Condyloma acuminata: seeking early treatment can avoid surgical intervention: a report of two cases

Background: Genital warts fondly termed epidermal genital warts (EGW) are relatively uncommon but known skin problem since long time with underlying viral aetiology. Sometimes they regresses on their own and in some cases spreads extensively. Prevalence of infection increases with increased number of lifetime sexual partners, history of chlamydia or gonorrhoea infection smoking and HIV. Since anogenital warts are not reportable disease the incidence is difficult to estimate. Case Report: We are reporting two cases who were sexually inactive and immunocompetent but suffered due to condyloma acuminate (CA) at very young age .In both of them problem started with warty lesions around anus and rapidly involved whole of the circumference of anus. Conclusion: Though condyloma acuminata is commonly observed in sexually active young males with increased incidence in immunocompromised individuals ,both our cases were not having these high risk factors but had this disease to such an extent that nonsurgical options were of no use and both of them underwent surgical excision. Delay in seeking treatment was there as the disease is considered as social taboo and more so when involve the genital area and patients are not comfortable in discussing their problem with family, friends or medical practitioner. By publishing these cases we want to increase awareness and want to highlight that timely intervention can become escape route from surgery.