tExcluding one woman for whom site was not known.$Including scrotum, natal cleft, and anterior chest wall.Comparing heterosexual with homosexual men at all four sites, p < 0-001. Difference between men (all) and women not significant.
Two cases are described of treatment-resistant vulvodynia that responded well to gabapentin. Gabapentin, an anti-epileptic drug, has been used in the treatment of neuropathic pain such as diabetic neuropathy and post-herpetic neuralgia. However, there has been little experience of its use in the relief of symptoms in vulvodynia and we add our observations to the one report of its use in these circumstances that has been published so far.
Gonococcal urethritis in a heterosexual male complicated by periurethral abscess and its treatment with antibiotics and surgical drainage is presented.
Terminology in cervical cytologylcervical histopathologyIn two recent publications in Genitourinary Medicine, there has been reference to the results of cervical cytological examination by grading of cervical intra-epithelial neoplasia. If the patient is subsequently examined colposcopically and has a diagnosis based on colpo-biopsy then the features relating to histological diagnosis will be described using the cervical intra-epithelial neoplasia (CIN) grading. To describe cervical cytology studies as producing diagnostic information on CINI-III is misleading.Perhaps it is appropriate to ask for a greater awareness of the need to use valid diagnostic terminology in a disease process which is as yet incompletely understood.
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