Original Article

Outcomes of surgical treatment of perianal warts in HIV-positive and HIV-negative patients are similar in terms of recurrence rate and course of recovery

  • KOLODZIEJCZAK MALGORZATA
  • SWIECKI PAWEL
  • FIRLAG-BURKACKA EWA
  • HORBAN ANDRZEJ
  • WILCZYNSKA ALEKSANDRA

Pelviperineology 2013;32(4):120-123

Aim of the study:

to compare outcomes of surgical treatment of perianal warts in HIV+ vs. HIV- patients. Patients and Method: The study is a retrospective analysis of all surgical treatments of perianal warts performed in the Colorectal Surgery Ward of Warsaw Solec Hospital between 2004 and 2011 including 24 HIV+ and 57 HIV- patients. Groups were compared in terms of number of re-treatments and time period of hospitalisation as indicators of healing and recovery course. Statistical analysis included chi-square tests for non-parametric variables and median value and range for parametric variables.

Patients and Method:

The study is a retrospective analysis of all surgical treatments of perianal warts performed in the Colorectal Surgery Ward of Warsaw Solec Hospital between 2004 and 2011 including 24 HIV+ and 57 HIV- patients. Groups were compared in terms of number of re-treatments and time period of hospitalisation as indicators of healing and recovery course. Statistical analysis included chi-square tests for non-parametric variables and median value and range for parametric variables.

Results:

Within HIV+ group there were 13 (54.17%) patients meeting AIDS criteria. Median CD4 count at the time of surgery was 373. In total there were 13 cases of re-treatment due to recurrences, 5 in HIV+ group and 8 in control group. The average length of hospitalization was 4.66 days (4.17 in HIV+, and 4.82 in control group). Number of cases with longer than average hospitalization was 9 in HIV+ group, and 16 in control group. No statistically significant differences between groups have been demonstrated.

Conclusion:

In patients with HIV/AIDS the recurrence rate as well as post-operative course and healing was similar as in HIV-negative patients.

Keywords: Perianal Warts; HIV; AIDS.