Small external warts can be treated with podophylin or other topical agent. If they do not respond, surgical treatment will be needed.
Large or confluent arrays of warts will need surgical management.
Internal anal warts can usually be felt as small nodules on rectal examination. If rectal exam is abnormal, anoscopy is indicated to confirm if there are warts in the anal canal, and this will be done at time of appointment.
Suggested Additional Test/Management Prior to Specialty Visit
If there is any question regarding immune status (e.g., HIV) of patient, this should be checked.
Partners should be checked or informed.
Patient Education/Information (includes preps)
4-6 weeks. May see P.A. for screening.
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Hand carry Non-UM records to visit