Activation of HPV leads to the formation of small skin growths – papillomas – on the human body. They can be single or merge into groups, but at the same time they usually do not deliver physical discomfort. Many tend to think that this is just a cosmetic defect and postpone a visit to the doctor, but leaving the problem unattended, they risk their own lives.
It is not difficult to remove skin neoplasms, for example, to remove papillomas with a laser. In addition, this can be done surgically, by the radio wave method, electrocoagulation, as well as carry out the removal of papillomas with liquid nitrogen. All methods have advantages and disadvantages, vary in price level – each patient has the right to choose the method suitable for himself.
Why you need to delete
Papillomatosis is a viral disease that must be controlled. If the problem is left unattended for a long time, the infection will spread throughout the body, provoking new rashes, and growths can appear not only on the skin, but also on the mucous membranes.
HPV becomes active with a decrease in immunity – viral DNA integrates into healthy cells, multiplies, leading to the formation of growths. If delayed with treatment, papillomas can grow, penetrate into the deeper layers of the skin, and transform into painful papules. In addition, there is a high risk of injuring the growth, which is fraught with even greater seeding and the penetration of a secondary infection.
The most dangerous is the localization of neoplasms on the genitals. In this case, papillomas pass into genital or flat condylomas, which often degenerate into malignant tumors.
Is it dangerous to remove papillomas? The answer is unequivocal – it is much more dangerous to let the problem go by chance, unjustifiably risking your own health, and possibly even life. Today, an innovative method of laser destruction of papillomas, condylomas and other skin neoplasms has been developed, which has several advantages over alternative methods of removal.
Benefits of laser papillomasting
Why experts recommend resorting to laser destruction of papillomas, condylomas and other skin neoplasms:
- The laser beam completely removes the growth, and the depth of exposure individually selected by the doctor eliminates damage to healthy tissues;
- There is no bleeding – along with the removal, coagulation (sealing) of blood vessels is performed. For the same reason, the risk of infection is minimized;
- The procedure is carried out on any part of the body, has no age restrictions, the size of the growth also does not matter;
- Proper skin care in the postoperative period guarantees the absence of complications;
- The recovery period will take no more than a week;
- There are no traces after the intervention. In the event that the growth is large (diameter over 6 mm), a pink or white spot forms at the site of exposure, which after a while acquires a normal skin color;
- There is not always a need for anesthesia – the procedure is almost painless, but it all depends on the individual sensitivity threshold.
On average, laser destruction lasts no more than 15 minutes, during which time an experienced doctor can save you from dozens of small papillomas.
The only drawback of the method is that after exposure there is no biomaterial left for histological examination, therefore, a biopsy (if indicated) is performed before the procedure. Before starting laser destruction, the doctor takes into account the existing contraindications and introduces the patient to possible complications.
Laser treatment – contraindications and possible complications
Patients who decide to get rid of papillomas by laser exposure should be familiar with the limitations for such a procedure:
- The active phase of herpetic infection;
- Endocrine pathologies, in particular diabetes mellitus;
- Any skin rashes in the treated area;
- Exacerbation of chronic diseases or any other ailments in the acute stage;
- The presence of malignant neoplasms;
- The period of pregnancy and breastfeeding;
- Fresh tan (obtained less than 2 weeks before the procedure).
In addition, with caution, laser destruction is performed for people with sensitive skin prone to allergies. In some cases, after exposure, minor complications are observed – swelling, hyperemia (inflammation, redness), the formation of burn blisters. How to care for the skin and how to treat the wound in such a situation will tell the doctor.
Laser papilloma removal procedure
Before the onset of exposure, a diagnosis of the neoplasm is carried out on the possible presence of cancer cells, a PCR study is also performed (the strain of the virus is determined, since some of its serotypes are oncogene dangerous).
Before the intervention, the patient is disinfected and anesthetized with the site of exposure (local anesthesia is used). The question that excites many is whether it is painful to remove papillomas with a laser disappears by itself – no, the procedure is painless. Only in some cases some discomfort can be felt, but it all depends on the degree of susceptibility.
Then they proceed to direct destruction, in fact, they burn the papilloma with a laser beam (the intracellular fluid is evaporated, draining the pathological growth in layers). A wound forms at the site of exposure, for which the next few days need care. How to treat a wound surface will tell the doctor.
During the procedure and some time after it, redness may be observed around the former papilloma, this is quite normal. Also, after exposure, there may be slight soreness or itching, which will disappear after 2-3 days.
A scab formed at the site of the wound indicates a speedy healing, but do not adjust the process – the crust should be torn off by itself, exposing a thin layer of healthy skin.
For the recovery process to be successful, you need proper care and compliance with all the recommendations of your doctor.
Treatment of wounds after papilloma removal
Complete healing after removal of the growth usually occurs on the 7-10th day, all this time it is necessary to care for and treat the wound, so that subsequently there are no traces.
- Apply wound healing agents (gel, ointment, cream) or wipe the place of exposure with a weak solution of manganese, calendula infusion – the duration of the manipulations is 3-4 days. Steroid preparations will help speed up healing, but they should be used only by agreement with a doctor – independent use can provoke side effects, and quite serious ones.
- Protect the wound from injuries, for example, rubbing against clothing – before leaving, glue the affected area with a bactericidal plaster, and remove it upon return.
- While there is a process of scab formation (crust), it is not recommended to wet the damaged area. If wet, blot the wound with a paper towel (it is contraindicated to rub with a towel).
- Do not try to remove the formed scab, the crust should fall off on your own, otherwise infection and scarring may occur.
