Bowenoid Papulosis Treatment

Same Day Availability

Yes. Available same day for those who have received a quote.

Local anaesthetic

Cream/Injection +/- Gas and Air

Appointment length (approx.)

Main Procedure – 30 to 60 minutes. Follow Up – 30 minutes (if needed)

Recovery & aftercare

Continue with your day, minimising physical activity. Learn more.

Fees

From £550. Learn more.

Locations

Journey Overview

Bowenoid Papulosis Treatment
For patients who have filled out a pre-appointment questionnaire before booking and received a quote will be available for same day hyfrecation treatment.

#1 Pre-Appointment Questionnaire

Your journey starts by filling out our pre-appointment questionnaire. If you are interested in having your treatment on the same day as your consultation, we will ask you to submit photos along with the form.

#2 Receive a Quote

Once you have submitted your questionnaire and photos, our clinical team will review them. Following this review, we will provide you with a quote for the procedure ahead of your appointment.

#3 Consultation

During your in-person consultation, we will assess the area and discuss the hyfrecation procedure with you. This is the dedicated time to address any of your questions. We find that many patients have already been diagnosed elsewhere and are primarily seeking an effective treatment option.

#4 Procedure

If you decide to proceed, the treatment can typically be performed on the same day. We use local anaesthetic (either a numbing cream or an injection) to ensure your comfort throughout the procedure. Once the area is completely numb, the lesions are carefully removed using hyfrecation, which leaves behind smooth skin with minimal downtime.

#5 Follow Up

One follow-up appointment within 4 weeks is included with your treatment. This allows us to assess the healing process and manage any remaining lesions. After your procedure, we will also provide you with an aftercare pack that includes skin wipes and gauze.

Our Method of Treatment

While Hyfrecation has been an established treatment method for over 80 years, it is less well-known than Laser in the UK for treating skin lesions. Hyfrecation is a minor surgical procedure that uses electrocautery to burn off skin lesions, resulting in their immediate clearance. Carried out under local anaesthesia, Hyfrecation is a very safe and effective procedure. To achieve the best results, a touch-up may sometimes be needed a couple of weeks later.

The procedure leaves a small, raw area which typically heals within a few days. As with any medical procedure, it is essential to be aware of possible side effects. Potential short-term side effects include bleeding, bruising, soreness, and infection. Long-term side effects are rare but can include changes in skin colour, scarring, the development of neuralgic pain, or a loss of sensation in the treated area.

Learn more about hyfrecation here. And click here for hyfrecation aftercare.

 

Eligibility

Best For

Individuals seeking removal of bowenoid papulosis due to symptoms, concern, or recurrence.

Pregnancy/Breastfeeding

Safe to perform during pregnancy.

Menstruation

Safe to perform during menstruation/bleeding.

Prior/Repeat Use

Yes, treatment is suitable even if you have had prior, unsuccessful procedures like laser.

Avoid if

You have an active genital skin infection (e.g., herpes outbreak, eczema). Your diabetes or blood pressure is not under control.
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Discuss if

E.g. your lesions keep coming back.

Patient Feedback

FAQs

How can I prepare for my appointment?

Please complete the pre-appointment questionnaire before attending. If you are hoping for same-day treatment, uploading clear photos allows our specialists to review your case and provide a quote in advance.

On the day, wear loose, comfortable clothing and bring a list of any medications you take. You do not need to fast. After your visit, we will provide full aftercare instructions if treatment is performed.

Will I need to take time off after my appointment?

Most patients return to normal daily activities the same day or the following day, as treatment is performed under local anaesthetic.

You may experience mild soreness for a few days. We usually recommend avoiding strenuous exercise and sexual activity for about one week while the area heals.

Can I bring someone with me?

Yes, you are welcome to bring a partner, friend, or family member for support. They can usually stay during the consultation but may be asked to wait in reception during the procedure to maintain a sterile clinical environment.

A clinical chaperone will also be available during examinations or treatment.

What travel arrangements should I make for after the appointment?

Most patients can travel home independently, including driving or using public transport, as the procedure is performed under local anaesthetic.

You may prefer loose clothing and a comfortable journey home, as mild tenderness can occur once the anaesthetic wears off.

Will my insurance cover this procedure?

Insurance cover depends on your provider and individual policy. Some insurers may cover treatment for pre-cancerous skin conditions, while others may have exclusions or require pre-authorisation.

We recommend contacting your insurer directly to confirm your cover. Our team can provide a quote or medical letter to support your claim if needed.

Can Bowenoid Papulosis treatment be cured?

Bowenoid papulosis can usually be treated successfully by removing the visible lesions. However, because it is linked to HPV, the virus may remain in the skin and lesions can occasionally return.

In many people, the immune system clears HPV naturally over time. Treatment focuses on removing affected tissue and monitoring healing to reduce recurrence.

What are the benefits of treating Bowenoid Papulosis?

