Materiały źródłowe

• #1 Genital Warts: Causes, Symptoms, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/4209-genital-warts

  Genital warts and HPV are common STIs. These types of warts, and the HPV types that cause them, dont increase your risk for getting cancer. Some people have genital warts just once, while others have recurring outbreaks. Treatment can get rid of the warts, but it cant cure them or HPV. Youll always be infectious and need to practice safe sex with your partners.

• #2 Human Papillomavirus (HPV) Infection – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/anogenital-warts.htm

  Anogenital warts are usually asymptomatic; however, depending on the size and anatomic location, they can be painful or pruritic. They are usually flat, papular, or pedunculated growths on the genital mucosa. Anogenital warts occur commonly at certain anatomic sites, including around the vaginal introitus, under the foreskin of the uncircumcised penis, and on the shaft of the circumcised penis. Warts can also occur at multiple sites in the anogenital epithelium or within the anogenital tract (e.g., cervix, vagina, urethra, perineum, perianal skin, anus, or scrotum). Intra-anal warts are observed predominantly in persons who have had receptive anal intercourse; however, they also can occur among men and women who have not had a history of anal sexual contact. […] The aim of treatment is removal of the warts and amelioration of symptoms, if present. The appearance of warts also can result in considerable psychosocial distress, and removal can relieve cosmetic concerns. For most patients, treatment results in resolution of the warts. If left untreated, anogenital warts can resolve spontaneously, remain unchanged, or increase in size or number. Because warts might spontaneously resolve in 1 year, an acceptable alternative for certain persons is to forego treatment and wait for spontaneous resolution. Available therapies for anogenital warts might reduce, but probably do not eradicate, HPV infectivity. Whether reduction in HPV viral DNA resulting from treatment reduces future transmission remains unknown.

• #3 Genital Warts | HPV | Human Papillomavirus | MedlinePlus

  https://medlineplus.gov/genitalwarts.html

  Genital warts are a sexually transmitted infection (STI) caused by the human papillomavirus (HPV). The warts usually appear as a small bump or group of bumps in the genital area. They are flesh-colored and can be flat or look bumpy like cauliflower. Some genital warts are so small you cannot see them. In women, the warts usually occur in or around the vagina, on the cervix, or around the anus. In men, genital warts are less common. They may have warts on the tip of the penis, around the anus, or on the scrotum, thigh, or groin. […] Your health care provider usually diagnoses genital warts by seeing them. The warts might disappear on their own. If not, your health care provider can treat or remove them. HPV stays in your body even after treatment, so warts can come back.

• #4 About Human Papilloma Virus (HPV) :: Minnesota Women’s Care OBGYN and Urogynecology

  https://mnwcare.com/our-services/gynecology/human-papilloma-virus

  Genital warts (condylomata acuminata or venereal warts) are the most easily recognized sign of genital HPV infection. Many people, however, have a genital HPV infection without genital warts. […] Genital warts are very contagious and are spread during oral, genital, or anal sex with an infected partner. About two-thirds of people who have sexual contact with a partner with genital warts will develop warts, usually within three months of contact. […] A doctor or other health care worker usually can diagnose genital warts by seeing them on a patient. […] Genital warts often disappear even without treatment. In other cases, they eventually may develop a fleshy, small raised growth that looks like cauliflower. […] Depending on factors such as the size and location of the genital warts, a doctor will offer you one of several ways to treat them.

• #5 Genital Warts and HPV Infection: What You Need to Know

  https://www.webmd.com/sexual-conditions/hpv-genital-warts/genital-warts-and-hpv

  Warts are caused by viruses and can appear anywhere on the body. Those that show up in the genital area are caused by the human papillomavirus, commonly called HPV, and are easily transmitted by sexual contact. […] Genital warts can be treated, although the virus that causes them can’t be killed. With the right treatment, genital warts can disappear. […] If your genital warts don’t improve with medicine, you may need a procedure to remove them. Larger genital warts also might have to removed. […] If you have genital warts: Keep the area as dry as possible. Wear all-cotton underwear. Man-made fabrics can irritate the area and trap moisture. […] HPV and genital warts are contagious. If your partner is infected with HPV, there’s always the risk it will spread through sexual contact to you. HPV can’t be cured. Even without visible warts, the virus can spread.

• #6 Genital Warts: Symptoms, Causes, Diagnosis, Treatment & More

  https://www.healthline.com/health/std/genital-warts

  Genital warts can develop with a low risk HPV infection. Treatment can include topical prescription treatments and medical procedures to remove warts. […] Treatment is key in managing this infection. […] So managing symptoms is important because you want to avoid transmitting the virus to others. That said, genital warts can be passed on to others even when there are no visible warts or other symptoms. […] Your doctor may prescribe topical wart treatments that might include: imiquimod (Aldara), podophyllin and podofilox (Condylox), trichloroacetic acid, or TCA. […] If visible warts dont go away with time, you may need minor surgery to remove them. Your doctor can also remove warts through these procedures: electrocautery, or burning warts with electric currents, cryosurgery, or freezing warts, laser treatments, excision, or cutting off warts, injections of the drug interferon. […] Genital warts are a complication of a low risk HPV infection thats common and treatable. They can disappear over time, but treatment is essential in preventing their return and possible complications.

