Laser treatment of condylomata acuminata

The laser is an increasingly popular modality for the treatment of condylomata acuminata. We present our results on 45 patients treated with the carbon dioxide or neodymium: YAG laser for penile, meatal or intraurethral condylomata. Of these patients 7 with small lesions on the penis, particularly on the glans, were treated with the carbon dioxide laser, while the remaining 38 were treated with the neodymium: YAG laser because the lesions were large, or because they were meatal, intraurethral or perianal in location. The only persistent lesions in laser-treated areas were those that were metal or urethral in origin and represented 4.4 per cent of the total series. Of the patients 13 per cent had recurrent condylomatous lesions elsewhere, usually 2 to 3 months after the initial therapy. The long-term cosmetic results have been excellent.