title: Surgical excision of extensive anal condylomata is a safe operation without risk of anal stenosis.
abstract: BACKGROUND
  Anal condylomata acuminata was a well-known disease in ancient times but in recent years there has been a rapidly increasing number of people who suffer from this disease. The main cause of this disease is infection of human papilloma virus (HPV) which occurs through sexual contact. Currently there are three different ways to treat anal condylomata. Small changes of anal condylomata can be treated with local therapeutic agents, but the best results of treatment of extensive changes are obtained by surgical techniques.
  
  
  METHODS
  The study group consisted of 30 patients with diagnosed extensive anal condylomata who underwent surgery in Mikolaj Pirogow High Specialized Hospital in Lodz. The survey was conducted from 2007 to 2011. Patients had been directed to the surgical ward by general surgeons and practitioners, proctologists and urologists. The diagnosis was made after proctological assessment in the knee-chest position.
  
  
  RESULTS
  All patients underwent surgery and had complete macroscopic electroexcision of anal condylomata. In the research group there was no mortality. Postoperative complications occurred in 4 (13.3%) patients--postoperative bleeding. Strong pain was present in 14 (46.7%) patients but only in the postoperative period. During postoperative follow-up there was no observed infection in the anal region or recurrence of disease. In the operated group there were no observed cosmetic deformations of the anus and/or the anal canal, narrow anal canal or functional fecal incontinence symptoms.
  
  
  CONCLUSIONS
  Surgical treatment of anal condylomata is an effective and safe method for the patient. In our research there were no serious postoperative complications or recurrence of the disease during the follow-up period.
authors.affiliation: Department of General and Vascular Surgery, Mikolaj Pirogow Regional Specialist Hospital, Lodz, Poland, the European Community. konradwronski@wp.pl
authors.forename: Konrad
authors.initials: K
authors.lastname: Wroński
authors.forename: Roman
authors.initials: R
authors.lastname: Bocian
mesh_terms: D000328:Adult; D001004:Anus Diseases / Q000209:etiology / Q000473:pathology / Q000517:prevention & control / Q000601:surgery*; D017439:Cicatrix, Hypertrophic / Q000209:etiology; D003218:Condylomata Acuminata / Q000191:economics / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000517:prevention & control; D004598:Electrosurgery / Q000009:adverse effects / Q000191:economics; D017048:Health Care Costs; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000517:prevention & control; D008297:Male; D030361:Papillomavirus Infections / Q000191:economics / Q000473:pathology / Q000601:surgery*; D011044:Poland; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D055502:Secondary Prevention; D016896:Treatment Outcome