Cervical Dysplasia In Patients With Genital Warts. A Cross Sectional Study

Abstract

Background: Genital Warts are sexually transmitted infection caused by certain types of human papillomavirus (HPV).

Aim of   study: To study prevalence of cervical dysplasia in patients with genital warts.  

Patients and method: A cross-sectional study conducted in Department of Dermatology and Venereology in Al-Yarmouk Teaching Hospital, Baghdad, Iraq from April 2022- April 2023 October. One hundred forty-eight female patients diagnosed with genital warts were enrolled in our study. Pap smear and PCR were done for all patients. Patient ages < 12 years, Pregnant, singles, patients who had total hysterectomy and patients with history of or sexually transmitted infections were excluded from our study.

Result:  highest proportion of study patients was between 30-39 years (50%). Pap Smear was positive in 36.5% of study patients, from those with positive results, 37% diagnosed with CIN1. PCR was positive in 6.8% of study patients, HPV 16 was most prevalent, being positive in 80.0% of them.  highest prevalence of cervical dysplasia was found in patients who had warts in both of cervix and anus (88.9%). We noticed that 50% of patients who had two marriages, 32.4% of those who were living in rural areas, 50% of those who had > 4 children, 61.1% of current smokers, and 31.6% of those who were currently using OCP were significantly diagnosed with cervical dysplasia

Conclusion: There is significant association between cervical dysplasia and site of genital wart (patients who had warts in both cervix and anus), patient who had two marriages, parity (> 4 children), OCPs using, Smoking, and living in rural areas. 

Keywords: genital warts, human papillomavirus, Cervical Dysplasia