• #7 Human Papillomavirus (HPV) Infection – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/anogenital-warts.htm

  Anogenital warts are usually asymptomatic; however, depending on the size and anatomic location, they can be painful or pruritic. They are usually flat, papular, or pedunculated growths on the genital mucosa. Anogenital warts occur commonly at certain anatomic sites, including around the vaginal introitus, under the foreskin of the uncircumcised penis, and on the shaft of the circumcised penis. Warts can also occur at multiple sites in the anogenital epithelium or within the anogenital tract (e.g., cervix, vagina, urethra, perineum, perianal skin, anus, or scrotum). Intra-anal warts are observed predominantly in persons who have had receptive anal intercourse; however, they also can occur among men and women who have not had a history of anal sexual contact. […] The aim of treatment is removal of the warts and amelioration of symptoms, if present. The appearance of warts also can result in considerable psychosocial distress, and removal can relieve cosmetic concerns. For most patients, treatment results in resolution of the warts. If left untreated, anogenital warts can resolve spontaneously, remain unchanged, or increase in size or number. Because warts might spontaneously resolve in 1 year, an acceptable alternative for certain persons is to forego treatment and wait for spontaneous resolution. Available therapies for anogenital warts might reduce, but probably do not eradicate, HPV infectivity. Whether reduction in HPV viral DNA resulting from treatment reduces future transmission remains unknown.

• #8 About Human Papilloma Virus (HPV) :: Minnesota Women’s Care OBGYN and Urogynecology

  https://mnwcare.com/our-services/gynecology/human-papilloma-virus

  Although treatments can get rid of the warts, none gets rid of the virus. Because the virus is still present in your body, warts often come back after treatment. […] If you or your sexual partner have warts that are visible in the genital area, you should avoid any sexual contact until the warts are treated. […] Genital warts may cause a number of problems during pregnancy. Sometimes they get larger during pregnancy, making it difficult to urinate. If the warts are in the vagina, they can make the vagina less elastic and cause obstruction during delivery. Rarely, infants born to women with genital warts develop warts in their throats (laryngeal papillomatosis).

• #9 Genital warts – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/genital-warts/diagnosis-treatment/drc-20355240

  Health care professionals often can find genital warts during a physical exam. Sometimes, a small piece of tissue needs to be removed and checked by a lab. This is called a biopsy. […] For women, it’s important to have regular Pap tests. These tests can help find changes in the vagina and cervix caused by genital warts. They also can find the early signs of cervical cancer. […] If your warts don’t cause discomfort, you might not need treatment. But medicine or surgery can help you clear an outbreak if you have itching, burning and pain. Treatment also can help if you’re concerned about spreading the infection. […] Warts often return after treatment though. And there is no treatment for the virus itself. […] You might need surgery to remove larger warts or ones that don’t get better with medicine. If you’re pregnant, you may need surgery to remove warts that your baby could come in contact with during delivery.

• #10 Patient education: Genital warts in women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/genital-warts-in-women-beyond-the-basics/print

  GENITAL WARTS OVERVIEW […] Condyloma acuminata (genital warts) is a sexually transmitted infection that causes small, skin-colored or pink growths on the labia, at the opening of the vagina, or around or inside the anus. Although warts affect both genders, more female than male patients are diagnosed with warts. […] GENITAL WARTS DIAGNOSIS […] Genital warts are diagnosed based on an examination. If your health care provider is not certain that the area is a wart, he or she may perform a biopsy (remove a small piece of tissue). […] GENITAL WARTS TREATMENT […] There are many ways to treat genital warts: some involve using a medicine and some involve a procedure. Even with treatment, it is possible that the warts will come back within a few weeks or months. This is because treating the warts does not necessarily get rid of all of the virus (HPV) causing the warts. Some cells in the normal-appearing genital skin and vagina may remain infected with HPV. There is currently no treatment that will permanently get rid of HPV in all infected cells, but most people will clear the virus and the warts with their own immune systems within two years.

• #11 Genital warts Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/genital-warts

  Genital warts must be treated by a provider. Do not use over-the-counter medicines meant for other kinds of warts. […] Treatment may include: Medicines applied to the genital warts or injected by your provider; Prescription medicine that you apply at home several times a week. […] The warts may also be removed with minor procedures, including: Freezing (cryosurgery); Burning (electrocauterization); Laser therapy; Surgery. […] If you have genital warts, all of your sexual partners should be examined by a provider and treated if warts are found. Even if you do not have symptoms, you should be treated. This is to prevent complications and avoid spreading the condition to others. […] You will need to return to your provider after treatment to make sure all the warts are gone. […] Routine Pap tests are recommended if you are a woman who has had genital warts, or if your partner had them. If you had warts on your cervix, you may need to have Pap tests every 3 to 6 months for a time after the first treatment. […] Women with precancerous changes caused by HPV infection may need further treatment.

• #12 Genital Warts Treatment Specialists | Leading NJ Doctors | ID Care

  https://idcare.com/infection/genital-warts/

  Understanding Treatment for Genital Warts […] Genital warts are small, flesh-colored bumps that are caused by the human papillomavirus (HPV). As one of the most common types of sexually transmitted diseases (STDs), almost every sexually active person will become infected with at least one form of HPV in their lifetime — there are over 40 different strains. Genital warts are spread from person to person through oral, vaginal, or anal sex. […] Genital warts can be difficult to detect. That’s why ID Care physicians recommend that all women have regular Pap tests, or pelvic exams, which can help detect vaginal and cervical changes — including those caused by genital warts — and identify the early signs of cervical cancer, which can be a possible complication of the genital infection caused by HPV. A sample of your cervical cells will be tested for HPV after your Pap test.

• #13 Management of Genital Warts | AAFP

  https://www.aafp.org/pubs/afp/issues/2004/1215/p2335.html

  Genital warts caused by human papillomavirus infection are encountered commonly in primary care. Evidence guiding treatment selection is limited, but treatment guidelines recently have changed. The goal of treatment is clearance of visible warts; some evidence exists that treatment reduces infectivity, but there is no evidence that treatment reduces the incidence of cervical and genital cancer. The choice of therapy is based on the number, size, site, and morphology of lesions, as well as patient preferences, cost, convenience, adverse effects, and clinician experience. Patient-applied therapy such as imiquimod cream or podofilox is increasingly recommended. Podofilox, imiquimod, surgical excision, and cryotherapy are the most convenient and effective options. […] Diagnosis of genital and anal warts is primarily clinical. The differential diagnosis includes benign or malignant neoplasm (e.g., squamous cell carcinoma in situ, Bowens disease); molluscum contagiosum (especially in patients with human immunodeficiency virus [HIV]); condyloma lata; fibroepitheliomas; and pearly penile papules. Genital warts typically present as flesh-colored, exophytic lesions on the external genitalia, including the penis, vulva, scrotum, perineum, and perianal skin.

