Miscellaneous Surgical Procedures: Treatments for Condyloma Acuminatum, Sacrococcygeal Pilonidal Disease, and Fecal Impaction;Examination Under Anesthesia; and Minor Revision of Intestinal Stomas

  • Debra Holly Ford

Abstract

Anogenital warts (vulvar, vaginal, perineal, anal, penile) are among the most frequently diagnosed sexually transmitted diseases (STDs) in the United States. Condyloma acuminatum is one of several manifestations of human papillomavirus (HPV) infection. It is common within all races and socioeconomic groups and is prevalent in sexually active men and women. An estimated 24 million Americans are infected with this virus, with 1 million new infections occurring annually. 1 The incidence of anal condyloma is difficult to determine, but it is the most common STD referred to surgeons for treatment. The economic burden of HPV infection in the United States exceeded $3.8 billion in 1994. This figure represented over one-third of the approximately $10 billion spent annually on common STDs and related syndromes.1 The cost of care for condyloma management would be even higher if not for the fact that the overwhelming majority of treatment for this disease are carried out in an ambulatory setting.

Keywords

Burning Diarrhea Interferon Neutropenia Epinephrine 

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© Springer Science+Business Media New York 2000

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  • Debra Holly Ford

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