Anal Condyloma Specialist Seattle/Edmonds
Refined, surgeon-only treatment for anal warts and HPV-related disease
Expert Anal HPV Care in a Private, Boutique Setting
AnalHPV/condyloma (anal warts) require precision, expertise, and discretion. At Precision Proctology, your care is delivered exclusively by Dr. Rodney Jon Kratz, a board-certified colorectal surgeon with more than 22 years of advanced anorectal surgical experience.
This is a premium, surgeon-led service focused on accuracy, comfort, and elegant results.
No trainees. No rushed examinations.
Anal HPV: What It Is, Why It Matters, and How to Treat It
By Dr. Rodney Kratz, Board-Certified Colon & Rectal Surgeon
Precision Proctology, Seattle–Edmonds
What Is Anal HPV?
Human papillomavirus (HPV) is the most common sexually transmitted infection in the world. When it affects the anal canal or surrounding skin, it’s called anal HPV. Many people with anal HPV have no symptoms at all, yet the virus can still cause important changes in tissue that require expert monitoring.
There are two main types:
Low-risk HPV: causes anal warts (condyloma).
High-risk HPV: causes invisible cellular changes (dysplasia) that can progress to anal cancer if untreated.
Who Gets Anal HPV?
Anyone can get anal HPV—regardless of sexual orientation or gender. It spreads through skin-to-skin contact, including anal intercourse, genital contact, or even without penetration.
Higher-risk groups include:
Men who have sex with men
People with a history of genital warts
Individuals with weakened immune systems
Patients with a history of cervical or vulvar HPV
Anyone with new or multiple sexual partners
But many of my patients are otherwise healthy individuals who simply never noticed symptoms until something changed.
Common Symptoms of Anal HPV
Some patients feel nothing. Others experience:
Small bumps or growths (soft, pink, or flesh-colored)
Itching or irritation
Minor bleeding
Moistness or a feeling of “something there”
Changes in bowel habits (rare)
Remember: High-risk HPV doesn’t make warts. It causes silent changes you cannot see. That’s why expert evaluation matters.
Anal warts (condyloma) may appear as:
Single small bumps
Clusters resembling cauliflower
Flat, smooth lesions that are easy to miss
They often spread beyond what is visible externally, which is why a colorectal surgeon performing anoscopy is the gold standard for diagnosis.
How I Diagnose Anal HPV
My exam is extremely thorough and typically only a matter of minutes—and performed in a private, comfortable setting. It may include:
Visual inspection
High-resolution anoscopy (HRA) when appropriate
Biopsy for any concerning areas
HPV testing for high-risk strains
You’ll understand your findings immediately and receive a clear plan.
Anal HPV Treatment Options
Treatment depends on what type of HPV is present and whether warts, dysplasia, or both are found.
1. Office-Based Wart Removal
Cryotherapy
Chemical treatments
Electrocautery
Infrared coagulation
Excision for larger lesions
Most are fast, minimally painful, and require no downtime.
2. Treatment of High-Risk HPV / Dysplasia
If high-risk HPV has caused precancerous changes, I may recommend:
Ablation during high-resolution anoscopy
Targeted removal of abnormal tissue
Ongoing surveillance every 3–12 months
My goal: eliminate disease early and prevent progression to anal cancer.
3. HPV Vaccination
The HPV vaccine is beneficial even for adults and reduces recurrence and future risk.
Can Anal HPV Turn Into Cancer?
High-risk HPV can lead to anal intraepithelial neoplasia (AIN), which can progress to anal cancer if untreated.
Early treatment dramatically reduces the risk.
Most patients do extremely well with early detection and expert care.
How Long Does Anal HPV Last?
In many healthy adults, HPV can clear within 1–2 years.
However, persistent infection can occur, especially with high-risk strains.
Treatment focuses on controlling the virus, removing visible disease, and preventing recurrence.
Prevention: How to Reduce Your Risk
Get the HPV vaccine
Use barrier protection
Avoid smoking (slows immune clearance)
Treat warts or dysplasia early
Schedule annual exams if you’re in a high-risk group
Who Should Seek Specialist Care
Patients with recurrent disease
Individuals seeking a more private, refined experience
High-risk HPV patients- HIV+, Hx anal dysplasia, Hx Cervical or vulvar dysplasia
Patients with internal or multifocal lesions
Those needing accurate mapping and elegant removal
Immunocompromised patients
Book a Private Consultation
Expert Anal HPV Care in Seattle – Edmonds As a board-certified Colon & Rectal Surgeon with more than 20 years of experience, I specialize in precision evaluation and treatment of anal HPV, anal warts, and dysplasia with an approach designed for privacy, comfort, and results. Book Your Private Consultation