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Genital warts are one or more growths on the penis, vagina, scrotum or groin. Anal warts are virtually identical growths occurring on the anus. They can be. Anal warts (condyloma acuminata) are caused by the human papilloma virus (HPV), the most common sexually transmitted disease (STD). The warts affect the area around and inside the anus, but may also develop on the skin of the genital area. They first appear as tiny spots or growths, often as small as a pin head.