For past decade or so laser has gotten attention in practicing medicine.  The name of the laser is accompanied with the thought of something high-tech miracle that could fix anything. However the reality is somewhat different. Laser is usually a single wavelength amplified beam of light radiation. There has been many manufacture and different type and name on the laser such as diode, CO2, ... but it all comes to one easy understanding conclusion:

Think about a powerful beam of light that burns.

As far as treatment of genital warts concern, laser will be used to burn the warts. Many doctors and clinician these days use laser to burn genital warts. Laser is an instrument to assist physician to treat warts or other skin condition, but at end it all comes to surgeon experience and hand and success rate.

Laser Treatment with high relapse rate
Laser intensity and depth of penetration is pre set. This is the reason that many patients with laser therapy have high relapse rate of recurrence of genital warts. The warts comes in different shapes and thickness and hardness and they don’t follow the exact pattern. We have seen many patients in our institution with genital warts recurrence after laser treatment.

In many instances will not eliminate the warts.
It is very important to remember that genital warts is not skin tag, mole or fibro epithelial that you burn and cook the sticking out tissue and it goes away easily and never grow back. Human papillomavirus will reproduce the genital warts after it falls off again and again.

Once again destruction of genital wart is one thing and making sure of not growing back is another. There is no unique exact routine procedure for all.

Undesirable Radio wave (radio frequency) Treatment
Other devices than laser such as Radio waves frequency  is also recently used for treatment of skin problem and because it is less expensive than laser then many spa and clinics seem using them. Radio frequency is electromagnetic energy of frequency range between ~ 3khz-3GHZ to cause vibration. It produces heat similar to microwave. As it increases the tissue temperature it basically cook the area.

The cosmetic effect and outcome is not close or as well as laser or other more precise target oriented treatment. The amount of heat production and vibration might be different in different tissue ( similar to placing a dish of food in microwave which you could get both hot and cold area on same dish). Dr. Arani does not recommend this technique for treatment of genital warts.


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