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Re: This must be condyloma week. From: J. Hellriegel (jhellrie@pce.net) Tue Mar 31 09:07:12 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: : "postpartum PIH pts." Previous message: Bernard Cristalli: "Re: Large vaginal condyloma in pregnancy" At Tue, 31 Mar 1998, douglas krell wrote: > >I have a 26 yea old woman who has been treated for multiple condyloma of the >external genitalia and perianal region with a variety of topical agents. >These have served only to keep the lesions at bay...according to the >patient. >The dermatologist whose ben treating her failed to do a spec exam and guess >what?...She's got multiple intravaginal lesions as well as lesions on the >cervix. >The patient is in a panic, believeing that these lesions are taking over >everything. She wants laser treatment but has no insurance. >How would the listmembers proceed in treating her effectively. -- With extensive condylomata of the vagina and cervix I have had limited success using destrctive methods (excision, multiple Bx, electrocautery) in the office (with local for vaginal lesions). Multiple treatments with TCA has not worked as well for me. Best results achived by agressive treatment in an OR with general anesthesia and laser and/or excision. I suspect that agressive destruction decreases the viral load giving the immune system a chance to do its thing. Had a kidney transplant patient on immunosupressive drugs with condylomata of the labia. She had recurrance even after laser. Finally did skinning vulvectomy and skin graft. That has worked. I believe that this reflects the important role of the immune system. > -- J. Hellriegel, Jr., MD, PhD Next message: : "postpartum PIH pts." Previous message: Bernard Cristalli: "Re: Large vaginal condyloma in pregnancy"

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