How is anal dysplasia treated at UCSF Anal Neoplasia Clinic?

At our center, anal dysplasia can be treated in several ways including:

Treatment of anal warts, LSIL or HSIL can take a long time and may require many visits over several months. It will also require long-term follow-up to be certain that the disease has not recurred and to evaluate for any new developments.

After you have had treatment for anal canal high-grade squamous intraepithelial lesion (HSIL), you will need regular anal pap tests and HRA to monitor for recurrences. 

It is common, especially in people who are immune-compromised, to have ongoing HPV and to develop HSIL within a few years of developing LSIL or warts. It is important for patients to work with their providers in developing both a treatment and follow-up plan

Not everyone will respond to every type of treatment and it may take several types of treatment before there is finally a response. This can take many months. In some cases, the lesions will never be completely eradicated. However, whatever is treated will be gone and that lesion cannot progress to cancer. So even treatment that is not 100% effective may still help prevent progression to cancer.

Please discuss with your HRA provider the best way to approach treatment.