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631396 
Journal Article 
Management of internal genital warts: Do we all agree? A postal survey 
Bushby, SA; Chauhan, M 
2008 
Yes 
International Journal of STD and AIDS
ISSN: 0956-4624 
19/6 (367-369) 
6 
367-369 
English 
18595872 
A postal survey was undertaken to determine whether there was any consensus of opinion regarding the management of internal genital warts in genitourinary medicine clinics in the UK. Overall, 110 forms were returned (57% response). The majority of clinics would refer patients with cervical warts for colposcopy especially if the patient was over the age of 25 or HIV-positive. Proctoscopy or anoscopy was performed in 60% of clinics for patients with perianal warts to determine the presence of warts within the anal canal or rectum. Only 24% of patients with intra-anal warts are referred directly to surgery for biopsy, increasing to 61% if the patient has HIV infection. Cryotherapy is the main treatment for all types of internal warts. Our findings suggest there is no consensus and we recommend that all HIV-positive patients with anal or cervical condyloma should be investigated for evidence of intraepithelial neoplasia 
article; biopsy; colposcopy; condyloma acuminatum ,drug therapy ,dt; condyloma acuminatum ,surgery ,su; cryotherapy; electrosurgery; Embase 07/14/08 to 03/03/09; histopathology; human; Human immunodeficiency virus infected patient; imiquimod ,drug therapy ,dt; priority journal; rectoscopy; rectum surgery; surgery; trichloroacetic acid ,drug therapy ,dt; United Kingdom; urologic surgery; uterine cervix carcinoma in situ