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human papilloma virus is the most common sexually transmitted infection worldwide with 90 to 13 of the global population infected patients who are between 20 and 39 years of age are most commonly affected condyloma accumulata refers to onogenital warts caused by HPV the most common strains of HPV that cause this are 6 and 11. condyloma accumulator usually symptomatic although they may occasionally cause bleeding pruritis and pain patients will generally present concern about the appearance of the lesions as they often cause psychological and psychosexual distress while condyloma can be challenging to treat the condition is curable treatment should be pursued with lesions that persist for more than two years if the lesions are symptomatic or for cosmetic purposes topical therapies cryotherapy and surgical excision are available to options for patients surgical excision is the only treatment option with clearance rates near 100 although condyloma cuminata can recure after all treatment t