• #14 Human Papillomavirus (HPV) Infection – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/anogenital-warts.htm

  Treatment of anogenital warts should be guided by wart size, number, and anatomic site; patient preference; cost of treatment; convenience; adverse effects; and provider experience. No definitive evidence indicates that any one recommended treatment is superior to another, and no single treatment is ideal for all patients or all warts. Shared clinical decision-making between a patient and a provider regarding treatment algorithms has been associated with improved clinical outcomes and should be encouraged. […] Follow-up visits after weeks of therapy enable providers to answer any questions about use of the medication, address any side effects experienced, and facilitate assessment of the response to treatment. […] Anogenital warts typically respond within 3 months of therapy. Factors that might affect response to therapy include immunosuppression and treatment compliance. Warts located on moist surfaces or in intertriginous areas respond best to topical treatment. A new treatment modality should be selected when no substantial improvement is observed after a complete course of treatment or in the event of severe side effects; treatment response and therapy-associated side effects should be evaluated throughout the therapy course.

• #15 Human Papillomavirus (HPV) Infection – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/anogenital-warts.htm

  Anogenital warts are usually asymptomatic; however, depending on the size and anatomic location, they can be painful or pruritic. They are usually flat, papular, or pedunculated growths on the genital mucosa. Anogenital warts occur commonly at certain anatomic sites, including around the vaginal introitus, under the foreskin of the uncircumcised penis, and on the shaft of the circumcised penis. Warts can also occur at multiple sites in the anogenital epithelium or within the anogenital tract (e.g., cervix, vagina, urethra, perineum, perianal skin, anus, or scrotum). Intra-anal warts are observed predominantly in persons who have had receptive anal intercourse; however, they also can occur among men and women who have not had a history of anal sexual contact. […] The aim of treatment is removal of the warts and amelioration of symptoms, if present. The appearance of warts also can result in considerable psychosocial distress, and removal can relieve cosmetic concerns. For most patients, treatment results in resolution of the warts. If left untreated, anogenital warts can resolve spontaneously, remain unchanged, or increase in size or number. Because warts might spontaneously resolve in 1 year, an acceptable alternative for certain persons is to forego treatment and wait for spontaneous resolution. Available therapies for anogenital warts might reduce, but probably do not eradicate, HPV infectivity. Whether reduction in HPV viral DNA resulting from treatment reduces future transmission remains unknown.

• #16 Genital Warts: Causes, Symptoms, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/4209-genital-warts

  Genital warts are a type of sexually transmitted infection (STI) that causes warts (small bumps or growths) to form in and around your genitals and rectum. Certain strains of human papillomavirus (HPV) cause genital warts. While theres no cure for HPV itself, you can receive treatment for genital warts. You can give genital warts to other people through vaginal, anal or oral sex. […] Genital warts may go away on their own because your immune system can fight off the infection that causes it. However, they may get larger, multiply or become increasingly uncomfortable. Removing genital warts reduces your chances of spreading the infection since an active outbreak spreads more easily. Remember, treatment for genital warts isnt a cure. […] Treatment to remove genital warts doesnt cure you from HPV. Even if you dont have an active outbreak and your warts were removed, you can still spread HPV.

• #17 Patient education: Genital warts in women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/genital-warts-in-women-beyond-the-basics

  Medical treatments — Medical treatments include creams or liquids that you or your doctor or nurse must apply to the wart. All of these treatments must be used one or more times per week for several weeks, until the wart(s) goes away. […] Surgical treatment — Surgical treatments include treatments that remove the wart (called excision) and treatments that destroy (freeze, burn) the wart. These treatments are often used in combination. Some surgical treatments can be done in the office while others are done in the operating room. Surgical treatments are considered safe in pregnancy, and may be recommended for: […] ● Warts that do not respond to medical therapy […] ● Large areas of warts, where medical therapy alone is often inadequate […] ● Warts involving the vagina, urethra, or anus

• #18 Management of External Genital Warts | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0901/p312.html

  Genital warts are benign manifestations of human papillomavirus (HPV) that can cause discomfort and significant patient distress. Treatment options abound, and recurrence is common. Patient preferences, available resources, cost, and clinician experience should guide treatment selection. […] Treatment of genital warts should be guided by patient preference, available resources, cost, and the experience of the physician. Pregnant women should not be treated with podophyllin, and the safety of imiquimod (Aldara), sinecatechins (Veregen), and podofilox (Condylox) in pregnancy has not been established. […] Common treatments for genital warts include patient- or clinician-applied topical therapies, as well as surgical and destructive approaches. Effectiveness varies among treatments, and head-to-head studies of all available modalities are lacking. Recurrence rates range from 25% to 67%. Patients with asymptomatic lesions may prefer no treatment, and one-third of cases clear spontaneously. Patient-applied treatments include imiquimod (Aldara), podofilox (Condylox), and sinecatechins (Veregen). Clinician-applied methods include podophyllin, trichloroacetic and bichloroacetic acids, cryotherapy, electrosurgery, and surgical excision.

