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Electrocoagulation of perianal warts: a word of caution
1Department of Surgery, Bradford Royal Infirmary, UK. Basammori@mcmail.com
Background:
Perianal warts are common, and may be extensive. Electrocoagulation is a recognised management option.
Method:
A 20-year-old male underwent electrocautery of extensive perianal warts. He presented 3 months postoperatively with constipation and inability to defecate. Examination revealed severe perianal stricture, which necessitated a defunctioning colostomy.
Result:
A gradual and spontaneous resolution of the stricture was observed over the following 18 months. Closure of the colostomy was followed by satisfactory anal function.
Conclusion:
Electrocautery of extensive perianal warts should be used with caution. Preservation of healthy skin bridges between lesions is essential if perianal stricture is to be avoided, and may best be achieved by sharp scissors dissection.