From: Proceedings 10th World Congress of Cryosurgery
Big condylomas of vulva, vagina and cervix in a pregnant patient treated with radiofrequency and cryosurgery

November 1998
JE Mauro, E Stolar, E Tuijansky, M Pesaresi, MC Kordich, D Perez Servicio de Tocoginecologia, Departamento Materno-Infantil Hospital General de
Agudos Carlos G. Durand Escuela de post-grado de la Asociaci6n M6dica Argentina. Criocirugia. Directores: Dr. E. Tuijansky y E. Stolar.

HPV lesions are the most frequent viral infection of the female genitalia and vary, depending on the method used for the diagnosis. It can be clinic (diagnosed by simple inspection), subclinic (diagnosed by colposcopy, cytology and histopathology), or latent (those that are negative through the previous methods present DNA of HPV). It can appear at different ages, but it is most frequent during the active sexual period. Several treatments with different results are proposed in spite of this, the recurrences are frequent. Grave clinic forms are observed in special circumstances, usually related to immunodepressive state.

A patient of 27 years, negative HIV, a pregnancy of 23 weeks, who had big condylomas in all the inferior genital tract is presented. The external condylomatous mass assembled till the urethra, vagina, and anus were completely covered, extending to the inguinal regions. The internal one occupied all the vaginal duct and covered the cervix.

Resection of the condylomatous mass with peridural anesthesia was performed with radio frequency and cryosurgery with liquid nitrogen spray, two cycles. All the lesions were treated, except the superior third of the vagina and cervix. Excellent post-operative evolution. Thirty days later, small lesions less than 0.3 cm in diameter were observed, which were only treated with cryosurgery. The symptoms were controlled, especially the pain (that prevented the patient from sitting) and the fetid flux. This case, together with others referred in the literature, allow the mentioned method to be recommended as the choice for this disease.


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