitzer A, Mazor M, Sheiner E.Perinatal outcomes in condyloma acuminata pregnancies.ArchivesGynecol Obstet.2011;283(6):1269-1273. doi:10.1007/s00404-010-1558-2
16. Workowski Kimberly A. Centers for disease control and preventionsexually transmitted diseases treatment guidelines. Clinical InfectiousDiseases. 2015;61:759-762.
17. Singhal P, Naswa S, Marfatia YS. Pregnancy and sexually transmittedviral infections.Indian J Sexually Transmit Dis.2009;30(2):71-78.doi:10.4103/0253-7184.62761
18. Bergman A, Matsunaga J, Bhatia NN.Cervical cryotherapy forcondylomata acuminata during pregnancy.Obstet Gynecol.1987;69:47-50.
19. Tripoli M, Cordova A, Maggi F, Moschella F. Giant condylomata(Buschke-Löwenstein tumors): our case load in surgical treatmentand review of the current therapies.Eur Rev Med PharmacolSci.2012;16(6):747-751.
20. Wiley DJ, Douglas J, Beutner K, et al.External genital warts: diagnosis,treatment, and prevention.Clin Infect Dis.2002;35:210-224.
21. Baggish MS.Carbon dioxide laser treatment for condylomataacuminata venereal infections.Obstet Gynecol.1980;55:711-715.
22. Malfetano JH, Marin AC, Malfetano JH, Jr.Laser treatment ofcondylomata acuminata in pregnancy.J Reprod Med. 1981;26:574-576.
23. Ferenczy A.Treating genital condyloma during pregnancy with thecarbon dioxide laser.Am J Obstet Gynecol.1984;148:9-12.
24. Schwartz DB Greenberg MD Daoud Y, et al.Genital condylomas in pregnancy: Use of trichloroacetic acid and laser therapy.Am J ObstetGynecol.1988;158:1407-1416.
25. Hankins GD, Hammond TL, Snyder RR, et al.Use of laser vaporizationfor management of extensive genital tract condyloma acuminata duringpregnancy.J Infect Dis.1989;159:1001-1002.
Article available in :
Volume 2, Issue 3, 2024
Page : 69-71
https://doi.org/10.51271/JCOGP-0038
Article Information
Received : 25 Şub 2024
Accepted : 26 Tem 2024
Published : 30 Tem 2024
Corresponding Author :

Tuba Mert: Department of General Surgery, İstanbul Medipol University Pendik Hospital, İstanbul, Turkiye

[email protected]
Citation : Ergül M, Mert T. Treatment experience with laser of perianal giant condylomas in a pregnant patient. J Controv Obstetr Gynecol Ped. 2023;2(3):69-71.

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