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Indian Journal of Dermatology,... 2008
Topics: Anti-Bacterial Agents; Dexamethasone; Female; Humans; Middle Aged; Pyoderma Gangrenosum; Vulva
PubMed: 19052422
DOI: 10.4103/0378-6323.44321 -
BMJ Case Reports Jan 2014Acute genital ulcers, also known as acute vulvar ulcers, ulcus vulvae acutum or Lipschütz ulcers, refer to an ulceration of the vulva or lower vagina of non-venereal...
Acute genital ulcers, also known as acute vulvar ulcers, ulcus vulvae acutum or Lipschütz ulcers, refer to an ulceration of the vulva or lower vagina of non-venereal origin that usually presents in young women, predominantly virgins. Although its incidence is unknown, it seems a rare entity, with few cases reported in the literature. Their aetiology and pathogenesis are still unknown. The disease is characterised by an acute onset of flu-like symptoms with single or multiple painful ulcers on the vulva. Diagnosis is mainly clinical, after exclusion of other causes of vulvar ulcers. The treatment is mainly symptomatic, with spontaneous resolution in 2 weeks and without recurrences in most cases. We present a case report of a 13-year-old girl with two episodes of acute ulcers that fit the clinical criteria for Lipschütz ulcers.
Topics: Adolescent; Diagnosis, Differential; Female; Humans; Leprostatic Agents; Ulcer; Vulva; Vulvar Diseases
PubMed: 24473429
DOI: 10.1136/bcr-2013-202504 -
European Journal of Pediatrics Feb 2013A 6-year-old girl presented with necrosis of the left labium minus. An encircled hair at the base of the lesion was seen, and the diagnosis genital hair tourniquet...
A 6-year-old girl presented with necrosis of the left labium minus. An encircled hair at the base of the lesion was seen, and the diagnosis genital hair tourniquet syndrome was made. Genital hair tourniquet syndrome in children is a rare but potentially severe syndrome that requires immediate medical attention to prevent resulting necrosis.
Topics: Child; Constriction, Pathologic; Female; Hair; Humans; Ischemia; Necrosis; Syndrome; Vulva; Vulvar Diseases
PubMed: 23117472
DOI: 10.1007/s00431-012-1883-5 -
Aesthetic Plastic Surgery Jun 2022It is difficult to plan a simple and effective surgical strategy for patients with horizontal and vertical redundant tissue of the labia minora and clitoral hood... (Observational Study)
Observational Study
BACKGROUND
It is difficult to plan a simple and effective surgical strategy for patients with horizontal and vertical redundant tissue of the labia minora and clitoral hood redundancy. A single edge resection or wedge resection labiaplasty with clitoral hood reduction that simultaneously resolves these three issues has yet to be reported. This study investigated the clinical effects and safety of trilobal labiaplasty via a composite incision.
METHODS
The single-center, retrospective, observational study included data from patients with hypertrophy of the labia minora and clitoral hood who underwent trilobal labiaplasty.
RESULTS
Altogether, 136 patients (average age: 31.6 ± 8.82 years; range: 21-53 years; 224 sides) sought surgery for aesthetic (39/136, 28.7%), functional (17/136, 12.5%), or both reasons (80/136, 58.8%). Overall, 134 patients (134/136, 98.5%) were followed up for 3 months. No serious complications or malformations occurred. Three patients (2.2%) underwent secondary repair surgery due to incomplete bilateral symmetry, 122 (91.0%) scored ≥ 21 points on the Female Genital Self-Image Scale, 107 (91.5%) were satisfied with the cosmetic outcomes, and 93 (95.9%) were satisfied with the functional improvement.
CONCLUSIONS
Trilobal labiaplasty performed via a composite incision using edge and wedge labiaplasty to adjust horizontal and vertical hypertrophy of the labia minora and remove lateral folds of the clitoris is a safe and effective method to improve the appearance and rearrange the position of the clitoral hood and clitoral frenulum while preserving the fine structure of the surrounding tissue. This method results in few complications and high functional and aesthetic satisfaction rates.
LEVEL OF EVIDENCE IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Topics: Adult; Female; Humans; Young Adult; Clitoris; Hypertrophy; Plastic Surgery Procedures; Retrospective Studies; Surgical Wound; Vulva; Middle Aged
PubMed: 35303122
DOI: 10.1007/s00266-022-02841-7 -
Aesthetic Surgery Journal Jul 2016
Topics: Clitoris; Female; Humans; Plastic Surgery Procedures; Vulva
PubMed: 27084063
DOI: 10.1093/asj/sjw058 -
BJU International Apr 2006To better understand the genital changes that occur during the female sexual response, using a gross anatomical and histological study of the vascular tissue of the...
OBJECTIVE
To better understand the genital changes that occur during the female sexual response, using a gross anatomical and histological study of the vascular tissue of the vulva, supplemented with magnetic resonance imaging (MRI).
