Alot of people in Nigeria have them, and it is spreading like wild fire in the gay community, because condoms can't prevent them and most of you don't know. Anal warts is a sexually transmitted disease caused by Human Papilloma Virus otherwise known as HPV. It manifests as out growths of skin in the Anal region and trust me, it can be quite ugly looking and disgusting. Please note, some of the dspleasing images are attached to this post.