What Is Anal Wart (Anal/Perianal Wart)?

 

Anal wart, medically known as anal condyloma, is a contagious condition that usually occurs due to an infection caused by the Human Papilloma Virus (HPV), presenting as wart-like bumps around the anus.

Why Do Anal Warts Occur?

The primary cause of anal warts is a viral infection known as human papilloma virus (HPV). This virus spreads through skin contact or sexual transmission, leading to the proliferation of infected cells in the anal region. Unprotected sexual intercourse, multiple partners, weakened immune system, and poor personal hygiene are among the main risk factors. Certain types of HPV can lead to anal warts, and in rare cases, may transform into precancerous lesions. Therefore, any wart-like formation around the anal area should be taken seriously and evaluated by a healthcare professional for early diagnosis and proper treatment.

Causes of anal warts:

  • Unprotected sexual intercourse (especially anal)
  • HPV carrier status
  • Lack of hygiene
  • Weakened immune system

How Are Anal Warts Transmitted?

Anal warts most commonly result from HPV transmission, usually through unprotected sexual contact. In particular, anal intercourse facilitates direct skin-to-skin transmission of the virus. Indirect transmission is also possible through shared items like towels, underwear, or toilets, although less common. HPV can remain dormant without symptoms for a long time, allowing carriers to unknowingly spread the virus. A weakened immune system increases both the risk of transmission and wart formation.

Modes of transmission:

  • Sexual contact
  • Indirect contact with HPV-positive individuals
  • Shared towel or toilet use

What Are the Symptoms of Anal Warts?

Perianal warts usually appear as small, raised, rough skin lesions in the anal area. They may be single or multiple and vary slightly in color from normal skin. Symptoms include itching, burning, discomfort, and occasionally mild pain or bleeding during bowel movements. Since these HPV-induced lesions are contagious, they should be closely monitored and diagnosed early.

Symptoms:

  • Wart-like skin bumps
  • Itching, burning
  • Moisture and discharge
  • Pain during sexual intercourse

How Are Anal Warts Treated?

Treatment is planned based on the size, spread, and the patient’s overall health. Options include topical medications (creams and solutions), cryotherapy (freezing), electrocautery (burning), laser treatment, and surgical removal. Early-stage warts often respond well to topical treatments, while more widespread or resistant cases may require surgical approaches. Because HPV can persist in the body and recur, regular follow-up is important. The sexual partner should also be evaluated and treated if necessary to prevent reinfection.

Treatment options:

  • Creams and solutions
  • Cryotherapy (freezing)
  • Cauterization (burning)
  • Laser wart removal

Laser Treatment for Anal Warts

Laser therapy is particularly effective for large, widespread, or treatment-resistant warts. This method uses high-intensity laser beams to vaporize and eliminate the wart tissue. It minimizes bleeding, causes minimal damage to surrounding tissues, and promotes fast healing. It can be performed under local anesthesia, usually in an outpatient setting. However, because HPV may remain in the body, recurrences can happen. Therefore, regular follow-up and immune support are recommended.

Laser treatment:

  • Bloodless and painless
  • Multiple warts can be removed in one session
  • Fast healing

Can Anal Warts Cause Cancer?

Certain types of HPV can increase the risk of anal cancer. Early diagnosis reduces this risk.

Do Anal Warts Go Away on Their Own?

Usually not. Without treatment, they may spread and remain contagious.

Post-Treatment Considerations for Anal Warts

  • Delay in sexual contact
  • Adherence to hygiene rules
  • Immune system support
  • Attending follow-up appointments

Anal Wart Treatment at Avrupa Cerrahi

Avrupa Cerrahi offers fast and effective results in wart treatment using laser technology.

Frequently Asked Questions (FAQ)

  • Do anal warts go away on their own? No, treatment is usually required.
  • Can anal warts lead to cancer? Depends on the HPV type; there is risk.
  • Is laser a permanent solution? Yes, recurrence risk is low.
  • Are anal warts contagious? Yes.
  • Which department to consult? Proctology (General Surgery).
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