GuidelinesPrimary Care STG
Genital Warts (GW): Condylomata Accuminata
Sexually Transmitted Infections
A63.0
DESCRIPTION
The clinical signs include:
- Warts on the ano-genital areas, vagina, cervix, meatus or urethra
- Warts can be soft or hard
In most cases, warts resolve without treatment after 2 years in non-immunosuppressed patients.
GENERAL MEASURES
- If warts do not look typical or are fleshy or wet, perform a RPR test to exclude secondary syphilis, which may present with similar lesions
- Emphasise HIV testing
REFERRAL
- All patients with:
- Warts >10 mm
- Inaccessible warts, e.g. intra-vaginal or cervical warts
- Numerous warts
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, 2020 Edition