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The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review
INTRODUCTION: Anogenital warts (AGW) is one of the sexually transmitted infections (STIs) caused by human papillomavirus (HPV). Treatment modalities of AGW yield low clearance and recurrence rate, so that chemical cautery with trichloroacetic acid (TCA) and electrosurgery are widely used to remove t...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561614/ https://www.ncbi.nlm.nih.gov/pubmed/37818198 http://dx.doi.org/10.2147/CCID.S426851 |
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author | Mawardi, Prasetyadi Kamilah, Lian Fauziyyah Heryadi, Fanny Arrosyid, Azhar |
author_facet | Mawardi, Prasetyadi Kamilah, Lian Fauziyyah Heryadi, Fanny Arrosyid, Azhar |
author_sort | Mawardi, Prasetyadi |
collection | PubMed |
description | INTRODUCTION: Anogenital warts (AGW) is one of the sexually transmitted infections (STIs) caused by human papillomavirus (HPV). Treatment modalities of AGW yield low clearance and recurrence rate, so that chemical cautery with trichloroacetic acid (TCA) and electrosurgery are widely used to remove the lesions without any severe side effects. OBJECTIVE: To investigate the efficacy of chemical cautery with TCA and electrosurgery in AGW based on clinical trials or case series. METHODS: The systematic review was reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) but not registered to the International Prospective Register of Systematic Review (PROSPERO). To acquire proper and accurate information from relevant literature, two databases PubMed and the Cochrane Library were searched from January 2013 to March 2023. RESULTS: Thirteen studies were included in this systematic review, comprising seven articles on chemical cautery and six electrosurgery articles. The highest cure rate of chemical cautery with TCA was 94.1% while electrosurgery was 100%. A relatively low recurrence rate during 1 year follow-up was observed in electrosurgery with 14.6%, whereas the chemical cautery was 27.6%. CONCLUSION: Electrosurgery for AGW treatment had higher cure rate with lower recurrence rate compared to chemical cautery with TCA. Numerous adverse effects of electrosurgery were reported include bleeding and scar formation as high risk of HPV infection. |
format | Online Article Text |
id | pubmed-10561614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-105616142023-10-10 The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review Mawardi, Prasetyadi Kamilah, Lian Fauziyyah Heryadi, Fanny Arrosyid, Azhar Clin Cosmet Investig Dermatol Review INTRODUCTION: Anogenital warts (AGW) is one of the sexually transmitted infections (STIs) caused by human papillomavirus (HPV). Treatment modalities of AGW yield low clearance and recurrence rate, so that chemical cautery with trichloroacetic acid (TCA) and electrosurgery are widely used to remove the lesions without any severe side effects. OBJECTIVE: To investigate the efficacy of chemical cautery with TCA and electrosurgery in AGW based on clinical trials or case series. METHODS: The systematic review was reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) but not registered to the International Prospective Register of Systematic Review (PROSPERO). To acquire proper and accurate information from relevant literature, two databases PubMed and the Cochrane Library were searched from January 2013 to March 2023. RESULTS: Thirteen studies were included in this systematic review, comprising seven articles on chemical cautery and six electrosurgery articles. The highest cure rate of chemical cautery with TCA was 94.1% while electrosurgery was 100%. A relatively low recurrence rate during 1 year follow-up was observed in electrosurgery with 14.6%, whereas the chemical cautery was 27.6%. CONCLUSION: Electrosurgery for AGW treatment had higher cure rate with lower recurrence rate compared to chemical cautery with TCA. Numerous adverse effects of electrosurgery were reported include bleeding and scar formation as high risk of HPV infection. Dove 2023-10-05 /pmc/articles/PMC10561614/ /pubmed/37818198 http://dx.doi.org/10.2147/CCID.S426851 Text en © 2023 Mawardi et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Review Mawardi, Prasetyadi Kamilah, Lian Fauziyyah Heryadi, Fanny Arrosyid, Azhar The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review |
title | The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review |
title_full | The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review |
title_fullStr | The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review |
title_full_unstemmed | The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review |
title_short | The Effectiveness of Chemical Cautery and Electrosurgery on Anogenital Wart: Systematic Review |
title_sort | effectiveness of chemical cautery and electrosurgery on anogenital wart: systematic review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561614/ https://www.ncbi.nlm.nih.gov/pubmed/37818198 http://dx.doi.org/10.2147/CCID.S426851 |
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