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Re: Large vaginal condyloma in pregnancyFrom: Calvin J. Siegers, MD FACOG (csiegers@hayburn.com)Tue Mar 31 20:48:40 1998
At Tue, 31 Mar 1998, ENDODOK wrote: > >And what is your response if the fetus develops severe condyloma of the vocal >cords?? I have seen a patient whose child lost his voice because of the >repeated laser surgery to the cords to control the condyloma, the mother >having a vaginal delivery with extensive vaginal condyloma. >I concur with treatment now, either excision or skilled laser vaporization. If >it were my wife and condys not treated, I would consider section. Dan's point >re: trauma and hemorrhage are important issue as well. > >J.Glenn Bradley MD Dear J.Glenn, My response to the parents of the fetus with laryngeal papillomatosis is that it is a rare but not unheard-of consequence of an HPV infection that mom harbors; the presence or absence of mom's epithelial lesion had little to do with her infectivity. How regrettable that that infant lost his voice to such a rare infection and unsuccessful ENT procedure. Lastly, fears of trauma and hemorrhage at delivery are more imagined than real. Cal
-- Calvin J. Siegers, MD FACOG...private practice, 20 yr veteran, Holland, MI
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