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Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan
Copyright © 2023 The Korean Society of Coloproctology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICT OF INTEREST
No potential conflict of interest relevant to this article was reported.
FUNDING
None.
AUTHOR CONTRIBUITONS
Conceptualization: all authors; Data curation: JU; Formal analysis: JU; Investigation: all authors; Methodology: JU, KM; Project administration: KM; Resources: KM; Software: JU; Supervision: KM; Validation: JU, KM; Visualization: JU; Writing–original draft: JU; Writing–review & editing: all authors. All authors read and approved the final manuscript.
Type |
Recurrence |
|
---|---|---|
First time (n=35) | Second time (n=35) | |
Skin-dominant type | 27 (77.1) | 27 (77.1) |
Anal-dominant type | 5 (14.3) | 4 (11.4) |
Equivalent type | 3 (8.6) | 4 (11.4) |
Characteristic | Value |
---|---|
No. of patients | 93 |
Age (yr) | 39.6 ± 14.2 (1–75) |
Sex | |
Male | 62 (66.7) |
Female | 31 (33.3) |
History of perianal warts | |
First time diagnosis | 78 (83.9) |
Past history | 15 (16.1) |
At our hospital | 7 |
At other hospitals | 8 |
Symptom (overlapping) | |
Itching | 49 (52.7) |
Pain | 43 (46.2) |
Warts, lumps, rash | 40 (43.0) |
Bleeding | 31 (33.3) |
Diagnosed by inspection at the first visit | 93 (100) |
Final pathologic confirmation of warts | 90 (96.8) |
Surgery | |
No surgery | 6 (6.5) |
Underwent surgery | 87 (93.5) |
Under local anesthesia | 20 |
Under lumber anesthesia | 66 |
Under general anesthesia | 1 |
Follow-up period after our first surgery (mo) | 30.3 ± 14.9 |
Recurrence after our first surgery during the follow-up | 87 |
Nonrecurrent | 52 (59.8) |
Recurrent | 35 (40.2) |
Characteristic | Total (n=93) | Male (n=62) | Female (n=31) |
---|---|---|---|
Age (yr) | 39.6 ± 14.2 (1–75) | 40.4 ± 13.7 (22–75) | 37.9 ± 15.0 (1–75) |
Unmarried | 51 (54.8) | 34 (54.8) | 17 (54.8) |
Occupation | |||
Office worker | 41 (44.1) | 34 (54.8) | 7 (22.6) |
Civil servant | 4 (4.3) | 4 (6.5) | 0 (0) |
Housewife (no job) | 8 (8.6) | 0 (0) | 8 (25.8) |
Sexual orientation known by the interview | |||
Homosexual | 6 (6.5) | 6 (9.7) | 0 (0) |
Bisexual | 1 (1.1) | 1 (1.6) | 0 (0) |
Infection (overlapping) | |||
Syphilis | 6 (6.5) | 6 (9.7) | 0 (0) |
HIV | 4 (4.3) | 4 (6.5) | 0 (0) |
Both | 3 (3.2) | 3 (4.8) | 0 (0) |
Result of HPV infection test | |||
Accepted the HPV test | 48 (51.6) | 36 (58.1) | 12 (38.7) |
Positive for only low-risk HPV | 34 (70.8) | 25 (69.4) | 9 (75.0) |
Positive for only high-risk HPV | 0 (0) | 0 (0) | 0 (0) |
Positive for both | 12 (25.0) | 10 (27.8) | 2 (16.7) |
Negative for both | 2 (4.2) | 1 (2.8) | 1 (8.3) |
Result of type classification | |||
Type S (skin-dominant type) | 75 (80.6) | 48 (77.4) | 27 (87.1) |
Type A (anal-dominant type) | 9 (9.7) | 9 (14.5) | 0 (0) |
Equivalent type | 9 (9.7) | 5 (8.1) | 4 (12.9) |
Type | Total (n=93) | No surgery (n=6) | Underwent surgery (n=87) | Preoperative state |
|
---|---|---|---|---|---|
Nonrecurrent case (n=52) | Recurrent case (n=35) | ||||
Skin-dominant type | 75 (80.6) | 5 (83.3) | 70 (80.5) | 43 (82.7) | 27 (77.1) |
Anal-dominant type | 9 (9.7) | 1 (16.7) | 8 (9.2) | 3 (5.8) | 5 (14.3) |
Equivalent type | 9 (9.7) | 0 (0) | 9 (10.3) | 6 (11.5) | 3 (8.6) |
Type | Recurrence |
|
---|---|---|
First time (n=35) | Second time (n=35) | |
Skin-dominant type | 27 (77.1) | 27 (77.1) |
Anal-dominant type | 5 (14.3) | 4 (11.4) |
Equivalent type | 3 (8.6) | 4 (11.4) |
Values are presented as number only, mean±standard deviation (range), or number (%).
Values are presented as number only, mean±standard deviation (range), or number (%). HIV, human immunodeficiency virus; HPV, human papillomavirus.
Values are presented as number (%). No statistically significant difference was observed in the distribution of the preoperative type, between the nonrecurrent and recurrent groups (P=0.157 analyzed by the chi-square test).