MATERIALS AND METHODS
Seven cadaveric vulvectomy specimens were used; they were serially sectioned in coronal, sagittal, and axial planes, and stained with haematoxylin and eosin. Selected blocks were stained with elastic Masson's trichrome. Axial MR images were taken of two healthy women with intact sexual functioning using a gadolinium-based blood-pool contrast agent. A 1.5 T system was used for all MRI studies, with images taken at baseline and during sexual arousal while viewing an erotic videotape.
RESULTS
There are five vascular compartments of the female external genitalia, found in the clitoris, clitoral bulbs, labia minora, urethra, and vestibule/vagina. Of these five compartments, two distinct types of vascular tissue were identified, i.e. erectile and non-erectile/specialized genital. The erectile tissue compartments had the greatest change in blood volume during sexual arousal, as assessed by MRI.
CONCLUSIONS
The vulva contains a substantial amount of vascular tissue. These specialized tissues show a variable, but unified response to sexual arousal.
Topics: Arousal; Female; Humans; Libido; Magnetic Resonance Imaging; Sexual Behavior; Vulva
PubMed: 16536770
DOI: 10.1111/j.1464-410X.2005.05961.x -
BJU International Aug 2006
Topics: Clitoris; Female; Humans; Muscle Contraction; Muscle, Skeletal; Orgasm; Terminology as Topic; Vulva
PubMed: 16879696
DOI: 10.1111/j.1464-410X.2006.06408_2.x -
Developmental Biology Feb 1996Nematodes provide a useful experimental system with which to investigate the evolution of development at the cellular, genetic, and molecular levels. Building on an... (Review)
Review
Nematodes provide a useful experimental system with which to investigate the evolution of development at the cellular, genetic, and molecular levels. Building on an understanding of vulval development in Caenorhabditis elegans, analysis of vulval development has been extended to a number of other species in three families of the Nematode phylum. Changes have occurred in most aspects of vulval development: alteration in the number of cells competent to participate in vulval development by changes in apoptosis; changes in the relative contributions of position-dependent predisposition toward particular fates (prepattern), inductive signaling and lateral signaling; and in the specific lineages generated by vulval precursor cells. Genetic analysis of one species in which only three vulval precursor cells are present identified a mutation that increases the number of vulva precursor cells toward that found in C. elegans.
Topics: Animals; Biological Evolution; Female; Male; Nematoda; Phylogeny; Vulva
PubMed: 8606000
DOI: 10.1006/dbio.1996.0035 -
Urologiia (Moscow, Russia : 1999) Jun 2019The review focuses on the feminizing genitoplasty of the external genitalia in patients with disorders of sex development. The opinions of various surgeons and surgical... (Review)
Review
The review focuses on the feminizing genitoplasty of the external genitalia in patients with disorders of sex development. The opinions of various surgeons and surgical schools on the timing, stages and methods of performing feminizing genitoplasty in girls with the virilization of the genitalia are presented. The development and improvement of surgical techniques for performing clitoroloplasty in patients with virilization of genitalia are described, as well as different types of labioplasty. The main methods of reconstruction of the urogenital sinus are given.
Topics: Disorders of Sex Development; Female; Humans; Urogenital Abnormalities; Virilism; Vulva
PubMed: 31162911
DOI: No ID Found -
Journal of the American Veterinary... Oct 2021To determine the prevalence of vulvar recession in a large population of dogs and to compare the reproductive and physical differences between dogs with and without...
OBJECTIVE
To determine the prevalence of vulvar recession in a large population of dogs and to compare the reproductive and physical differences between dogs with and without recessed vulvas.
ANIMALS
250 female dogs presenting to a tertiary referral institution.
PROCEDURES
Female dogs > 6 months of age presenting to a tertiary referral institution were enrolled. At enrollment, a full medical history was obtained with particular emphasis on the presence of lower urinary tract (LUT) disease in the 3 months prior to presentation. All dogs underwent a full physical examination including perivulvar cytologic examination and scoring of the degree of perivulvar skin coverage on the basis of an 8-point scale. Dogs with scores of ≥ 7 were classified as having recessed vulvas. When available, urinalysis data were also included.
RESULTS
Recessed vulvas were identified in 36 of 250 (14%) dogs. Dogs with recessed vulvas had significantly higher body condition scores and body weights than unaffected dogs. In addition, recessed vulvas were more common in spayed than sexually intact dogs. Dogs spayed at ≤ 1 year of age were almost 3 times as likely to have vulvar recession, compared with dogs spayed at > 1 year of age. No significant difference was identified between affected and unaffected dogs with respect to the prevalence of LUT signs, urinary tract infections, or perivulvar dermatitis.
CONCLUSIONS AND CLINICAL RELEVANCE
Although recessed vulvas were relatively common in dogs, they did not appear to be associated with an increased risk of LUT disease or perivulvar dermatitis.
Topics: Animals; Dermatitis; Dog Diseases; Dogs; Female; Urinalysis; Urinary Bladder; Urinary Tract Infections; Vulva
PubMed: 34516259
DOI: 10.2460/javma.259.7.744