• #19 Patient education: Genital warts in women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/genital-warts-in-women-beyond-the-basics

  Medical treatments — Medical treatments include creams or liquids that you or your doctor or nurse must apply to the wart. All of these treatments must be used one or more times per week for several weeks, until the wart(s) goes away. […] Surgical treatment — Surgical treatments include treatments that remove the wart (called excision) and treatments that destroy (freeze, burn) the wart. These treatments are often used in combination. Some surgical treatments can be done in the office while others are done in the operating room. Surgical treatments are considered safe in pregnancy, and may be recommended for: […] ● Warts that do not respond to medical therapy […] ● Large areas of warts, where medical therapy alone is often inadequate […] ● Warts involving the vagina, urethra, or anus

• #20 HPV (Human Papillomavirus): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/11901-hpv-human-papilloma-virus

  Genital warts are rough, cauliflower-like lumps that grow on your skin. They may also appear like skin tags. They may appear weeks, months or even years after you’ve been infected with low-risk HPV. Genital warts are contagious (like all forms of HPV). They can also be itchy and very uncomfortable. […] Genital warts are another complication of HPV. Genital warts can be itchy and uncomfortable and interfere with your daily life. Other than those symptoms, genital warts don’t cause much harm. […] Treatments can’t rid your body of the virus. They can remove any visible warts on your genitals or other body parts, and abnormal cells in your cervix. Treatments may include: Cryosurgery: Freezing warts or destroying abnormal cells with liquid nitrogen. Loop electrosurgical excision procedure (LEEP): Using a special wire loop to remove warts or abnormal cells on your cervix. Electrocautery: Burning warts off with an electrical current. Laser therapy: Using an intense light to destroy warts or any abnormal cells. Cold knife cone biopsy: Removing a cone-shaped piece of cervical tissue that contains abnormal cells. Prescription cream: Applying medicated cream directly to your warts to destroy them. These creams may include imiquimod (Aldara) and podofilox (Condylox). Trichloroacetic acid (TCA): Applying a chemical treatment that burns off warts.

• #21 Human Papillomavirus (HPV) Infection – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/anogenital-warts.htm

  Treatment of anogenital warts should be guided by wart size, number, and anatomic site; patient preference; cost of treatment; convenience; adverse effects; and provider experience. No definitive evidence indicates that any one recommended treatment is superior to another, and no single treatment is ideal for all patients or all warts. Shared clinical decision-making between a patient and a provider regarding treatment algorithms has been associated with improved clinical outcomes and should be encouraged. […] Follow-up visits after weeks of therapy enable providers to answer any questions about use of the medication, address any side effects experienced, and facilitate assessment of the response to treatment. […] Anogenital warts typically respond within 3 months of therapy. Factors that might affect response to therapy include immunosuppression and treatment compliance. Warts located on moist surfaces or in intertriginous areas respond best to topical treatment. A new treatment modality should be selected when no substantial improvement is observed after a complete course of treatment or in the event of severe side effects; treatment response and therapy-associated side effects should be evaluated throughout the therapy course.

• #22 HPV and Genital Warts: Taking Care of Yourself

  https://healthlibrary.reading.towerhealth.org/Conditions/Orthopedics/Tools/3,87543

  Women should have routine Pap tests of the cervix and possibly the anus as often as their provider advises. HPV testing is advised after age 30. […] Some men should have Pap tests of the anus as advised by their provider. […] Talk with your provider about being vaccinated against HPV, even if you’ve had warts or an abnormal Pap smear already. The HPV vaccine may help to protect you from disease or from other strains of HPV. […] Pregnant people shouldnt use certain treatments for genital warts. Your healthcare provider can tell you which ones are safe. Talk to your provider about your medicines before you try to become pregnant. If you become pregnant, make sure your provider knows that you have HPV. […] People with weak immune systems may have more frequent outbreaks. They also may not respond as well to treatment. Your provider can help find the best treatment plan for you.

• #23 Management of Genital Warts | AAFP

  https://www.aafp.org/pubs/afp/issues/2004/1215/p2335.html

  The primary treatment goal is removal of symptomatic warts. Some evidence suggests that treatment also may reduce the persistence of HPV DNA in genital tissue, and therefore may reduce infectivity. However, there is currently no evidence that treatment of genital warts has a favorable impact on the incidence of cervical and genital cancer, and there have been no controlled studies on the effects of treatment of external genital warts and HPV transmission rates. […] The choice of initial treatment modality should be guided by a number of considerations, including wart morphology, size, number, and location. Many treatment recommendations are based on expert opinion from consensus guidelines; few studies have directly compared different treatments. Patients should be told that no treatment (watchful waiting) is an option for warts at any site, especially for warts in the vaginal and anal canal. […] Podophyllin, podofilox, and fluorouracil should not be used in pregnant patients because of possible teratogenicity. Imiquimod is not approved for use in pregnant women, although treatment with this agent can be considered after informed consent has been obtained.

• #24 Genital Warts – Clinical Feature – Management – TeachMeObGyn

  https://teachmeobgyn.com/sexual-health/sexually-transmitted-infections/genital-warts/

  For detailed management of anogenital warts see the BASHH UK National Guidelines. […] HPV is not associated with miscarriage, premature birth or other pregnancy complications. However, due to the hormonal changes associated with pregnancy, genital warts may multiply or enlarge. Treatment aims to reduce the burden of lesions so that during childbirth the neonates exposure is reduced. During pregnancy, podophyllotoxin and imiquimod are not recommended and physical ablation methods are preferred.

• #25

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3123

  Genital warts often go away on their own without treatment. Some people decide to treat them because of the symptoms or the way the warts look. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] If your doctor gave you medicine to treat your warts at home, use the medicine exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] To reduce the itching and irritation from genital warts: Keep the warts clean and dry. You may want to let the area air dry after a bath or shower. This may feel better than a towel. Avoid shaving an area where warts are present. Shaving can spread the warts. Do not use over-the-counter wart removal products to treat genital warts. These products are not intended for the genital area and may cause serious burns.

• #26 Nursing Care Plan For Warts – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-warts/

  Warts, caused by the human papillomavirus (HPV), are common skin growths that require a comprehensive nursing assessment to develop an effective care plan. The assessment should encompass various aspects of the patients health and the characteristics of the warts. Here is a structured nursing assessment for warts: […] A comprehensive nursing assessment is crucial in understanding the patients unique needs and tailoring a care plan that addresses their physical and emotional concerns while preventing the spread of warts to themselves and others. This assessment serves as the foundation for the development of an individualized nursing care plan for warts. […] These nursing diagnoses address various aspects of care for patients with warts, considering their physical, emotional, and educational needs. Nursing interventions and care plans can be developed based on these diagnoses to provide holistic care and support for individuals dealing with warts.

