The ointment from papillomas is a topical drug that has antiviral and anti-inflammatory effects. Some ointments for the treatment of benign tumors have an unfavorable side effect profile. The effectiveness of drug therapy depends on the right choice of drug.
General information on pathology
Genital papillomas are benign tumors caused by viral diseases of various etiologies. Genital warts often do not hurt. A third of the victims will disappear in a few months.
Sometimes small papules can itch, bleed and hurt during intercourse. Victims feel disadvantaged in their sex lives. Many people also consider genital warts to be an aesthetic problem. They are ashamed of themselves and want to get rid of them as soon as possible.
There are several ways to treat skin lesions. Therapy depends on which part of the body the genital warts are in. Another concern is whether there are other sexually transmitted diseases such as fungal infections, genital herpes, HIV or chlamydia.
For example, trichloroacetic acid treatment can kill warts if the vaginal mucosa grows or the urethra opens. However, for flat warts, the doctor will usually resort to surgery.
There is no way to guarantee that genital warts (Condylomata acuminata) will go away forever. Because the immune system does not always completely eliminate the human papillomavirus that causes genital warts, STDs often return.
The doctor usually recognizes genital warts with the naked eye. It examines the anus and genital area for skin lesions and can take a tissue sample that will be examined under a microscope. Intracorporeal genital warts, such as those found in the rectum, vaginal mucosa, or urethra, are more difficult to detect. Often a special examination is needed - for the vagina, rectum or urethra.
After identifying the genital warts, the surgeon can either surgically remove the growths or freeze them with liquid nitrogen. Sometimes special creams and ointments are used. In the less common cases where genital warts grow on the tongue or around the eye, an otolaryngologist (ENT) or ophthalmologist may help.
Main features of preparations against papillomas
The most common anti-wart agents include salicylic acid preparations, which reduce the weight of warts due to their keratolytic effects and sometimes result in healing with continued use. Salicylic acid destroys the intercellular cohesion of horny cells and thus dissolves hyperkeratosis.
Salicylates can be widely absorbed through the skin and cause poisoning. Therefore, long-term treatment in large areas during pregnancy, infants and young children, and renal insufficiency should be avoided. It also prevents contact with the eyes and mucous membranes. The drug should not be applied to the genitals and face. Because the concentration of salicylic acid in the drugs varies significantly
Cytostatics are used topically to treat warts to interrupt cell division. By inhibiting DNA and RNA synthesis, cytostatics prevent cell proliferation and thus the spread of the virus.
Immunomodulators are approved for the treatment of external genital warts and perianal warts in adults.
Tool selection criteria
Benign tumors usually regress when the immune system manages to kill the viruses in the skin. However, if prevented by warts, the following treatment options may be considered:
- medicines;
- cryotherapy;
- surgical ablation.
In order to protect against human papillomavirus infection, attention should be paid to hygiene measures - disinfection of the hands and feet, for example in swimming pools. Vaccines against papillomavirus types 6, 11, 16, and 18 have been available since 2006. In addition to cervical cancer, papillomaviruses also cause external genital warts and skin lesions of the vulva.
To reduce the risk of developing cervical cancer, the Standing Committee on Vaccination at the Robert Koch Institute (STIKO) recommends vaccinating girls before their first sexual intercourse (ages 9-14) in the 2018 vaccination recommendation. There is also scientific evidence that vaccinating adolescent boys, who are common carriers of the virus, may help curb the spread of cervical cancer.
There are other ointments (such as oxolinic) that have not been shown to be clinically effective.
Salicylic ointment for papillomas is currently rarely used because of its significant number of side effects. There are a number of topical therapies available for the treatment of external genital warts (Condylomata acuminata), the effectiveness of which is difficult to assess due to the wide variation in the success rates of each procedure. Not everything can prevent frequent relapses and cause significant local discomfort. There is no standard therapy.
Clinical trials are not available for comparison with other treatment options. Due to incomplete documentation, high spontaneous recovery and significant side effects, the use of tea extract is not recommended.
Topical papilloma drugs
Genital warts are caused by sexually transmitted human papillomaviruses, most commonly types 6 and 11, which can heal spontaneously, burden patients, and very rarely progress to malignancies.
It is not recommended to take or use any tools without consulting your doctor. Which ointment is best and most effective will be told by your doctor.
Contraindications and side effects
In rare cases, it may cause skin hypersensitivity reactions. If you are hypersensitive to methyl 4-hydroxybenzoate or propyl 4-hydroxybenzoate, the use of ointments should be stopped completely. The use of ointments during pregnancy or lactation is strictly prohibited.
Ointments may cause skin irritation, abrasion and irritation. This side effect is relatively common but not a cause for concern. Ointments are also used in 3-day cycles. After 3 days of use, after four days of rest, during which the skin recovers.