HPV and anal cancer treatment

[Guest guest]

My anal PAP revealed atypical cells so a high resolution anoscopy was

performed... biopsy of several areas showed pre-cancerous cells

ranging from AIN 1 - AIN 3. I was referred to a colo-rectal surgeon

to have the areas removed either via IRC or surgery. The facility

that did the pap and anoscopy had already scheduled me for IRC at

their office but then my doc decided IRC might not be appropriate and

referred me to the colo-rectal for further exam. Colo-rectal guy

examines me and says that unless there are visible lesions he

recommends taking no further action and to monitor every 3 months

watching for any changes. His position is that any type of procedure

would do more harm than good and as long as the lesion was not visible

he didn't recommend any procedure to correct. He also said that

atypical, pre-cancerous cells are pretty much everywhere in the area

once you have HPV so you can't eliminate it completely just by doing

IRC on a few areas that happen to be identified. He says that the

pre-cancerous cells may never progress.

Does this sound like the correct approach? I only ask because had I

not seen colo-rectal guy I would have already had the IRC. I'm not

hot to have my butt lasered or operated on and since this is what he

does for a living and he is actually turning away business I would

tend to think his conservative approach is justified... if he wanted

to make a buck he'd just schedule me for a procedure...

Any thoughts?