TY - JOUR ID - TI - Treatment of Genital Warts by Using CO2 Laser AU - Mayyadah H. Mehdi, Ali S. Mahmood1 PY - 2019 VL - 16 IS - 2 SP - 94 EP - 98 JO - Medical Journal of Babylon مجلة بابل الطبية SN - 1812156X 23126760 AB - Background: Genital wart is the most common viral sexually transmitted disease. In fact, its incidence is rising rapidly. It is approximatedthat 30%–50% of sexually active adult have human papillomavirus (HPV) infection, but only 1%–2% of them have apparent genital wart.Mostly, cervical dysplasia and cancer are associated with oncogenic HPV types. HPV types are classified into high‑, intermediate‑, and low‑riskgroup. HPV Types 16 and 18 are considered as a high‑risk group cancer‑associated HPVs, whereas Types 6 and 11 concerned as a low riskand HPV types 31, 33, and 35 have an intermediate association with cancer. Objective: The objective of the study was designed to evaluatethe activity of CO2 laser to treat genital warts of female Iraqi patients. Materials and Methods: Fifteen female patients with genital wartswere involved in this study. Their age range from 22 to 49 years treated by CO2 laser at the Laser Medicine Research Clinics of Institute ofLaser for Postgraduate Studies from July 2017 to end of July 2018. Application of topical lidocaine cream 10% for 30 min or local infiltrationof 2% xylocaine had been performed. CO2 laser in chopped mode was used with a peak power: 151 watts and repeated time 35 s in D mode,pulse duration 1.3 ms. Treatments by vaporization of the warts were done in one session except one patient with a large number and multiplelocations two sessions were done. Results: Three patients expressed mild pain during the procedure, but it could be tolerated by them. Noedema or oozing observed during the 1st week. No postoperative infections or scars. Two cases of recurrence 2/15, (13.3%) after few monthsfrom treatment. Conclusion: CO2 laser vaporization is an effective and safe method for treatment of genital warts and can be done in theoutpatient clinic

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