Anogenital warts are the most common sexually transmitted viral infections in Australia.
The most common reasons people choose laser removal for genital warts at our clinic include:
Previous treatments with ointments or cryotherapy didn’t work.
They want a more effective and lasting solution.
They feel socially embarrassed about having genital warts.
They don’t like how the warts look.
INCIDENCE
An analysis of the BEACH study showed that both men and women can get genital warts, but around 67% of patients are female. The highest incidence of genital warts was in women aged 20 to 24, with 8.61 cases per 1,000, and in men aged 25 to 29, with 7.40 cases per 1,000.
A study of pap smear in a general population found that 11.7% had HPV, but most people with the virus don’t show any symptoms.
TRANSMISSION
Genital warts are highly contagious, with a transmission rate of nearly 65%.
After infection, HPV’s incubation period can range from 3 weeks to 8 months.
Only about 10% of people infected with HPV will develop warts.
Warts usually appear 2 to 3 months after infection.
WHAT DOES GENITAL WARTS LOOK LIKE?
Only a small number of people with HPV develop visible genital warts.
These warts are small, non-cancerous growths that can appear as single or multiple spots of different sizes in the genital area (as shown in the photos below of real cases we treated in our clinic).
They are mostly caused by HPV types 6 and 11, which account for about 95% of cases.
It’s common for more than one HPV type to be present in the same area.
EFFECT OF GENITAL WART VACCINE?
There is a vaccine for HPV called the quadrivalent/nonavalent HPV vaccine.
Countries with established vaccination programs have seen major drops in genital warts, with Australia showing the most significant and lasting reductions.
New cases of genital warts dropped from 2,930 in 2004 to 1,082 in 2018. However, 1,082 new cases are still reported in Australian Sexual Health Clinics each year, with likely even more cases in the community that need support.. <link>
DIAGNOSIS
Doctors typically diagnose genital warts by examining them.
There is no need for additional tests for diagnosing genital warts.
Although genital warts are not cancerous, there is a small risk of cancer developing in the same area.
If there is confusion about the diagnosis or concern that the warts may have developed into cancer (which is rare), a skin biopsy may be needed.
WHY TREAT GENITAL WARTS?
Treatment for genital warts is usually for cosmetic reasons.
Available options include applying chemical irritants, using prescription ointments, freezing the warts with cryotherapy, electrocautery, laser treatment, or surgical excision.
We specialize in laser wart treatment.
Each of these options has different success rates in clearing the warts. In our experience, laser wart therapy is the most effective way to treat genital warts.
WHAT DOES THE LASER GENITAL WART REMOVAL INVOLVE?
Laser removal of genital warts involves the following steps:
Diagnosing and identifying the number of warts to be treated.
Injecting local anesthesia.
Performing laser treatment until all the wart roots are completely eliminated.
The healing time for the wounds varies: smaller warts usually take 5 to 7 days to heal, while larger lesions may take 2 to 3 weeks.
We ask patients to return after 4 weeks to determine if they need to apply prescription cream to reduce the recurrence of genital warts.
WHAT IS THE SUCCSES RATE OF LASER GW REMOVAL?
We often use laser treatment for patients whose warts haven’t responded to other therapies.
This method has a high success rate, with nearly 100% clearance. However, there is still a chance that the warts may return—about 17-19% within 12 weeks and 66% within a year.
COST
You do not need a referral.
The consultation fee is $150, with a Medicare rebate of $82.90 (Item number 36).
The standard cost for genital wart removal is $500.
Multiple smaller warts (4-5) will cost $500.
If multiple warts are being removed and they are larger than 4, the cost may range from $750 to $1,000.
CASE STUDIES ON LASER GENITAL WART REMOVAL
This patient had 6 areas of foreskin infected with warts. They were removed under local anaesthesia. ($500).