Genital Warts

Transmission
  • Physical contact
Symptoms
  • Warts on penis and/or around anus
Testing
  • None. Diagnosis is by visual inspection.
Treatment
  • Patient applied:
  1. Podofilox 0.5% solution or gel apply to wart BID for 3 days, followed by 4 days of no treatment. Repeat up to 4 times.
  2. Imiquimod 5% cream apply once daily at bedtime, 3 times a week for 16 weeks. Wash area 6-10 hours after application.
  3. Sinecatechins 15% ointment apply to warts TID for no more than 16 weeks
  • Provider applied:
  1. Cryotherapy with liquid nitrogen. Repeat every 1-2 weeks.
  2. Podophyllin resin 10-25% apply to warts, use <0.5mL per session, wash area 1-4 hours after application. Repeat weekly.
  3. Trichloroacetic acid 80-90% apply to warts, repeat weekly.
Prevention
  • GARDASIL®9 (Human Papillomavirus 9-valent Vaccine, Recombinant)
    • 0.5 mL IM administered at 0, 1-2 and 6 months.
  • Gardasil-9 is recommended for all gay men regardless of age.
    • Free through Public Health for gay men <26 years of age
    • Covered by some insurance plans for men >26 years of age. Cost: ~$600