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Human papilloma viruses (HPV) are common pathogens associated with a wide range of cutaneous and mucosal infections in childhood. Different HPV types can cause common warts and anogenital warts. Condylomata acuminata in children may be, but are not necessarily, an indicator of sexual abuse. Each individual case therefore requires careful examination, with consideration of other possible means of transmission. Diagnosis of anogenital warts is generally by means of clinical examination. Additional histological, serological or molecular genetic investigation may be indicated occasionally. The high rate of spontaneous remission and the rate of recurrence after treatment should be considered. The available topical and surgical treatment options are discussed.Bei den humanen Papillomviren (HPV) handelt es sich um weitverbreitete Erreger, die auch im Kindesalter eine Vielzahl von Haut- und Schleimhautinfektionen verursachen können. Infektionen mit unterschiedlichen HPV-Typen können Hautwarzen oder anogenitale Kondylome hervorrufen. Condylomata acuminata bei Kindern können, aber müssen nicht hinweisend für sexuellen Missbrauch sein. Daher bedarf es unter Berücksichtigung anderer Übertragungsmöglichkeiten einer sehr sorgfältigen Überprüfung des Einzelfalls. Die Diagnose anogenitaler Kondylome wird in der Regel durch die klinische Untersuchung gestellt. Histologische, serologische oder molekulargenetische Zusatzdiagnostik ist nur in Einzelfällen sinnvoll. Bei der Indikation zur Therapie sind die hohe Spontanremissionsrate sowie die posttherapeutische Rezidivrate zu berücksichtigen. Die zur Verfügung stehenden topischen und chirurgischen Therapieoptionen werden dargestellt.

During pregnancy the anatomy and physiology of the pelvic floor and the perianal region is modified, due to endocrine, metabolic and immunologic changes. This can lead to a change in the observed incidence of coloproctologic disorders or an alteration of pre-existing coloproctologic diseases. In patients requiring specific treatment prior to or during pregnancy the possibility of adverse effects on the antenatal or postnatal development of the child has to be considered carefully. It is necessary to evaluate whether the therapeutic strategy needs to be modified or even discontinued. The aim of this review is to present the current state of knowledge on the medical care and treatment of coloproctologic disorders during pregnancy. Diagnostic approaches and therapeutic options for haemorrhoids, anal fissures, perianal thrombosis, perianal abscesses and fistulas, anogenitals warts, colorectal malignomas and inflammatory bowel diseases are presented. Therapeutic options are discussed with regard to their applicability during pregnancy and in the postpartum period.