AfrAXX02 (Black patient) - " Gross condylomata.  Best not to tackle all in one sitting, unless you make a big elliptical incision and close with flaps (risky in the HIV patient without ARV treatment).  Healing is good despite extensive disease, after diathermy excision, but anal stenosis may result: so do the excision in 2,3,4 stages, and provide an anal dilator." (Dr. Catton)

See "4-anal area"