Reconstructive surgery in anal giant condyloma: Report of two cases
A 64-year-old heterosexual man presented in our department in May 2012 with a typical cauliflower-like tumor mass involving the perianal region, and multiple condylomata involving the penis and prepuce. The patient was reluctant to undergo to medical treatment as symptoms had been present for 20 years. He was in good health and HIV test was negative. Colonscopy and anoscopy excluded involvement of the anal canal.\nThe patient was treated with a wide surgical excision and reconstruction with a bilateral house advancement flap (). The lesion on the penis and prepuce were excised by electrocautery scissors and a circumcision respectively.\nIn this case dehiscence of the muco-cutaneus anastomosis developed during the second postoperative week maybe due to straining during defecation with consequent increased tension. At one month the result was good without anal stenosis and a good continence.\nBoth patients were given a bowel preparation with polietilenglicole 4 l.\nIntravenous antibiotic therapy with cephalosporine and metronidazole was administered for 7 days. Enoxaparin was used for antithrombotic prophylaxis.\nA liquid diet and codeine were administered to all patients for three days after surgery to prevent evacuation and early contamination of the wound.