Clinical signs
The warts are caused by different strains of Human Papilloma Virus (HPV) that are replicated only in human epidermis and mucosal surfaces. The warts frequently appear in children who have immature immune system or in immunocompromised adults. The HPV spreads from person to person with direct contact and have long incubation period that lasts from 1-8 months. Sometimes the immune system can eradicate them without any trace. The warts appear most fequently on the hand and on the sole. The lesions are brown or skin colored papules, with hyperkeratotic or stabbed surface, their diameter are usually some millimeter, their number has a large variation. Sometimes the differentiation is hard from a corn. The warts are usually without any complaint on the hand, but on the sole are usually accompanied by pain.
Condyloma acuminatum: this type of wart appears on the mucosa or on the skin of the genitals and around the anus. They are painless, flat or raised, cauliflowerlike, skin colored, soft papules with variable diameter and number. It usually spreads with sexual contact.

Therapy
The therapy is necessary because of several reasons: spreading, esthetic concerns, disturbing at the work if it is on the hand, pain if it is on the sole. The warts can be treated with local therapy using cytostatic agents, salicylic acid or with liquid nitrogen cryotherapy. Surgical possibilities: scrape with Wolkmann spoon, carbon dioxide laser vaporization or electrosurgery. These therapies are accompanied with the administration of immunmodulator drug if there is large number of warts. In the case of Condyloma acuminatum there is vaccination.

We make the surgical removal of warts with carbon dioxide laser vaporization
I wait you with my 30 years experience

The mode of action of carbon dioxide laser in the removal of warts
The light of the carbon dioxide laser is absorbed in water that is found in every human tissue. During the absorption heat evolves, the cells boil and explode. In the case of warts the carbon dioxide laser evaporates the infected tissues.

The carbon dioxide laser vaporization has several advantages in the removal of warts for the patient and the physician too

It is absorbed in 0,1 mm depth in the skin so its effect can be controlled with great accuracy.
There is no need to make suture.
The operation is quick so the burden for you is minimal.
The laser light obstructs the small blood and lymphatic vessels so there are no bleeding during the operation.
You can very rarely feel pain after the operation.
The laser light destroys the pathogens on the surface of the skin so the wound surface will be sterile.
The wound heals quickly and with cosmetically good results.
You can do the simple bandage exchange at home based on the written paper about it.

How is made the removal of warts by carbon dioxide laser?
The operation can be done with local anesthesia using lidocain injection except in the case of small lesions. The time of the operation is between 5-30 minutes depending on the number and the size of the warts.

You have to do the followings after the carbon dioxide laser removal of warts
After the operation there will be serous discharge. The healing time is usually between 7 and 14 days depending on the location and the size of the warts. You have to wear a bandage during the healing time. You have to remain in rest for 2 days if the operation happened on the sole. You can do your work if the removal happened on your hand. Sunscreen using with at least 30 SPF for at least 3 months to prevent the brown discoloration is mandatory. You have to keep off from direct sunbathing and especially solarium use for at least 3 months.

The followings happen after the removal of warts by carbon dioxide laser
The pink color after the healing is part of the normal healing. It indicates that the healing has completed and it usually resolves in 4 weeks spontaneously. The removal of warts by carbon dioxide laser vaporization is a safe process but you have to follow the written bandage process to prevent the side effects. The side effects are rare and they are the followings: bleeding, pain, inflammation around the wound. Unfortunately there may be recurrence of the warts in some cases and new lesions can appear.

In some cases the removal of warts by carbon dioxide laser is contraindicated
Unreal patient expectations, untreated diabetes, stenosis of arteria in the leg, elderly patient.

Wart:
Visit: 33 000 HUF

Operation: the first lesion: 38 000 HUF, between 2-4 lesion: 19 000 HUF/piece, above 5: custom price

Condyloma acuminatum:

Visit: 33 000 HUF

Operation: the first lesion: 40 000 HUF, between 2-4 lesion: : 25 000 HUF/piece, above 5: custom price