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Aesthetic Surgery Journal May 2022
Topics: Body Image; Female; Humans; Vulva
PubMed: 34695185
DOI: 10.1093/asj/sjab372 -
Aesthetic Surgery Journal May 2022
Topics: Body Image; Female; Humans; Vulva
PubMed: 34606564
DOI: 10.1093/asj/sjab353 -
Journal of the American Academy of... Jun 2020Patients with vulvar dermatoses often delay seeking medical treatment because of anxiety and embarrassment. Moreover, women frequently self-treat with various home... (Review)
Review
Patients with vulvar dermatoses often delay seeking medical treatment because of anxiety and embarrassment. Moreover, women frequently self-treat with various home remedies and see multiple clinicians before presenting to a dermatologist. Despite serving as the primary providers for patients with vulvovaginal symptoms, gynecologists typically receive limited training in the causes and management of these conditions. Dermatologists are experts in the evaluation and management of cutaneous disease and should be the caretakers of all skin, including the genitalia. Vulvar disorders are underrecognized by dermatologists for numerous reasons: inadequate training, lack of comfort with both interview and examination techniques, and unfamiliarity with normal anatomic variations. The first article in this continuing medical education series on vulvar dermatoses reviews the fundamentals, approach, and techniques that can be used to ensure a successful visit for both patient and provider.
Topics: Adult; Anatomic Variation; Child; Documentation; Female; Humans; Medical History Taking; Patient Education as Topic; Physical Examination; Skin Diseases; Vulva; Vulvar Diseases
PubMed: 31712174
DOI: 10.1016/j.jaad.2019.07.115 -
Clinics in Plastic Surgery Oct 2022This article provides a complete literature review of mons pubis lift. Pertinent anatomy, various presentations, indications for treatment, and aesthetic goals are... (Review)
Review
This article provides a complete literature review of mons pubis lift. Pertinent anatomy, various presentations, indications for treatment, and aesthetic goals are defined. Full assessment of the mons pubis is outlined and recommended surgical treatment options are detailed. Pearls and pitfalls associated with each procedure are discussed to guide successful treatment and patient satisfaction.
Topics: Esthetics; Female; Humans; Patient Satisfaction; Pubic Bone; Vulva
PubMed: 36162942
DOI: 10.1016/j.cps.2022.06.003 -
Clinics in Plastic Surgery Oct 2022This article provides a complete literature review of labia majora reduction. Pertinent anatomy, various presentations, indications for treatment, and aesthetic goals... (Review)
Review
This article provides a complete literature review of labia majora reduction. Pertinent anatomy, various presentations, indications for treatment, and aesthetic goals are defined. The full assessment of the majora is outlined, and the recommended surgical treatment options are detailed. Pearls and pitfalls associated with each procedure are discussed to guide successful treatment and patient satisfaction.
Topics: Esthetics; Female; Humans; Patient Satisfaction; Plastic Surgery Procedures; Vulva
PubMed: 36162943
DOI: 10.1016/j.cps.2022.06.010 -
Journal of Midwifery & Women's Health Jul 2022
Topics: Female; Humans; Vulva
PubMed: 35187795
DOI: 10.1111/jmwh.13344 -
Clinics in Plastic Surgery Oct 2022Radiofrequency is an effective and safe method for both pelvic floor restoration and nonsurgical labiaplasty. Bipolar radiofrequency with temperature control is more... (Review)
Review
Radiofrequency is an effective and safe method for both pelvic floor restoration and nonsurgical labiaplasty. Bipolar radiofrequency with temperature control is more effective than monopolar radiofrequency for volumetric heating of vulvovaginal tissue. Combination of electrical muscle stimulation and radiofrequency can provide combined nonsurgical restoration of the vulvovaginal tissues.
Topics: Female; Humans; Rejuvenation; Vulva
PubMed: 36162945
DOI: 10.1016/j.cps.2022.07.004 -
Archives of Gynecology and Obstetrics Apr 2024
Topics: Female; Humans; Angiofibroma; Vulva; Vulvar Neoplasms
PubMed: 37819477
DOI: 10.1007/s00404-023-07245-9 -
Journal Der Deutschen Dermatologischen... Dec 2019Vulvar cancer represents the fourth most common gynecologic malignancy and is often encountered by the general Dermatologist or Gynecologist. Dermatooncologists and... (Review)
Review
Vulvar cancer represents the fourth most common gynecologic malignancy and is often encountered by the general Dermatologist or Gynecologist. Dermatooncologists and Gynecologic Oncologists share expertise in this field and the diagnosis and treatment should ideally be interdisciplinary. All subtypes are typically seen in the later decades of life, although all histologic subtypes have been described in women younger than 30 years. The diagnosis is often delayed. Exact mapping of biopsies is of high importance, as the location and distance from the midline guides the surgical approach depending on the underlying histology. Squamous cell carcinoma accounts for more than 76 % of vulvar cancer with vulvar intraepithelial neoplasia being an important precursor. Basal cell carcinoma is the second most common vulvar malignancy. Melanoma accounts for 5.7 % of vulvar cancer and has a worse prognosis compared to cutaneous melanoma. Most of the trials on checkpoint inhibitors and targeted therapy have not excluded patients with vulvar melanoma and the preliminary evidence is reviewed in the manuscript. Surgery remains the primary treatment modality of locally resectable vulvar cancer. In view of the rarity, the procedure should be performed in dedicated cancer centers to achieve optimal disease control and maintain continence and sexual function whenever possible.
Topics: Adenocarcinoma; Biopsy; Carcinoma in Situ; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Carcinoma, Verrucous; Female; Humans; Melanoma; Vulva; Vulvar Neoplasms
PubMed: 31829526
DOI: 10.1111/ddg.13995 -
Current Opinion in Obstetrics &... Apr 2023Menopause is a time of vulvar and vaginal changes that are physiologic and are often symptomatic. These changes can impact up to 50% of women in menopause. There are... (Review)
Review
PURPOSE OF REVIEW
Menopause is a time of vulvar and vaginal changes that are physiologic and are often symptomatic. These changes can impact up to 50% of women in menopause. There are also several vulvar dermatoses that are more common after menopause and should be recognized early to allow for symptomatic treatment. Some of these conditions can lead to squamous cell carcinoma over time, and early recognition and appropriate treatment reduce this risk. Treatment for women with symptomatic vulvar and vaginal conditions is important for maintaining the quality of life.
RECENT FINDINGS
There are multiple review articles, small case series, and small comparative trials, but definitive trials are unavailable for most of these conditions.
SUMMARY
Current research on pathophysiology and treatment is limited to all of these conditions, and more focus on these life-altering conditions is warranted.
Topics: Female; Humans; Quality of Life; Menopause; Vaginal Diseases; Vulva; Vagina
PubMed: 36924412
DOI: 10.1097/GCO.0000000000000847