Anal warts examinations

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  anal warts are found inside and around the area of the anus. They start as small bumps that may be no larger than the head of a pin. In addition to routine digital and endoscopic examination of the anorectum, and examination of the genitalia, one should have a rectal and urethral swab for gonococci, a serological test for syphilis and possibly stool examinations to exclude pathogens. Anal warts have an unenviable reputation for recurrence after treatment. It is important that an internal anal examination with an instrument called an anoscope be done by your physician to ensure that you do not have anal warts inside the anal canal, known as internal anal warts. Internal anal warts may not be as suitable for treatment by topical medications, and may need to be treated surgically. How are anal warts diagnosed? The history and physical examination are important in making the diagnosis of anal warts. An office-based examination includes visual inspection of the skin, finger palpation of the anus, and anoscopy or proctoscopy to look inside the anus and rectum. Anal warts (condyloma acuminata) are caused by the human papilloma virus (hpv), the most common sexually transmitted disease (std). The warts affect the area around and inside the anus, but may also develop on the skin of the genital area. When a doctor gives someone a visual examination for anal warts, they will usually use a tool called an anoscope. They will usually do an internal exam to search for warts in the anal canal. Physical examinations may be performed at 3 to 6-month intervals. This approach allows for the treatment of recurrent or persistent dysplasia or the detection of anal cancer. Anal warts physical examination should focus primarily on the anorectal examination and evaluation of the perineum (pelvic region) that includes the penile or vaginal area to look for warts. Digital rectal examination should be performed to rule out any mass. Anoscopy is typically performed to look within the anal canal for additional warts.

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