Clinical observation of laser combined with 5‐aminolevulinic acid photodynamic therapy for female vulva condyloma acuminatum

Author:

Zhao Zian1ORCID,jama Ahmed Abdullahi1,Gao Hui1,Lu Yao1

Affiliation:

1. School of Clinical medicine Yangzhou University Yangzhou Jiangsu China

Abstract

AbstractBackgroundCondylomata acuminata, or genital warts (GW), are exceedingly prevalent, with human papilloma virus infection accounting for 90% of cases. It can be treated in a variety of methods, but the high recurrence rate and cervical scars make it difficult to choose the best treatment option. Hence, the study aims to find the effect of laser combined with 5‐aminolevulinic acid (ALA) photodynamic therapy for condyloma acuminata in the vulva, vagina, and cervix.MethodsA total of 106 female patients with GW of the vulva, vagina, and cervical condyloma acuminata were treated in the Dermatology Department of Subei People's Hospital in Yangzhou from May 2020 to July 2021. All these patients were treated with laser combined with 5‐ALA photodynamic therapy to observe the therapeutic effect.ResultsAbout 84.9% of patients responded to the first session of ALA‐photodynamic treatment. Five patients relapsed in the 2nd week, two patients relapsed in the 4th week, one relapsed in the 8th week, one relapsed in the 12th week, and the relapsed patients were given 1–3 times of photodynamic therapy again, and no recurrence was seen in the 24th week. After four courses of treatment in 106 patients, the wart clearance rate was 100%.ConclusionLaser combined with 5‐ALA photodynamic therapy for female vulva, vagina, and cervix condyloma acuminata has a reliable curative effect, low recurrence rate, few adverse reactions, and less pain. It is worth promoting in female vulva, vagina, and cervical condyloma acuminata.

Publisher

Wiley

Subject

Obstetrics and Gynecology

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