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Anal warts first appear inside and around the anus in the form of tiny spots or growths, report doctors at the american society of colon and rectal surgeons 1. Anal warts, also referred to as condyloma acuminata, can start as small as a pinhead and grow to about the size of a pea. Other symptoms of anal warts are rare but can include itching, bleeding, or discharge from the anus. Surgical removal is an option for those who are struggling with anal warts. You can get them cut out under anesthetics, burned off through a process called electrocautery, frozen through cryotherapy by applying liquid nitrogen, or undergo laser removal where warts are directly burned off by using a laser. Treatment may involve topical medications, liquid nitrogen, or surgical removal. There are many types of human papilloma virus some cause warts on the hands and feet and others cause genital and anal warts. The same type of warts may occur on the penis, scrotum, vagina or labia. Anal warts (condyloma acuminata) are caused by the human papilloma virus (hpv), the most common sexually transmitted disease (std). The warts affect the area around and inside the anus, but may also develop on the skin of the genital area. in this patient education video for colorectal surgical associates in houston, texas, learn more about anal warts. Anal dysplasia can be found in anal warts or sometimes these changes are found incidentally at the time of unrelated anal surgery (i. Screening procedures available to detect anal dysplasia include anal cytology and high-resolution anoscopy (hra). Anal wart removal there are different methods of anal wart removal. Oftentimes, doctors will recommend a topical treatment if the warts are small and located only on the area around the anus. In these cases, there are a few topical medications that remove those small warts. However, anyone with external warts needs to be examined for internal anal warts.