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Immunostimulation to reduce recurrence after surgery for anal condyloma acuminata: a prospective randomized controlled trial

Aim  Human papillomavirus is the most common cause of sexually transmitted disease. It is associated with immunosuppression and shows a marked tendency to recur. We investigated a natural immunostimulant aimed to reduce recurrence. Method  A randomized controlled study was carried out including 261...

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Published in:Colorectal disease 2010-08, Vol.12 (8), p.799-803
Main Authors: Mistrangelo, M., Cornaglia, S., Pizzio, M., Rimonda, R., Gavello, G., Dal Conte, I., Mussa, A.
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container_issue 8
container_start_page 799
container_title Colorectal disease
container_volume 12
creator Mistrangelo, M.
Cornaglia, S.
Pizzio, M.
Rimonda, R.
Gavello, G.
Dal Conte, I.
Mussa, A.
description Aim  Human papillomavirus is the most common cause of sexually transmitted disease. It is associated with immunosuppression and shows a marked tendency to recur. We investigated a natural immunostimulant aimed to reduce recurrence. Method  A randomized controlled study was carried out including 261 patients allocated to surgical excision alone (control group; n = 122) and surgical excision plus postoperative immunostimulation for 30 days with a natural product (STET; study group; n = 139). Patients with HIV positivity were excluded. All patients gave fully informed consent. Results  The patients were followed for 6 months after surgery. Recurrence occurred in 7.2% (10/139) in the study group and in 27.1% (33/122) in the control group (P 
doi_str_mv 10.1111/j.1463-1318.2009.01960.x
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It is associated with immunosuppression and shows a marked tendency to recur. We investigated a natural immunostimulant aimed to reduce recurrence. Method  A randomized controlled study was carried out including 261 patients allocated to surgical excision alone (control group; n = 122) and surgical excision plus postoperative immunostimulation for 30 days with a natural product (STET; study group; n = 139). Patients with HIV positivity were excluded. All patients gave fully informed consent. Results  The patients were followed for 6 months after surgery. Recurrence occurred in 7.2% (10/139) in the study group and in 27.1% (33/122) in the control group (P &lt; 0.0001). There were no significant differences in the sex, sexual orientation, number of lesions, time to diagnosis and treatment or localization of lesions in the two groups. Conclusions  Immunostimulation using a natural product significantly reduced the incidence of recurrence of anal condylomata in patients undergoing surgical excision.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2009.01960.x</identifier><identifier>PMID: 19548899</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adjuvants, Immunologic - therapeutic use ; Adolescent ; Adult ; Andrographis ; Anogenital warts ; Anus Diseases - surgery ; Anus Diseases - therapy ; Anus Diseases - virology ; Carica ; Child ; Citrus paradisi ; condylomata acuminata ; Condylomata Acuminata - surgery ; Condylomata Acuminata - therapy ; current therapies ; Echinacea ; Female ; Human immunodeficiency virus ; Human papillomavirus ; Humans ; immunomodulation ; Male ; Middle Aged ; natural therapies ; Phytotherapy - methods ; Plant Preparations - therapeutic use ; Prospective Studies ; recurrences ; Secondary Prevention ; Statistics, Nonparametric ; Tabebuia ; Uncaria ; Young Adult</subject><ispartof>Colorectal disease, 2010-08, Vol.12 (8), p.799-803</ispartof><rights>2010 The Authors. Journal Compilation © 2010 The Association of Coloproctology of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4390-416f4fec531a4fea3abefd94e053eca14516009693385799680ea9969d0dabcc3</citedby><cites>FETCH-LOGICAL-c4390-416f4fec531a4fea3abefd94e053eca14516009693385799680ea9969d0dabcc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19548899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mistrangelo, M.</creatorcontrib><creatorcontrib>Cornaglia, S.</creatorcontrib><creatorcontrib>Pizzio, M.</creatorcontrib><creatorcontrib>Rimonda, R.</creatorcontrib><creatorcontrib>Gavello, G.</creatorcontrib><creatorcontrib>Dal Conte, I.