Dr. Elist offers both alternatives for genital warts. If a removal is warranted, Dr. Elist treats skin lesions of the penis by local application of a chemical, local electrodesication, local application of liquid nitrogen or the use of cryothermal instrument, or by laser beam to kill the diseased tissue or organism. Using a cotton-tipped applicator soaked in the chemical or an electrodesiccator, Dr. Elist applies the treatment to the specific genital lesions only if the cotton-tipped applicator is dipped in liquid nitrogen (-78 degree Celsius – Dr. Elist carefully freezes or burns with the laser only the specific genital lesions. An electrodesiccator or a laser may be used to burn the genital lesions. Using these methods, no tissue is removed and no closure is required.
Larger genital lesions may need more extensive removal. Dr. Elist excises selected large lesions of the penis not removable by other methods. After adequate local anesthesia has been administered, he cuts out an elliptical piece of skin that includes the genital lesion and a rim of normal tissue. The resulting defect is closed with sutures. Sometimes and if warranted, Dr. Elist will choose to destroy extensive lesions of the penis using one or more of several methods.