- Within 3-4 weeks after the procedure, the patient should avoid direct sunlight in the place of exposure. They are also not recommended to visit tanning salons, saunas, pools and open reservoirs.
Patients prone to the formation of keloid scars are recommended to use products containing collagenase – the substance, as it were, breaks down necrotic tissue, thereby preventing scarring.
Otherwise, no special care is required, after 7-10 days, the scab disappears, and in its place there remains a light area of the skin, which eventually merges with the skin.
Despite all the safety and a short recovery period, not all people can afford to carry out laser destruction of existing neoplasms – the price of the procedure is slightly higher than alternative removal methods.
How much does it cost to remove a papilloma with a laser
The cost of the procedure depends on the number of tumors, their location, as well as size. In addition, the pricing policy in various clinics may vary depending on the location of the medical institution, the qualifications of specialists and many other aspects.
Let us give an example – the PanoramaMed clinic, which is located in Krasnoye Selo (St. Petersburg region), has the following rates:
- Remove papillomas on the face and neck for more than 20 pieces – 300 rubles per 1 unit;
- Get rid of growths on the body (from 11 to 30 units) – 350 rubles for 1 pc.;
- Laser destruction of papillomas on the body (from 5 to 10 pieces) – 450 rubles per 1 unit;
- To remove a single neoplasm with a diameter of up to 2 mm costs 650 rubles.
But to remove single genital warts is somewhat more expensive, the price ranges from 1500 to 2700 rubles, and not all clinics carry out such a procedure.
The high cost makes people resort to alternative removal methods. How effective and safe they are in relation to laser treatment are discussed below.
Which is better – treatment with radio waves or a laser
Radio wave destruction of skin tumors is a non-contact procedure (the radio knife does not come into contact with the skin), but, in general, laser removal is carried out in exactly the same way. This is not the only similarity between the two methods:
- In both cases, there is a thermal effect. However, the removal of radio waves is not so aggressive (the amount of penetrating heat is minimal), which makes the procedure painless, requiring no anesthesia;
- The procedure is bloodless, there is no risk of infection;
- The healing period is 7-10 days;
- Does not leave postoperative traces.
As an alternative, the radio wave method can be used, but one must take into account that the cost of such a procedure significantly exceeds laser destruction and this is the biggest minus. In addition, if the patient requires histological examination, it should be performed before the manipulation, since after the intervention the biomaterial does not remain.
The better to remove with a laser or nitrogen
The method of cryodestruction is, in essence, freezing papillomas by means of liquid nitrogen (temperature -190 degrees). Not many clinics are equipped with special equipment that minimizes the risk of frostbite on healthy skin areas. Most often, the procedure goes like this – the doctor dips a cotton swab in nitrogen, and then gently applies the product to the papillomas.
Cons of such a manipulation:
- Unable to calculate exposure depth;
- Possible discomfort (burning, tingling);
- The healing period is accompanied by swelling, after the procedure, a blister “flaunts” for several days at the site of the removed growth;
- Sometimes for complete removal several sessions are required (laser destruction is performed in 1 dose).
The advantages of cryodestruction are cheapness, lack of traces, and the ubiquitous implementation of the procedure.
Pros and cons of electrocoagulation
This technique is most often used due to its high performance and availability. Also, the advantage of the procedure is the absence of blood loss and speed of execution (15-20 minutes are enough to remove several tens of papillomas).
At the same time, there are disadvantages:
- Soreness – the effect is conducted by a high-frequency current (alternating or constant), dispersing, it affects the nerve fibers, causing pain. The patient needs anesthesia, but with an extensive lesion, local analgesics may not be able to cope, since there are dosage restrictions;
- The presence of a wide range of contraindications;
- The healing period is long;
- Scarring of tissues is observed (after rejection of the crust, a pink spot remains, which eventually acquires a white color).
Given all the disadvantages, we can conclude that in open areas of the body, electrocoagulation of papillomas should not be performed.
Removing growths with a scalpel, this is the "grandfather method." The need for excision can be in two cases – a large-scale lesion or precancerous (cancerous) condition. In other situations, today, a scalpel is not used – there are more innovative methods.
Pros – complete removal of any neoplasms, accessibility. Cons – blood loss, risk of infection, trauma to healthy skin, a long rehabilitation period, scarring.
The advantages of laser therapy are obvious – painlessness, bloodlessness, regulation of the depth of exposure (guarantees complete disposal of the growth), a short healing period and the absence of traces.
What patients say about laser destruction
About 5-6 years ago, I cut out several large papillomas in the groin (the doctor said that they should only be removed with a scalpel), they healed for a long time, they were sick, they were bleeding. Now in their place scars, well at least not visible to others. I wonder why they were not advised to remove this muck with a laser !? Now I'll know!
I removed the growths on the neck with a diode laser (somewhere I heard that the CO2 laser copes a little worse). I didn’t even have anesthesia, just a little shaken and that’s all. They told me to treat the wound with calendula or Baneocin (I chose a powder). Healed in a few days. There are bright spots, but I look that they are gradually disappearing.
I removed the papilloma with a laser, the consequences were not pleasant (although people write good reviews, maybe they got to the wrong doctor). Removal went well, without pain, but then everything changed. She worked regularly, but the wound did not heal for almost 2 weeks. Then she dragged on a crust. Another time passed, and the crust fell away, and in its place some rough tubercle remained. I went to see a doctor, he said that the scab was not completely torn away, and removed it, he disinfected the place. After this, the wound became inflamed and began to hurt, and besides, some dense red tubercle formed. Has it all begun anew !? Very worried! Now signed up for another specialist, I'll go to him next week. I hope for success.