Manhattan Gastroenterology
  • MIDTOWN 51 EAST 25TH, 4 FL New York, NY, 10010
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  • UNION SQUARE 55 W. 17TH ST STE 102 New York, NY, 10011
Updated on Aug 4, 2021 by Dr. Shawn Khodadadian (Gastroenterologist) of Manhattan Gastroenterology

What Are Anal Warts?

Our NYC anal warts doctors at Manhattan Gastroenterology are now offering safe and effective anal wart removal at our offices. Our doctors are board-certified, renowned colorectal surgeons who work with our award-winning gastroenterologists when treatment is needed.

Anal Warts, also called condyloma acuminata, are one of the most common sexually transmitted diseases that affect both men and women. Rectal warts are growths that can occur in the skin around the genitals and anus. Some may even be inside the anal canal, and these types of warts are observed predominantly in persons who have had receptive anal intercourse, although these can also occur in men and women who do not have a history of anal sexual contact.

Anus warts should always be evaluated with a thorough consultation and examination by a physician for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition.

Studies have found that people affected with certain types of anogenital warts are at an increased risk of developing anal cancer. The risk of cancer development increases further in those who are immunosuppressed or have an infection with HIV.  At Manhattan Gastroenterology, our doctors are board-certified gastroenterologists and the best-in-class anal warts specialist in NYC.

What Causes Anal Warts?

One of the anal warts causes is the human papillomavirus (HPV) infection. It has many different subtypes, some of which have been associated with the development of cancer. The subtypes that lead to the development of anogenital warts do not usually cause cancers, however, this increases the chance of being infected with the other subtypes that do cause anal and cervical cancers. As mentioned previously, anogenital warts are the most common sexually transmitted disease, and you do not need to have anal intercourse to develop rectal warts as any surrounding skin can be affected.

★ ★ ★ ★ ★The entire staff was welcoming and made the visit quick and seamless. The office is clean, and the staff even make a point in offering coffee or water while you wait. The anal warts doctor was very friendly and to the point. Highly recommend choosing this office.

What Are the Symptoms of Anal Warts?

Affected individuals usually do not have symptoms, and because of this, they may be unaware that they have anogenital warts and risk transmitting the disease to others.

Those who have anal warts symptoms may experience:

  • Itching
  • Bleeding
  • Mucus discharge
  • A feeling of a lump or mass in the anal area.

What Is the Treatment for Anal Warts?

The NYC anal warts removal doctors offer various modalities for the treatment of anogenital warts, and in most cases, these lesions can be treated in the office. Factors that influence the selection of anal warts NYC treatment include wart size, wart number, anatomic site of the wart, wart morphology, patient preference, convenience, and possible adverse effects.

Different treatment modalities offered by the NYC anal warts specialist include:

  • Topical 
    – These are medications that are applied topically either by the patient or the provider
  • Cryotherapy
    – This treatment modality involves the destruction of the affected tissues by freezing
  • Laser therapy
    –  A laser anal wart surgery is a more involved treatment using a laser that requires the procedure to be performed in the clinic
  • IRC
    – Treatment using a narrow beam of infrared light to the affected area to coagulate the affected tissue.
  • Surgical excision

HPV affects the anus in the same way it affects the cervix as these consist of the same cell types. Anyone with rectal warts or those who have receptive anal sex should be tested with an anal pap smear. This involves inserting a small swab into the anus and taking samples of the cells by gently brushing the swab in the anal canal. The sample is sent to a laboratory to check for the virus subtypes that cause warts, as well as checking for any changes in the cells that make up the lining of the anus. If abnormal cells are present, a high-resolution anoscopy (HRA) is warranted.

How Can You Prevent HPV Infection?

As most individuals affected do not have symptoms, the transmission of this disease is very common. Keep in mind that using condoms do not protect from HPV infection 100% as there may still be affected area that may come into contact that is not covered by the condoms.

The best way to prevent HPV infection is through:

  • Abstinence
  • Avoiding having multiple sexual partners
  • Get vaccinated: Gardisil is a vaccine that is directed against the HPV types associated with anal and cervical cancers.

Frequently Asked Questions

Are there any home remedies for anal warts?

This health disorder can sometimes be treated with topical medication. This anal warts treatment might be adequate for warts that are extremely small and limited to the outer area of the anus. If this is the case, prescription medication can be used. Certain medications for rectal warts treatment should be applied by a top anal warts specialist in NYC.

You can also make use of the following anal warts creams:

  • Imiquimod
  • Podofilox
  • Podophyllin
  • Trichloroacetic acid
  • Bichloroacetic acid

How are rectal warts diagnosed?

Anal warts diagnosis normally includes a physical examination of the anus. To assess the inside of the anal canal and determine if warts are present, a healthcare provider will use a medical instrument called an anoscope. Visual inspection is typically enough to tell if the bumps are rectal warts caused by HPV.

In some cases, a healthcare provider might perform a biopsy. It entails taking a sample of the wart tissues and sending it for further investigation. This measure can be taken if warts do not respond to treatment or if they get worse despite treatment.

What are Internal and External anal warts?

There are two types of anal warts: internal and external. The external anal warts are located on the anus (exterior). The internal anal warts are situated inside the anal canal (the interior area between the anus and the rectum).

What do anal warts look like?

They appear as small bumps that may be no bigger than a pin’s head. At first, you may not even notice small anal warts. As they grow, or when they many are clustered together, they can develop a cauliflower-like appearance. Warts may be peach, yellow, pink, or light brown in color and may blend in with the color of your skin.

Who is at risk of anus arts?

People run an increased risk of getting exposed to this health condition if they:

  • Have unprotected sex
  • Have anal intercourse
  • Have multiple sex partners
  • Have had sex with a person suffering from HPV
  • Have a predisposition to a disease

However, it is possible to get rectal warts even if you have only one sexual partner. Condoms do not fully protect against them.

For more information about anal warts removal offered at Manhattan Gastroenterology or to schedule a consultation with an anal warts specialist doctor, please contact our Upper East Side NYC gastroenterology office.

Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor about your specific condition. Only trained, experienced doctors like our doctors can determine an accurate diagnosis and proper treatment.

Dr. Shawn Khodadadian has either authored or reviewed and approved this content. Manhattan Gastroenterology Locations: Manhattan Gastroenterology (Upper East Side) 983 Park Ave Ste 1D, NY 10028
(212) 427-8761
Manhattan Gastroenterology (Midtown) 51 East 25th Street Ste 407, NY 10010
(212) 533-2400
Manhattan Gastroenterology (Union Square) 55 W 17th St Ste 102, NY 10011
(212) 378-9983


The information on this website is to provide general information. The information on this website does NOT reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a best in class gastroenterologist for a consultation and examination regarding ANY and ALL symptoms or signs including abdominal pain, hemorrhoids or anal / rectal bleeding as it may a sign of a serious illness or condition. An accurate diagnosis and treatment plan should only be made by your physician in order to exclude a serious condition.