There are 4 main reasons against laser treatment for genital warts.
Persistent HPV After Laser Treatment
Persistent infection after laser treatment is documented and it is recommended to get HPV testing after laser treatment to make sure it has been eradicated. Please refer to National Institute of Health link below to read the study.
Courtesy of Dr Arani copy right protected, recurrence and scar after burning
HPV Transmission By Laser
Laser plume has been shown to actually transmit disease (HPV). Laser is used by various medical specialties to vaporize, ablate, or cut tissue. Laser emits light energy in the lower infrared range (10 600 nm), which is absorbed by water. Because of the relatively high water content of tissue, significant amounts of plume are generated. Human Papilloma Virus exist (survive) in this plum. Please refer to Following link of Journal of American Medical Association:
Laser Treatment With High Relapse Rate
Laser intensity and depth of penetration is pre set. This is the reason that many patients with laser therapy have high relapse rate of recurrence of genital warts. The warts comes in different shapes and thickness and hardness and they don’t follow the exact pattern. We have seen many patients in our institution with genital warts recurrence after laser treatment. In many instances laser will not eliminate the warts.
It is very important to remember that genital warts is not skin tag, mole or fibro epithelial that you burn and cook the sticking out tissue and it goes away easily and never grow back. Human papillomavirus will reproduce the genital warts after it falls off again and again because of human Papilloma virus.
According to this published study, clearance rates of laser treatment of genital warts ranging between 23 to 52 percent. Recurrence rates also tend to be elevated, reaching as high as 77 percent.
Laser Success Rate Is Only 20-40% According To WebMD
This would make the treatment success similar to cryotherapy (freezing) and other topical treatment. To see the WebMD report, click here.
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