A multidisciplinary vulva clinic: the role of genito‐urinary medicine

Sullivan, Aine; Straughair, G.J.; Marwood, Roger; Staughton, R.C.D.; Barton, Simon

doi:10.1111/j.1468-3083.1999.tb00841.x

Cited by 32 publications

(19 citation statements)

References 12 publications

(14 reference statements)

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“…Lichen planus (LP) is a chronic inflammatory dermatosis that affects skin, mucous membranes, and nails . A multidisciplinary vulvar clinic study highlighted a prevalence of 3.7% for biopsy‐proven vulvar LP (VLP) .…”

Section: Discussionmentioning

confidence: 99%

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Clinical and epidemiological profile of patients attended in a vulvar clinic of the dermatology outpatient unit of a tertiary hospital during a 4‐year period

et al. 2019

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Background Vulvar complaints are among the most frequent causes for a woman to visit a healthcare provider. The diseases of this area of the body may be a challenge to diagnose. In this study, we assess epidemiologic and clinical data of patients in an outpatient vulvar clinic in the dermatology department of a tertiary hospital. MethodsWe performed an observational retrospective study of patients who attended our consultation service for vulvar diseases at the Dermatology Division at Hospital das Cl ınicas da Faculdade de Medicina da USP during a 4-year period. Data were obtained by patient medical records and by phone.Results During the 4-year period under study, a total of 136 patients were treated in the outpatient service specialized in vulvar care. All patients were included in the study. The most frequent diagnoses were lichen sclerosus et atrophicus (64.7%), lichen planus (8.8%), and vitiligo (8%). We registered that 26.7% of the patients showed extravulvar involvement.Conclusions Women with vulvar diseases need specific care, considering not only genital aspects but also all skin changes. In this context, the dermatologist is a very well trained professional to take good and complete care of these patients. However, ideally vulvar clinics should have a multidisciplinary team.

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Section: Discussionmentioning

confidence: 99%

“…Sullivan et al . found that the majority (87%) of the patients had chronic vulval conditions with symptom duration greater than 6 months before diagnosis (range 1 to >10 years).…”

Section: Discussionmentioning

confidence: 99%

Clinical and epidemiological profile of patients attended in a vulvar clinic of the dermatology outpatient unit of a tertiary hospital during a 4‐year period

et al. 2019

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“…Incidence and prevalence figures have not been established, but the present author would estimate that it occurs in about 0.5% of the Western European and American population. In clinics devoted solely to the care of patients with vulvar disorders, LSC accounts for 10–35% of the patients seen (1–3). It develops predominantly in mid‐ to late adult life, but it certainly also occurs in children.…”

Section: Introductionmentioning

confidence: 99%

Lichen simplex chronicus (atopic/neurodermatitis) of the anogenital region

2004

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Lichen simplex chronicus (LSC) of the anogenital area is an eczematous disease characterized by unremitting itching and scratching. In most instances, it arises in individuals who are genetically atopic, and as such, LSC can be viewed as a localized variant of atopic/neurodermatitis. Common triggers for the development of the disease include psychological distress, and local environmental problems such as heat, sweating, and excess dryness. Lichen simplex chronicus may also develop as a superimposed condition in the presence of other anogenital diseases such as candidiasis, psoriasis, lichen sclerosus, tinea cruris, and neoplasia. Lichen simplex chronicus frequently persists as an itch-scratch cycle, even when environmental triggers are removed and the underlying disease is treated. For this reason, successful therapy requires attention not only to trigger factors, but also to repair of the damaged barrier layer, reduction in inflammation, and breakup of the itch-scratch cycle.

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“…Provision of the most effective management options for GH may require the pooling of physician resources. In Sweden, for example, specialists in gynaecology and dermatovenereology work together to optimize female patient care at so‐called ‘vulval clinics’ 8 . In France, STD specialists, gynaecologists and dermatologists work together in some STD clinics.…”

Section: Today's Management Of Recurrent Genital Herpes: Primary and mentioning

confidence: 99%

Current treatments and perceptions of genital herpes: a European‐wide view

Strand

Barton

Alomar³

et al. 2002

Acad Dermatol Venereol

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A European panel of physicians reviewed the current treatments and perceptions of recurrent genital herpes (GH) across the continent. The panel consisted of specialists in dermatology and venereology from France, Finland, Germany, Italy, Norway, Spain, Sweden and the UK. A wide variety of factors that influence GH management were considered, including different health delivery systems, funding and cultural differences. The poor awareness of GH among both the general public and physicians was highlighted. The effectiveness of GH management was then examined from a patient's viewpoint, including the confirmation of the diagnosis, information and counselling about GH, as well as prescriptions for treatment. It was agreed that both physicians and patients often feel uncomfortable about discussing the disease, and that a European-wide effort is needed to re-educate patients and physicians about GH. The panel identified clear and unmet needs to manage a patient with clinical recurrences and to attempt to reduce the risk of GH transmission. Finally, resiquimod, an immune response modifier, was considered as a potential treatment option for GH.

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A multidisciplinary vulva clinic: the role of genito‐urinary medicine

Cited by 32 publications

References 12 publications

Clinical and epidemiological profile of patients attended in a vulvar clinic of the dermatology outpatient unit of a tertiary hospital during a 4‐year period

Clinical and epidemiological profile of patients attended in a vulvar clinic of the dermatology outpatient unit of a tertiary hospital during a 4‐year period

Lichen simplex chronicus (atopic/neurodermatitis) of the anogenital region

Current treatments and perceptions of genital herpes: a European‐wide view

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