Treatment removes pre-cancerous lesions, improves skin appearance, and relieves any irritation or discomfort. It may also help reduce HPV activity on the skin, lowering the risk of transmission to partners.

When is the best time to book my Bowenoid Papulosis treatment treatment?

You should seek assessment as soon as you notice new or persistent pigmented spots or lumps in the genital area. Early evaluation allows for accurate diagnosis and timely treatment.

Submitting photos with your questionnaire may allow consultation and treatment to take place during the same visit, where appropriate.

Is there anything I can do at home if I have Bowenoid Papulosis treatment?

Avoid home remedies or over-the-counter wart treatments, as these can irritate sensitive skin.

You can help reduce irritation by
• keeping the area clean and dry
• avoiding shaving or waxing affected areas
• wearing loose clothing
• using condoms to help reduce transmission risk

A clinical assessment is still recommended for proper treatment.

How will the appointment work?

During the appointment, you will have a consultation and examination to confirm the diagnosis. If appropriate and agreed, treatment can usually be performed during the same visit. Aftercare advice and a follow-up review will be arranged to support healing.

Will the procedure hurt?

Local anaesthetic is used to numb the area before treatment, so you should not feel pain during the procedure. Once the anaesthetic wears off, mild soreness or tenderness is normal and usually settles within a few days.

We will provide aftercare guidance to help keep you comfortable during recovery.

Can I listen to my music during the procedure?

Yes, you are welcome to listen to music or a podcast using headphones during your procedure. Many patients find this helpful for relaxation and comfort.

What should I expect after my appointment?

After treatment, you will receive an aftercare pack and instructions to support healing. Mild soreness, light bleeding, or tenderness is normal for a few days.

A follow-up appointment is usually arranged within four weeks so our specialists can review your recovery.

How long will it take for my side effects to go away?

Most soreness, redness, or swelling improves within 2–5 days. Small scabs may form and usually fall away naturally within 1–2 weeks as the skin heals.

Contact us if you notice increasing pain, spreading redness, or unusual discharge.

What do I do if I think I have a problem after the appointment?

If you have concerns about your recovery, please contact the clinic.

Urgent issues, such as unexpected pain or concerning symptoms, are reviewed the same day. Non-urgent recovery questions are usually answered within 24 hours. Your included follow-up appointment also allows us to check healing progress.

Do I need to take any special precautions at home (in regards to children, pets)?

Bowenoid papulosis is spread through direct skin-to-skin contact, usually intimate contact. There is no risk to pets, and household transmission risk is very low.

As a precaution, avoid sharing towels and wash your hands after touching the treated area while it heals.

Is there anything I can do to help the treatment work better?

Following your aftercare instructions is the most important step. You can also support healing by:

• Avoiding shaving or waxing the area while healing
• Not picking scabs
• Maintaining good general health and sleep
• Stopping smoking, which can slow HPV clearance

Attend your follow-up appointment so healing can be properly assessed.

How soon after my appointment can I have sex?

You should wait until the skin has fully healed before resuming sexual activity, usually around two weeks or once scabs have naturally fallen off and the area is no longer tender.

Resuming sex too early may delay healing, cause irritation or infection.

Can I take immune boosting supplements to help?

There is no strong clinical evidence that supplements can treat or clear bowenoid papulosis. A healthy lifestyle supports immune function, but supplements are not a substitute for medical treatment.

Always check with your clinician before starting new supplements.

Will I require a follow up appointment after my appointment?

Yes. One follow-up appointment is typically included within four weeks of treatment to check healing and assess whether any further treatment is needed.

What are the chances this Bowenoid papulosis treatment will come back after treatment?

Recurrence is possible because HPV can remain in surrounding skin cells even after lesions are removed.

Treatment is effective at clearing existing lesions, but monitoring and early review of any new changes helps maintain long-term control.

Fees

Genital Dermatology Consultation - £150

Genital Dermatology Consultation + Main Procedure + Follow Up - From £550

Local anaesthetic (by injection or cream depending on the lesions) is also included in the price. The following conditions have fixed prices:

  • Fordyce Spots - Patch Test (£350) + Main Procedure (£750 penile and/or £750 shaft)
  • Pearly Penile Papules (PPP) - £750-1000
  • Vestibular papillomatosis - Patch Test (£350) + Main Procedure (£750)

 

Follow up (within 4 weeks) - 1x Included

By default, patients 1x follow up visit is included in the quote we offer you. In some complex cases, we may offer an additional follow up visit (this will be clarified in your quote/consultation).

Payment Options

Self Pay - by Cash/Card, but not American Express

Health insurance - via a self reimbursement policy

ClarePay/Klarna - a payment plan to split the cost over 4 payments.

Next Steps

Care In Clinic

Same day hyfrecation treatment for patients with a pre-appointment quote.

Care Online

Start or continue your care online.

Page last reviewed by Mrs Magdalena Nowacka on 11 February 2026 for general guidance only. It is not intended to replace the advice of your clinician.