• #27 Nursing Care Plan For Warts – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-warts/

  Warts, caused by the human papillomavirus (HPV), are common skin growths that require a comprehensive nursing assessment to develop an effective care plan. The assessment should encompass various aspects of the patients health and the characteristics of the warts. Here is a structured nursing assessment for warts: […] A comprehensive nursing assessment is crucial in understanding the patients unique needs and tailoring a care plan that addresses their physical and emotional concerns while preventing the spread of warts to themselves and others. This assessment serves as the foundation for the development of an individualized nursing care plan for warts. […] These nursing diagnoses address various aspects of care for patients with warts, considering their physical, emotional, and educational needs. Nursing interventions and care plans can be developed based on these diagnoses to provide holistic care and support for individuals dealing with warts.

• #28 An overview of genital warts

  https://journals.rcni.com/nursing-standard/an-overview-of-genital-warts-ns2014.02.28.24.46.e8344

  Genital warts are a common sexually transmitted infection that is particularly prevalent in young people. Although the warts are usually painless and rarely cause any long-term health problems, they can cause significant psychological distress and relationship problems for those affected. This article provides an overview of genital warts to enable nurses to guide people in the prevention and treatment of the infection.

• #29 Nursing Care Plan For Warts – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-warts/

  Warts, caused by the human papillomavirus (HPV), are common skin growths that require a comprehensive nursing assessment to develop an effective care plan. The assessment should encompass various aspects of the patients health and the characteristics of the warts. Here is a structured nursing assessment for warts: […] A comprehensive nursing assessment is crucial in understanding the patients unique needs and tailoring a care plan that addresses their physical and emotional concerns while preventing the spread of warts to themselves and others. This assessment serves as the foundation for the development of an individualized nursing care plan for warts. […] These nursing diagnoses address various aspects of care for patients with warts, considering their physical, emotional, and educational needs. Nursing interventions and care plans can be developed based on these diagnoses to provide holistic care and support for individuals dealing with warts.

• #30 Genital Warts and HPV Infection: What You Need to Know

  https://www.webmd.com/sexual-conditions/hpv-genital-warts/genital-warts-and-hpv

  Warts are caused by viruses and can appear anywhere on the body. Those that show up in the genital area are caused by the human papillomavirus, commonly called HPV, and are easily transmitted by sexual contact. […] Genital warts can be treated, although the virus that causes them can’t be killed. With the right treatment, genital warts can disappear. […] If your genital warts don’t improve with medicine, you may need a procedure to remove them. Larger genital warts also might have to removed. […] If you have genital warts: Keep the area as dry as possible. Wear all-cotton underwear. Man-made fabrics can irritate the area and trap moisture. […] HPV and genital warts are contagious. If your partner is infected with HPV, there’s always the risk it will spread through sexual contact to you. HPV can’t be cured. Even without visible warts, the virus can spread.

• #31 Genital Warts (HPV) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/genital-warts.html

  If the couple plan to continue having sex, both people need to understand that a condom will help lower the risk of spreading genital warts/HPV but can’t completely prevent it. […] Someone diagnosed with genital warts should: Know that HPV can spread to partners during sex, even if there are no warts. Tell any sexual partners about the warts before having sex. Know to use a condom every time they have sex (vaginal, oral, or anal). Get tested for other STDs as recommended by their health care provider. Gets all doses of the HPV vaccine, if they haven’t already.

• #32 Genital warts – prevention and treatment | healthdirect

  https://www.healthdirect.gov.au/genital-warts

  Treating your warts doesn’t cure the infection. Rather, treatments get rid of the warts you can see. […] You can reduce your chance of becoming infected with HPV by: getting the HPV vaccine, which protects against some types of HPV that cause genital warts, using condoms with new and casual sexual partners, having regular STI checks. […] If you have genital warts, you are not at higher risk of cancers in the genital area. […] It’s important to keep in mind that genital warts are a very common STI. […] There are organisations that can support you, such as Sexual Health Quarters. They can provide counselling, help you with your treatments and answer questions you may have.

• #33 Nursing Care Plan For Warts – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-warts/

  These nursing interventions aim to provide comprehensive care to individuals with warts, addressing their physical discomfort, emotional well-being, and education needs while promoting infection control and prevention strategies. […] In conclusion, the nursing care plan for warts is a vital framework designed to address the multifaceted needs of individuals affected by these common dermatological growths. Through a systematic assessment, identification of nursing diagnoses, and implementation of appropriate interventions, nurses play a crucial role in helping patients manage and overcome the challenges posed by warts.

• #34

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3123

  Genital warts often go away on their own without treatment. Some people decide to treat them because of the symptoms or the way the warts look. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] If your doctor gave you medicine to treat your warts at home, use the medicine exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] To reduce the itching and irritation from genital warts: Keep the warts clean and dry. You may want to let the area air dry after a bath or shower. This may feel better than a towel. Avoid shaving an area where warts are present. Shaving can spread the warts. Do not use over-the-counter wart removal products to treat genital warts. These products are not intended for the genital area and may cause serious burns.

• #35 Human Papillomavirus (HPV) Infection – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/anogenital-warts.htm

  Treatment of anogenital warts should be guided by wart size, number, and anatomic site; patient preference; cost of treatment; convenience; adverse effects; and provider experience. No definitive evidence indicates that any one recommended treatment is superior to another, and no single treatment is ideal for all patients or all warts. Shared clinical decision-making between a patient and a provider regarding treatment algorithms has been associated with improved clinical outcomes and should be encouraged. […] Follow-up visits after weeks of therapy enable providers to answer any questions about use of the medication, address any side effects experienced, and facilitate assessment of the response to treatment. […] Anogenital warts typically respond within 3 months of therapy. Factors that might affect response to therapy include immunosuppression and treatment compliance. Warts located on moist surfaces or in intertriginous areas respond best to topical treatment. A new treatment modality should be selected when no substantial improvement is observed after a complete course of treatment or in the event of severe side effects; treatment response and therapy-associated side effects should be evaluated throughout the therapy course.

