Operation

• Condyloma (genital wart) too large in volume for topical treatment with ointments (Aldara® cream, etc.).
• Large amount of condylomas.
• Suspicious condylomas for malignant degeneration require an excision – biopsy.

Technique

Surgery is performed in gynecological position. Patient in supine position with legs raised, hip and knee flexed.

The lesions on the perineum and in the anal canal are removed. Large lesions are removed and systematically examined to rule out malignancy or pre-malignancy.

Smaller lesions are destroyed using electrocoagulation (or laser) causing small burns.

During surgery, the perineum, penis, scrotum or vulva are also examined. When lesions are identified, they will be treated during the same surgery.

Duration of surgery :

• 15 – 20 minutes

Healing of the wounds :

• 4 to 6 weeks

Constipation

Due to the pain, spasm of the anal sphincter occurs which makes the expulsion of stool even more painful which encourages stool retention and constipation.

Postoperative analgesics, a high-fibre diet and mild laxatives are systematically prescribed to prevent postoperative pain and constipation.

Stenosis of the anal canal

In resection of multiple and circular lesions of the anal canal, healing can lead to narrowing of the anus and pain during expulsion of stool.

Normal symptoms

• Anal pain is normal but should subside over time.
• A burning sensation and a false urge to defecate during the first 2 weeks.(when resection intra-anal genital warts).
• Seepage of serous (yellowish) anal fluid.
• Fluid loss may be bloody but should subside over time.

Abnormal symptoms

Contact your surgeon or GP, or go to the emergency room:

• If pain increases over time.
• If fever does not subside over time.
• If pus volume increases or foul smelling viscous fluid increases.
• If blood loss persists.

If certain symptoms seem abnormal to you contact your doctor.

If this is not possible, you can contact avec your surgeon.

If you are unable to contact your GP or your surgeon, go to the emergency department at St Elizabeth Hospital in Uccle.

Change in sensitivity of the anal can be observed after resection and burning off multiple lesions in the anal canal.