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Anal Warts

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Anal warts, condyloma acuminata, affect the area around and inside the anus. The warts first appear as tiny growths, as small as a pinhead, eventually growing to the size of a pea. Because they don’t typically cause pain, patients often don’t even realize they have them.


Although anal warts often go unnoticed, some patients will experience some outward symptoms.

  • Itching
  • Bleeding
  • Mucus discharge
  • Feeling of a lump or mass in the anal area

Causes and Risk Factors

Most anal warts, 90%, are caused by the human papilloma virus (HPV), a sexually transmitted disease passed from person to person by direct contact.

Risk factors include:

  • Smoking
  • Using oral contraceptives
  • Having multiple sexual partners
  • Engaging in sexual intercourse at an early age
  • Engaging in anal intercourse
  • Immunosuppression

Diagnostic Tests

Symptoms of anal warts may go undetected so it’s important to make appointment with your doctor if you have any symptoms that worry you. Your doctor will start with a complete medical history to determine the frequency and duration of your symptoms.

Your doctor may also perform additional tests to aid in diagnosis including:

  • Physical exam

Treatment and Procedures

If warts are very small and are located only on the skin around the anus, they may be treated with a topical medication. Larger warts may be treated by freezing them with liquid nitrogen. In some more extreme cases, warts may require surgical removal.

If the warts aren’t removed, they will grow larger and multiply. If left untreated, anal warts can lead to an increased risk of cancer.

Your health is our greatest concern. Please contact the Center for Colon & Rectal Surgery at 407.303.2615for a private consultation today.