• #36 Genital warts Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/genital-warts

  Genital warts must be treated by a provider. Do not use over-the-counter medicines meant for other kinds of warts. […] Treatment may include: Medicines applied to the genital warts or injected by your provider; Prescription medicine that you apply at home several times a week. […] The warts may also be removed with minor procedures, including: Freezing (cryosurgery); Burning (electrocauterization); Laser therapy; Surgery. […] If you have genital warts, all of your sexual partners should be examined by a provider and treated if warts are found. Even if you do not have symptoms, you should be treated. This is to prevent complications and avoid spreading the condition to others. […] You will need to return to your provider after treatment to make sure all the warts are gone. […] Routine Pap tests are recommended if you are a woman who has had genital warts, or if your partner had them. If you had warts on your cervix, you may need to have Pap tests every 3 to 6 months for a time after the first treatment. […] Women with precancerous changes caused by HPV infection may need further treatment.

• #37 How to Remove Genital Warts | Treatment is Available

  https://www.hpv.org.nz/hpv-treatment/how-remove-genital-warts

  Remember that not all of these treatment options may be available, and a treatment plan needs to be discussed with the doctor or health care specialist. […] Whatever the choice, remember that weekly treatments are usually needed, and it may be some time before the warts clear. […] After visible genital warts have cleared, a follow-up evaluation is not necessary. […] Recurrences (a return of the warts) occur most frequently during the first 3 months. A follow-up evaluation 3 months after treatment may be useful for reassurance that there are no persistent or new warts. […] Anyone with genital warts should discuss with their doctor the possibility of other sexually transmitted infections being present, and take the opportunity to have a full sexual health check.

• #38 Genital warts – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/genital-warts/diagnosis-treatment/drc-20355240

  Health care professionals often can find genital warts during a physical exam. Sometimes, a small piece of tissue needs to be removed and checked by a lab. This is called a biopsy. […] For women, it’s important to have regular Pap tests. These tests can help find changes in the vagina and cervix caused by genital warts. They also can find the early signs of cervical cancer. […] If your warts don’t cause discomfort, you might not need treatment. But medicine or surgery can help you clear an outbreak if you have itching, burning and pain. Treatment also can help if you’re concerned about spreading the infection. […] Warts often return after treatment though. And there is no treatment for the virus itself. […] You might need surgery to remove larger warts or ones that don’t get better with medicine. If you’re pregnant, you may need surgery to remove warts that your baby could come in contact with during delivery.

• #39 Patient education: Genital warts in women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/genital-warts-in-women-beyond-the-basics

  ● Areas that have precancerous changes in addition to warts […] GENITAL WARTS FOLLOW-UP […] Getting rid of warts does not necessarily mean that the virus causing the warts (HPV) is gone. If warts come back, they usually do so within three to six months of treatment. This problem is more common in people with a weakened immune system (such as diabetes, HIV, or certain medications). […] GENITAL WARTS PREVENTION […] HPV vaccine — Two vaccines, quadrivalent (commercial name Gardasil) and 9-valent (commercial name Gardasil 9), are available for prevention of genital warts. Gardasil helps prevent infection from four types of HPV (types 6, 11, 16, and 18), and Gardasil 9 adds five additional types of HPV prevention. These vaccines will help prevent most cases of genital warts (caused by HPV 6 and 11) and cervical cancer (caused by HPV 16, 18, and the other five HPV types). Only Gardasil 9 is available in the United States. The vaccines will not treat an HPV infection or warts that have already occurred.

• #40 HPV (Human Papillomavirus): Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/11901-hpv-human-papilloma-virus

  You can reduce your risk if you: Get vaccinated against HPV. The HPV vaccine works best if you get it before becoming sexually active (around age 11 or 12). It may protect you from HPV strains you haven’t been exposed to even after becoming sexually active. Talk to your provider about your options. Get screened and tested regularly. Early detection of HPV and abnormal cells prevents cervical cancer. You should begin getting regular Pap smears at age 21. Talk to your provider about the screening schedule that makes sense for you. Practice safer sex. Condoms and dental dams are less effective at preventing HPV than protecting against STIs that spread through semen or vaginal fluid. Still, using them correctly each time you have sex can reduce your risk of an HPV infection. Protect your partner(s). Let your partner know if you have HPV so that they can get tested, too. You may need to stop having sex while you’re getting treated for genital warts or high-risk forms of HPV. Talk to your provider about the precautions you should take with an HPV infection.

• #41 Patient education: Genital warts in women (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/genital-warts-in-women-beyond-the-basics

  ● Areas that have precancerous changes in addition to warts […] GENITAL WARTS FOLLOW-UP […] Getting rid of warts does not necessarily mean that the virus causing the warts (HPV) is gone. If warts come back, they usually do so within three to six months of treatment. This problem is more common in people with a weakened immune system (such as diabetes, HIV, or certain medications). […] GENITAL WARTS PREVENTION […] HPV vaccine — Two vaccines, quadrivalent (commercial name Gardasil) and 9-valent (commercial name Gardasil 9), are available for prevention of genital warts. Gardasil helps prevent infection from four types of HPV (types 6, 11, 16, and 18), and Gardasil 9 adds five additional types of HPV prevention. These vaccines will help prevent most cases of genital warts (caused by HPV 6 and 11) and cervical cancer (caused by HPV 16, 18, and the other five HPV types). Only Gardasil 9 is available in the United States. The vaccines will not treat an HPV infection or warts that have already occurred.

