Perioperative management - Diathermy excision / contact destruction of anal condylomata acuminata

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Authors

Prof. Dr. med. Alexander Herold

End- und Dickdarm-Zentrum Mannheim

Date

Indications
- Except for small, insular, perianal condyloma clusters, the diagnosis of perianal and intra-anal condyloma mandates total surgical excision.
Contraindications
- The sole contraindication is for seriously ill moribund patients. In florid local inflammation (e.g., abscess), the procedure should be postponed until the infection has cleared.
Diagnostic work-up
- Proctological examination: Inspection, palpation, proctoscopy, rectoscopy
- If malignant transformation and infiltration are suspected, biopsy first and then follow up with appropriate diagnostic measures
Special preparation
- None, some cases may require cleansing or emptying of the rectum
Informed consent
- Recurrence
- Local wound healing problems
- Bleeding
- In extensive findings cosmetically vexing changes of the anal region possible
- Impaired skin sensitivity