Venereal warts

Summary: Urological referral not appropriate

Advice: Urological referral is not appropriate for venereal warts except on the recommendation of the GUM Clnic
Refer To: Genito-Medical Clinic

Contents:

Clinical information

The majority of genital warts are sexually-transmitted in young patients. They may, of course, be associated with an increased risk of carcinoma (e.g. cervical carcinoma).

All patients should be referred initially to the Genito-Medical Department (Clinic 1A), although some patients with intraurethral warts may require cystoscopy and diathermy at the discretion of the Consultant Physicians in Genitourinary Medicine. Topical treatment with podophyllin or trichloroacetic acid (TCA) is usually recommended; second-line treatment with immune stimulators (e.g. imiquimod) is only indicated after advice from the Genito-Medical Clinic.

Contact tracing plays an important part in the management of sexually-transmitted disease such as venereal warts and the use of condoms is advised until the warts have resolved

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