• #42 Genital Warts 

  https://www.veteranshealthlibrary.va.gov/Encyclopedia/142,85095_VA

  To prevent genital warts, get vaccinated against HPV. VHA recommends the HPV vaccine for people up to age 26 who: Have not been vaccinated, Have not completed the full 3 dose HPV vaccine series. […] It’s also important to know your partners sexual history. Someone may not have visible warts. But they can still spread the virus. Protect yourself by using latex condoms. And get regular health exams. […] In women, regular Pap tests with HPV testing can find some strains of HPV and also find early signs of cervical cancer. VHA recommends the following for cervical cancer screening: Women ages 21 to 29 of average risk should be screened every 3 years with Pap test alone, Women ages 30 to 65 of average risk should be screened with any of the following 3 options: Every 3 years with Pap test alone, Every 5 years with high-risk human papillomavirus (hrHPV) testing alone, Every 5 years with hrHPV testing in combination with Pap test (co-testing). […] Talk with your health care provider for more information about getting vaccinated for HPV and screened for cervical cancer.

• #43 Genital warts | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/genital-warts

  You can help reduce the risk of spreading genital warts by practising safe sex by using internal and external condoms. […] Transmission of genital warts can occur when a wart is present, but may also occur when there are none. […] If you have regular sexual relationships, especially if you and your partners have genital warts, the benefits of condom use is unclear. Discuss this issue with your doctor or with a nurse at a sexual health clinic.

• #44

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3123

  Genital warts often go away on their own without treatment. Some people decide to treat them because of the symptoms or the way the warts look. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] If your doctor gave you medicine to treat your warts at home, use the medicine exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] To reduce the itching and irritation from genital warts: Keep the warts clean and dry. You may want to let the area air dry after a bath or shower. This may feel better than a towel. Avoid shaving an area where warts are present. Shaving can spread the warts. Do not use over-the-counter wart removal products to treat genital warts. These products are not intended for the genital area and may cause serious burns.

• #45 Genital Warts (HPV) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/genital-warts.html

  If the couple plan to continue having sex, both people need to understand that a condom will help lower the risk of spreading genital warts/HPV but can’t completely prevent it. […] Someone diagnosed with genital warts should: Know that HPV can spread to partners during sex, even if there are no warts. Tell any sexual partners about the warts before having sex. Know to use a condom every time they have sex (vaginal, oral, or anal). Get tested for other STDs as recommended by their health care provider. Gets all doses of the HPV vaccine, if they haven’t already.

• #46 Genital HPV infections – what community nurses need to know | Nursing in Practice

  https://www.nursinginpractice.com/clinical/sexual-health/genital-hpv-infections-what-community-nurses-need-to-know/

  The three main therapies used in sexual health clinics are: Topical cryotherapy liquid nitrogen is sprayed onto the surface of the wart. Imiquimod an immune moderator self-applied every other day until warts resolve. Podophyllotoxin a topical treatment self-applied to the warts for 3 days of the week until warts resolve. […] If patients are unable to attend a sexual health clinic for review, it is possible to treat in the community using the British Association of Sexual Health and HIV guidelines. It would be expected that patients begin to respond to treatment within 8-12 weeks. […] If no response is seen, or if the warts are very large or extensive, referral to a genital dermatologist would be advised to rule out malignancy. […] Patients are understandably often upset by a diagnosis of HPV, and a large role of the community nurse will be to reassure and answer questions. Some facts which may help include: Genital warts do not develop into cancers. They are caused by separate strains of the HPV virus. People with genital warts do not need more frequent cervical screening.

• #47 Genital Warts – Clinical Feature – Management – TeachMeObGyn

  https://teachmeobgyn.com/sexual-health/sexually-transmitted-infections/genital-warts/

  For detailed management of anogenital warts see the BASHH UK National Guidelines. […] HPV is not associated with miscarriage, premature birth or other pregnancy complications. However, due to the hormonal changes associated with pregnancy, genital warts may multiply or enlarge. Treatment aims to reduce the burden of lesions so that during childbirth the neonates exposure is reduced. During pregnancy, podophyllotoxin and imiquimod are not recommended and physical ablation methods are preferred.

• #48 Management of External Genital Warts | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0901/p312.html

  There is little evidence to guide treatment of genital warts during pregnancy. The Centers for Disease Control and Prevention does not recommend prophylactic cesarean delivery or routine treatment of external genital warts in pregnant women unless lesions will cause obstructed labor or significant bleeding during delivery. The safety of imiquimod, sinecatechins, and podofilox in pregnancy has not been established. […] Patients with significant immunosuppression (e.g., from human immunodeficiency virus [HIV] infection, immunosuppressive therapy to suppress transplant rejection, or other concomitant disease) are at increased risk of squamous cell carcinoma, which may be clinically similar or identical to genital warts. Lesions that ulcerate, grow rapidly, or are atypical should be biopsied to rule out squamous cell carcinoma. […] Warts that do not respond to one or more treatments should prompt the physician to review the differential diagnosis and consider a biopsy or referral to a subspecialist.

• #49 Genital Warts – Women’s Health Guide – Public Health

  https://www.publichealth.va.gov/infectiondontpassiton/womens-health-guide/stds/genital-warts.asp

  Discuss treatment for genital warts with your health care provider. […] Genital warts rarely cause problems during pregnancy and birth. Most women who no longer have visible genital warts do not have problems with pregnancy or birth. If you are pregnant, you should discuss treatment options with your health care provider as the warts may: Grow larger and bleed, Make it difficult to urinate if growing in the urinary tract (rare), Make the vagina less elastic during birth if the warts are in the vagina (rare), Cause a need for a cesarean section (C-section) birth if the warts block the birth canal (rare), Be passed to the baby during birth (rare).

• #50 Human Papillomavirus (HPV) Infection – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/anogenital-warts.htm

  When counseling persons with anogenital warts, the provider should discuss the following: If left untreated, genital warts might resolve, stay the same, or increase in size or number. The types of HPV that cause genital warts are different from the types that can cause cancer. […] Persons with HIV infection or who are otherwise immunosuppressed are more likely to develop anogenital warts than those who do not have HIV.

