Management of giant anal condyloma by wide local excision and anoplasty

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
N UribeJ Flores

Abstract

Treatment of giant condyloma acuminatum, is controversial, especially in human immunodeficiency virus (HIV)-positive patients, owing to concern over wound healing, complications, risk of progression to carcinoma and a high recurrence rate. The aim of this study was to evaluate the outcome after extensive local excision with V-Y anoplasty. Nine patients were identified from a prospective database, six of whom were HIV positive. All patients had a giant perianal condyloma acuminatum extending into the anal canal and perianal region, which required wide excision with V-Y reconstruction. Postoperative complications, recurrence and continence were all determined. Nine patients were included (eight men, median age 40 years), six seropositive for HIV infection. A bilateral V-Y anoplasty was performed in six patients, and unilateral in two. There were no postoperative infections, graft failures or flap necrosis. The mean follow-up was 92 (2-137) months. One patient developed local recurrence treated with excision under local anaesthesia. Extensive local surgery of giant perianal condyloma with anoplastic reconstruction gives good results even in HIV-positive patients.

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Citations

May 23, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N Uribe
Feb 5, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·O Vergara-FernándezM Fernández-Sánchez
Nov 23, 2018·The Journal of Surgical Research·Halle E FossTimothy J Ridolfi
Aug 16, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Natalia UribeBeatriz Cuneo

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