Surgical Removal of Genital Warts by Excision

Surgical Removal of Genital Warts by Excision

British Columbia Specific Information

Human Papillomavirus (HPV) is one of the most common sexually transmitted infections (STIs). It spreads through intimate skin-to-skin contact and can lead to genital warts and cancers, including those of the anus, cervix, mouth and throat, penis, vagina and vulva.

HPV vaccine

The HPV vaccines protect against certain types of HPV and is a cancer-preventing vaccine. It benefit individuals of all sexes, genders, sexual orientation and levels of sexual activity. In B.C., the HPV vaccine is part of the recommended immunization schedule for all youth. To receive the free, publicly funded vaccine:

  • You must get your first dose before age 19
  • You must complete the series before age 26

For more information about the HPV vaccine, visit:

To learn more about HPV infection, read HealthLinkBC File #101a Human papillomavirus (HPV) infection and genital warts.

For more information on STIs, sexual health information, testing in your area and other resources, visit Sexually Transmitted Infections.

Surgery Overview

Visible genital warts on the penis or vagina or around the anus can be removed by excision. This means cutting off the warts with a surgical knife (scalpel). Warts on the cervix may be removed by laser or loop electrosurgical excision (LEEP).

The procedure is usually done in a doctor's office or clinic or an outpatient surgery centre. You receive medicine that numbs the area around the warts (local anesthetic).

What To Expect

Recovery time depends on the location and number of warts removed.

  • Most people will be able to return to normal activities within 1 to 3 days.
  • Healing takes 2 to 4 weeks.
  • Scarring may occur.

Avoid sexual intercourse until the treated area heals and soreness is gone. (This usually takes 1 to 3 weeks. It depends on the size of the area treated.)

Why It Is Done

Surgery is used to remove warts that return after other treatments. It also may be used when warts are widespread. A single treatment may be all that is needed.

How Well It Works

Surgery often works well to treat genital warts. Most of the time it removes warts. But warts may grow back.

Risks

Risks of surgery are:

  • Scarring.
  • Bleeding.
  • Infection. You may receive antibiotics at the time of the procedure, to reduce the risk of infection.
  • Pain. You may need medicine for several days after the procedure.

Credits

Current as of: August 2, 2022

Author: Healthwise Staff
Medical Review:
Sarah Marshall MD - Family Medicine
Adam Husney MD - Family Medicine
Kevin C. Kiley MD - Obstetrics and Gynecology