• #51 HPV and Genital Warts: Taking Care of Yourself

  https://healthlibrary.reading.towerhealth.org/Conditions/Orthopedics/Tools/3,87543

  Women should have routine Pap tests of the cervix and possibly the anus as often as their provider advises. HPV testing is advised after age 30. […] Some men should have Pap tests of the anus as advised by their provider. […] Talk with your provider about being vaccinated against HPV, even if you’ve had warts or an abnormal Pap smear already. The HPV vaccine may help to protect you from disease or from other strains of HPV. […] Pregnant people shouldnt use certain treatments for genital warts. Your healthcare provider can tell you which ones are safe. Talk to your provider about your medicines before you try to become pregnant. If you become pregnant, make sure your provider knows that you have HPV. […] People with weak immune systems may have more frequent outbreaks. They also may not respond as well to treatment. Your provider can help find the best treatment plan for you.

• #52 Genital warts and human papillomavirus (HPV) | Health and wellbeing | Queensland Government

  https://www.qld.gov.au/health/condition/infections-and-parasites/sexually-transmissible-infections/genital-warts-human-papilloma-virus-hpv

  Genital warts are fleshy growths or lumps found around the genitals and anus. They are caused by the human papillomavirus (HPV, most commonly types 6 and 11). HPV can affect anyone and 9 out of 10 people have HPV at some time in their lives. Most HPV infections are harmless, do not cause any symptoms, and clear up without treatment. […] If you think you have genital warts, it is recommended that you have a sexual health check. In most cases, the presence of warts can be confirmed by visual inspection of the genital area. There is no treatment that gets rid of HPV but in most people, the virus is naturally cleared within 1-2 years. […] Genital warts can be easily treated by freezing the warts, using a liquid treatment or cream, or occasionally laser treatment to remove the warts. Warts can grow rapidly during pregnancy and some treatments are not recommended at this time, so it is important to consult a healthcare professional. Lesions often go away after birth as the immune system returns to pre-pregnant function. […] Treatment for genital warts is cosmetic rather than curative and for people with HIV, warts can have a poor response to treatment, require longer treatment cycles and are more likely to recur. […] For most people the body’s natural immune response will clear the virus over time.

• #53 An overview of genital warts

  https://journals.rcni.com/nursing-standard/an-overview-of-genital-warts-ns2014.02.28.24.46.e8344

  Genital warts are a common sexually transmitted infection that is particularly prevalent in young people. Although the warts are usually painless and rarely cause any long-term health problems, they can cause significant psychological distress and relationship problems for those affected. This article provides an overview of genital warts to enable nurses to guide people in the prevention and treatment of the infection.

• #54 Genital warts – prevention and treatment | healthdirect

  https://www.healthdirect.gov.au/genital-warts

  Treating your warts doesn’t cure the infection. Rather, treatments get rid of the warts you can see. […] You can reduce your chance of becoming infected with HPV by: getting the HPV vaccine, which protects against some types of HPV that cause genital warts, using condoms with new and casual sexual partners, having regular STI checks. […] If you have genital warts, you are not at higher risk of cancers in the genital area. […] It’s important to keep in mind that genital warts are a very common STI. […] There are organisations that can support you, such as Sexual Health Quarters. They can provide counselling, help you with your treatments and answer questions you may have.

• #55 Reddit – The heart of the internet

  https://www.reddit.com/r/HPV/comments/1013bsa/heres_my_experience_with_a_genital_wart_to/

  I wanted to share my experience with genital warts to assure others its not a big deal. HPV is super common and warts are something doctors see all the time so please dont feel ashamed to get medical attention instead of trying to treat them yourself at home. […] Please don’t do this – it was dumb and didn’t fix the problem; just go see a doctor. […] YOU SHOULD GET TESTED REGULARLY IF YOURE SEXUALLY ACTIVE. Its so important to get tested even if you dont have symptoms. […] Honestly, doctors see this stuff all the time and you shouldnt feel ashamed to go see one to get your wart taken care of. Youre definitely not going to be the first or last genital wart the doctor looks at so you really shouldnt feel embarrassed. […] TLDR – warts are common and easily treated. After about a week after cryotherapy they were gone. Dont be embarrassed and go see a doctor already.

• #56 Nursing Care Plan For Warts – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-warts/

  These nursing interventions aim to provide comprehensive care to individuals with warts, addressing their physical discomfort, emotional well-being, and education needs while promoting infection control and prevention strategies. […] In conclusion, the nursing care plan for warts is a vital framework designed to address the multifaceted needs of individuals affected by these common dermatological growths. Through a systematic assessment, identification of nursing diagnoses, and implementation of appropriate interventions, nurses play a crucial role in helping patients manage and overcome the challenges posed by warts.

• #57 Diagnosis and Management of Genital Warts

  https://www.medscape.org/viewarticle/549330

  This activity is intended for all clinicians who participate in the treatment and care of females and males with external genital warts. […] The goal of this activity is to review best practice options for the treatment of genital warts. […] Design individualized treatment plans of care for patients with external genital warts. […] This Activity is sponsored by Medscape Continuing Education Provider Unit. Medscape is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. […] Approved for 1.2 contact hour(s) of continuing nursing education for RNs and NPs; 0.6 contact hours are in the area of pharmacology. […] The focus of this activity is on understanding the natural history of EGWs and application of that understanding to improving the diagnosis, treatment, and outcome of patients with EGWs.

• #58 Genital Warts – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441884/

  Genital warts are very common in clinical practice. Because of the risk of cancer, there is now a vaccine available to prevent these warts. Healthcare workers, including nurse practitioners, physician assistants, and primary care physicians, need to work in an interprofessional effort to educate patients about the importance of the HPV vaccine as it can prevent a variety of genital cancers.

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