Anal Warts Treatment in NYC | Bespoke Surgical

What Are Anal Warts and Their Symptoms?

Anal warts are growths that can appear on or around the anus and genitals, caused by the human papillomavirus (HPV). While many people with HPV never develop symptoms, these warts can lead to physical discomfort and more serious health concerns. The most common symptoms of anal warts include itching, bleeding, discharge, mucus production, and pain. They can also appear as lumps around the anus, and for some, they may cause constipation.

What Causes Anal Warts?

Anal warts are caused by HPV, the most common sexually transmitted infection. The virus enters the body through a cut or abrasion and is primarily transmitted through sexual contact, including vaginal, anal, and oral sex. While there are many strains of HPV, a few specific ones are responsible for the vast majority of anal warts.

How Are Anal Warts Treated?

While there is no cure for the HPV virus itself, anal warts are highly treatable. Our goal is to focus on anal wart removal and the prevention of anal cancer. The ideal treatment course is determined by the extent and location of the warts.

We offer a range of options, including:

Topical Treatments: For mild external warts, we may prescribe topical creams or acids.
Advanced Surgical Procedures: For more extensive or internal disease, anal warts surgery is often the most effective way to ensure complete eradication.

Anal Warts Surgery: The Process

For a thorough and comfortable procedure, our anal warts surgery is performed in a state-of-the-art operating room under anesthetic sedation. The surgical process typically includes:

High-Resolution Anoscopy (HRA): A specialized camera is used to magnify and examine the anal canal, helping us identify all areas of the disease.
Biopsy: We may take a small tissue sample to check for signs of dysplasia (pre-cancerous cells).
Cauterization: During the operation, warts and lesions are precisely removed using cauterization, which applies heat to destroy the abnormal tissue. This method ensures a thorough and effective removal while minimizing damage to surrounding areas.

Not sure if you need surgery?

Treatment can range from topical medication to in-office removal or surgical excision. A specialist visit helps you avoid guessing which one fits your case.

Compare Wart Removal Options

Recovery After Anal Warts Surgery

After your anal warts surgery, we provide a personalized and comprehensive follow-up schedule to monitor your progress and check for any signs of recurrence.

Our standard monitoring includes:

A follow-up visit one month after your procedure.
Subsequent appointments at three, six, and twelve months.
Annual check-ups after the first year.

Because recurrence rates can be high, we will also prescribe topical treatment to help prevent new warts from forming once the surgical area has healed.

Discuss Recovery and Recurrence Prevention

Warts can return after treatment if HPV isn’t managed proactively. We’ll walk you through healing, follow-up screening, and how to lower your risk going forward.

Start With a Surgical Evaluation

How to Prevent Future Anal Warts

We recommend several methods to help prevent anal warts from recurring:

The Gardasil Vaccine: This vaccine protects against the HPV strains most likely to cause anal warts and cancer. It is recommended for patients under the age of 26; however, recent studies show benefits in receiving the vaccine for patients under the age of 45, especially for those who engage in anal sex.
Behavioral Changes: Taking steps to modify sexual practices is the most reliable way to greatly reduce your risk. This can include using condoms and limiting sexual activity while your partner is experiencing an outbreak.
Regular Testing: If you are sexually active, getting tested every 3-6 months is a great way to stay on top of a potential diagnosis, and helping to spread anal warts to others.

Choose Bespoke Surgical for Anal Warts Surgery

When considering anal warts surgery, choose a specialist. Our team in NYC provides a comprehensive, whole-body approach, unlike many general practitioners who may only focus on visible symptoms. We perform a thorough internal and external evaluation, ensuring we treat the entire disease for the best possible outcome.

To learn more about our specialized care or to schedule a consultation, please contact our NYC office today or call us at (212) 206-1501.

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Book a private anal wart consultation.

Our team will review your registration and contact you within 24 hours to schedule the right appointment.

Prefer to speak with us? Call (212) 206-1501 today!

CASE STUDY

“My partner and I have been together for 7 years and recently have mutually decided to open our relationship. This all stemmed from him not enjoying bottoming at all. Trust me – we’ve tried and it’s a definite no-go. However, he is super supportive of allowing me the versatile experience I so desire. We are both on PrEP and get routine checks every three months. Recently, I have met a group of guys that are so in tune with my needs and provide me with amazing and tantalizing experiences.

I use protection on and off, I must admit, because the raw sensation just does it for me. I was at the gym the other day, feeling around while showering, when I noticed a few bumps that were not evident the weeks prior. When I got home, I was able to explore more thoroughly and found there were clusters in my anal region and looked like they were entering inside the actual hole. Naturally, I freaked out and ran over to my primary doctor for a professional opinion. These lesions wound up being anal warts, caused by the human papilloma virus (HPV).

I was sent to Dr. Goldstein in NY for a complete evaluation, both inside and out, along with risk assessment and education. During the exam, Dr. Goldstein performed a full pap smear and HPV testing, along with both an external and internal exam. It was then determined that I needed to undergo a procedure using sedation and local anesthesia at a surgery center in Midtown to get rid of them. It was definitely not a pleasant post-operative experience, but it needed to be done and I am so happy Dr. Goldstein was the one doing it.

I am finally back to bottoming and now have a new understanding of HPV as well. I made sure everyone in my group, along with my partner, got fully checked out. It was not a blame game, but more about making sure everyone had a clean slate moving forward. Dr. Goldstein also determined I did not have the high risk strains of HPV, so getting the vaccine – even though I am over the age of 26 – was beneficial and my partner got it as well. Now I get checked every 3 months for the first year to make sure nothing has returned. So far so good.”

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PHYSICIANS

Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein is the Founder and CEO of Bespoke Surgical, NYC’s leading sexual health private practice. He received his osteopathic doctorate from the University of Medicine and Dentistry School in 2002 and completed his residency in General Surgery at Maimonides Medical Center. In 2020, he was named one of NYC’s top LGBTQ+ business leaders by Crain’s New York and he is involved with GLSEN, ACRIA, HRC, and Callen-Lorde’s Howard J. Brown Society. All of these experiences and affiliations have shaped his whole-life approach towards the practice of private surgical care and sexual wellness.

This page was medically reviewed by Dr. Evan Goldstein on November 13, 2020.

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