Genital Warts Workup

Updated: Oct 16, 2018
  • Author: Delaram Ghadishah, MD; Chief Editor: William D James, MD  more...
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Workup

Approach Considerations

As indicated by history and physical examination, consider testing for other STDs (eg, HIV, gonorrhea, chlamydia, syphilis).

The following are to assist in the understanding and management of potential complications:

  • Pap smear - Used to look for papillomatosis, acanthosis, koilocytic abnormality, and mild nuclear abnormality

  • Colposcopy (stereoscopic microscopy) - Used to look for papillomatosis, acanthosis, koilocytic abnormality, and mild nuclear abnormality

  • Biopsy - Indicated for lesions that are atypical, recurrent after initial success, or resistant to treatment and in patients with a high risk for neoplasia or immunosuppression

  • Filter hybridization (Southern blot and slot-blot hybridization), in situ hybridization, and polymerase chain reaction - Used for diagnosis and typing of HPV

  • Hybrid capture

Also see the laboratory testing article Genital Human Papillomavirus.