<prompt> Virus that has increased association with anal was:HPVHIVLMVEBV  <response>: Anal Was Or Condylomata Accumulata HPV forms the etiological basis of: Anal and perianal was, AIN and SCC of the anus Subtypes 16,18,31,33 are associated with a greater risk of progression to dysplasia and malignancy Condylomata accuminata is the MC STD encountered by colorectal surgeons Most frequently observed inn homosexual men Clinical Presentation: Many are asymptomatic but pruritus, discharge, bleeding and pain are usual presenting complaints Rarely, relentless growth results in gaint condylomata Buschke-Lowenstein tumour which may obliterate the anal orifice Diagnosis is confirmed by biopsy Treatment: Application of 25 podophyllin Surgical excision Recurrence is common Ref: Sabiston 20th edition Pgno: 1412 