Kondylomer
Sist oppdatert: Sist revidert:
Sist revidert av:Ingard Løge
Definisjon:
Kondylomer (kjønnsvorter) er små vorter lokalisert på eller rundt kjønnsorganer eller endetarm. Forårsakes av HPV type 6 og 11, og overføres seksuelt
Forekomst:
Svært hyppig og ses oftest i aldersgruppen 18-26 år
Symptomer:
Utvendige vorter er synlige, men gir vanligvis ingen plager. Men de kan irritere og blø ved mekanisk påkjenning
Funn:
Utseende er typisk med 1-3 mm store utvekster med hudfarget eller hvit, og litt ruglete overflate. Lokalisert særlig i bakre kommissur, ev. innover i vagina, men kan finnes i hele vulva
Diagnostikk:
Diagnosen stilles på grunn av vortenes utseende, og tilleggsundersøkelser er ikke nødvendig
Behandling:
Lokal påsmøring av cytotoksiske eller immundempende midler, ev. kryoterapi, laserkirurgi eller elektrodisseksjon. Forebygges med bruk av kondom. Kvadrivalent HPV-vaksine beskytter
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- Buck HW. Warts (genital). Clinical Evidence 2010; 8: 1602. Clinical Evidence
- Chow EPF, Carter A, Vickers T, et al. Effect on genital warts in Australian female and heterosexual male individuals after introduction of the national human papillomavirus gender-neutral vaccination programme: an analysis of national sentinel surveillance data from 2004–18. Lancet Infect Dis 2021. pmid:34339639 PubMed
- Sexually transmitted diseases treatment guidelines 2002. Centers for Disease Control and Prevention. MMWR Recomm Rep 2002; 51: 1-78. PubMed
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- Medibas. Kondylom. Stokcholm; 2020. Sist revidert 02.11.20; sitert 04.02.21 medibas.se
- Workowski KA, Berman S; Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2010 published correction appears in MMWR Recomm Rep. 2011;60(1):18. MMWR Recomm Rep. 2010;59(RR-12):1–110.
- Mayeaux EJ Jr, Dunton C. Modern management of external genital warts. J Low Genit Tract Dis. 2008;12(3):185–192.
- Gotovtseva EP, Kapadia AS, Smolensky MH, Lairson DR. Optimal frequency of imiquimod (aldara) 5% cream for the treatment of external genital warts in immunocompetent adults: a meta-analysis. Sex Transm Dis 2008; 35: 346-51. pmid:18360317 PubMed
- Grillo-Ardila CFAngel-Muller ESalazar-Diaz LC. Imiquimod for anogenital warts in non-immunocompromised adults. Cochrane Database Syst Rev. 2014 Nov 1;11:CD010389. Cochrane (DOI)
- Ormerod AD, van Voorst Vader PC, Majewski S, et al. Evaluation of the efficacy, safety, and tolerability of 3 dose regimens of topical sodium nitrite with citric acid in patients with anogenital warts. JAMA Dermatol 2015. doi:10.1001/jamadermatol.2015.0381 DOI
- Villa LL, Costa RLR, Petta CA, et al. Prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in young women: A randomised double-blind placebo-controlled multicentre phase II efficacy trial.. Lancet Oncol 2005; 6: 271-8. PubMed
- Fairley CK, Hocking JS, Gurrin LC, et al. Rapid decline in presentations for genital warts after the implementation of a national quadrivalent human papillomavirus vaccination program for young women. Sex Transm Infect 2009; : PMID: 19837728. PubMed
- Goodman MT, Shvetsov YB, McDuffie K, et al. Prevalence, acquisition and clearance of cervical human papillomavirus infection among women with normal cytology: Hawaii Human Papillimavirus cohort study. Cancer Res 2008; 68: 8813-24. PubMed
- Shvetsov YB, Hernandez BY, McDuffie K, et al. Duration and clearance og anal human papillomavirus (HPV) infection among women: the Hawaii HPV cohort study. Clin Infect Dis 2009; 48: 547-9. PubMed
- Ingard Løge, spesialist allmennmedisin, redaktør NEL
Tidligere fagmedarbeidere
- Per Bergsjø, professor emeritus, dr. med., Universitetet i Bergen. Spesialist i kvinnesykdommer og fødselshjelp, forsker ved Nasjonalt folkehelseinstitutt, Oslo