</creatorcontrib><creatorcontrib>Mussa, A.</creatorcontrib><title>Immunostimulation to reduce recurrence after surgery for anal condyloma acuminata: a prospective randomized controlled trial</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim  Human papillomavirus is the most common cause of sexually transmitted disease. It is associated with immunosuppression and shows a marked tendency to recur. We investigated a natural immunostimulant aimed to reduce recurrence. Method  A randomized controlled study was carried out including 261 patients allocated to surgical excision alone (control group; n = 122) and surgical excision plus postoperative immunostimulation for 30 days with a natural product (STET; study group; n = 139). Patients with HIV positivity were excluded. All patients gave fully informed consent. Results  The patients were followed for 6 months after surgery. Recurrence occurred in 7.2% (10/139) in the study group and in 27.1% (33/122) in the control group (P &lt; 0.0001). There were no significant differences in the sex, sexual orientation, number of lesions, time to diagnosis and treatment or localization of lesions in the two groups. Conclusions  Immunostimulation using a natural product significantly reduced the incidence of recurrence of anal condylomata in patients undergoing surgical excision.</description><subject>Adjuvants, Immunologic - therapeutic use</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Andrographis</subject><subject>Anogenital warts</subject><subject>Anus Diseases - surgery</subject><subject>Anus Diseases - therapy</subject><subject>Anus Diseases - virology</subject><subject>Carica</subject><subject>Child</subject><subject>Citrus paradisi</subject><subject>condylomata acuminata</subject><subject>Condylomata Acuminata - surgery</subject><subject>Condylomata Acuminata - therapy</subject><subject>current therapies</subject><subject>Echinacea</subject><subject>Female</subject><subject>Human immunodeficiency virus</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>immunomodulation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>natural therapies</subject><subject>Phytotherapy - methods</subject><subject>Plant Preparations - therapeutic use</subject><subject>Prospective Studies</subject><subject>recurrences</subject><subject>Secondary Prevention</subject><subject>Statistics, Nonparametric</subject><subject>Tabebuia</subject><subject>Uncaria</subject><subject>Young Adult</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqNkc1u1DAUhSMEoqXwCsg7VhnsceLYLJAghTKlohtQl9Yd5wZ5cOLBdmCm6sPjdEZlCd6cI_nczz-nKAijC5bX682CVYKXjDO5WFKqFpQpQRe7R8Xpw8bje78spWL0pHgW44ZSJhomnxYnTNWVlEqdFnerYZhGH5MdJgfJ-pEkTwJ2k8EsZgoBx2yhTxhInMJ3DHvS-0BgBEeMH7u98wMQMNNgR0jwhgDZBh-3aJL9lSEwdn6wt9jN6RS8c9mmYME9L5704CK-OOpZ8e3jh6_tp_Lq-mLVvrsqTcUVLSsm-qpHU3MGWYHDGvtOVUhrjgZYVTORP0EozmXdKCUkRciiOtrB2hh-Vrw6cPO9fk4Ykx5sNOgcjOinqJu6qmsp6PLfSV5RKngjc1Iekia_NQbs9TbYAcJeM6rnkvRGz13ouQs9l6TvS9K7PPryeMi0HrD7O3hsJQfeHgK_rcP9f4N1e32-mm0GlAeAjQl3DwAIP7RoeFPrmy8XWrbv1eeby0vd8j9hYrKX</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Mistrangelo, M.</creator><creator>Cornaglia, S.</creator><creator>Pizzio, M.</creator><creator>Rimonda, R.</creator><creator>Gavello, G.</creator><creator>Dal Conte, I.</creator><creator>Mussa, A.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>201008</creationdate><title>Immunostimulation to reduce recurrence after surgery for anal condyloma acuminata: a prospective randomized controlled trial</title><author>Mistrangelo, M. ; 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subjects Adjuvants, Immunologic - therapeutic use
Adolescent
Adult
Andrographis
Anogenital warts
Anus Diseases - surgery
Anus Diseases - therapy
Anus Diseases - virology
Carica
Child
Citrus paradisi
condylomata acuminata
Condylomata Acuminata - surgery
Condylomata Acuminata - therapy
current therapies
Echinacea
Female
Human immunodeficiency virus
Human papillomavirus
Humans
immunomodulation
Male
Middle Aged
natural therapies
Phytotherapy - methods
Plant Preparations - therapeutic use
Prospective Studies
recurrences
Secondary Prevention
Statistics, Nonparametric
Tabebuia
Uncaria
Young Adult
title Immunostimulation to reduce recurrence after surgery for anal condyloma acuminata: a prospective randomized controlled trial
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