National Guideline on the Management of Vulval Conditions

Edwards, Sarah; Handfield‐Jones, S.; Gull, Sarah E

doi:10.1258/095646202760029840

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Balanitis is a general term that describes a group of conditions that present with similar clinical findings yet have different etiologies. [3][4][5] When the inflammation involves the prepuce in uncircumcised males, it is termed balanoposthitis. Approximately 11% of male urological patients have been reported to have balanitis.…”

Section: Commentarymentioning

confidence: 99%

“…Approximately 11% of male urological patients have been reported to have balanitis. 4,5 Balanitis has a wide variety of causes. It tends to be common among uncircumcised males with poor hygiene and those with diabetes.…”

Section: Commentarymentioning

confidence: 99%

“…The recommended investigations for diagnosing balanitis include culturing the prepuce for C. albicans, T. vaginalis, N. gonorrhea, and C. trachomatis, especially if a female partner has a vaginal discharge. 5 If ulceration is present, a culture for H. simplex is advised along with a serological test for syphilis, such as RPR. Finally, a finger stick should be obtained for glucose measurement.…”

Section: Clinical Pearlsmentioning

confidence: 99%

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Case Study: Postsexual Penile Ulcer as a Symptom of Diabetes

Lauder¹,

Binienda²

2005

Clinical Diabetes

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Section: Commentarymentioning

confidence: 99%

Section: Commentarymentioning

confidence: 99%

Section: Clinical Pearlsmentioning

confidence: 99%

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Case Study: Postsexual Penile Ulcer as a Symptom of Diabetes

Lauder¹,

Binienda²

2005

Clinical Diabetes

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A retrospective study of the referral patterns to a vulval clinic: highlighting educational needs in this subspecialty

Cheung

Gach

Lewis

2006

Journal of Obstetrics and Gynaecology

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A retrospective study of the referral patterns to a specialist vulval clinic was performed. A total of 200 clinical records were reviewed of new patients seen between January 2004 and June 2005. A provisional diagnosis was stated in 45.5% of referrals, of which 27.5% had the diagnosis changed at the clinic. The majority of referrals were from general practitioners (GPs) (77%) and smaller proportions from gynaecologists (11%), dermatologists (9%) and others (3%). The most common conditions seen were lichen sclerosus (39%), eczema/lichen simplex (30.5%), lichen planus (11.5%), pain syndromes (10.5%) and others (8.5%). Lichen sclerosus was accurately diagnosed in 54.5% of referrals but for eczema/lichen simplex it was only recognised in 11.5% of referrals. Nine cases of lichen sclerosus had been referred by gynaecologists after histological confirmation, for advice on management. Education of vulval diseases to non-specialists should focus on conditions that they are most likely to encounter and find difficult to manage. This study illustrates an effective method to define what the local teaching requirements are.

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Evidence‐based (S3) Guideline on (anogenital) Lichen sclerosus

Kirtschig

Becker²,

Günthert

et al. 2015

Acad Dermatol Venereol

258

155

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Lichen sclerosus (LS) is an inflammatory skin disease that usually involves the anogenital area. All patients with symptoms or signs suspicious of lichen sclerosus should be seen at least once initially by a physician with a special interest in the disease in order to avoid delay in diagnosis, as early treatment may cure the disease in some and reduce or prevent scarring. The diagnosis is made clinically in most cases. Biopsies should only be performed under certain circumstances. The gold standard for treatment remains potent to very potent topical steroids; however, mild and moderate disease in boys and men may be cured by circumcision. Certain triggers should be avoided.

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National Guideline on the Management of Vulval Conditions

Cited by 5 publications

References 4 publications

Case Study: Postsexual Penile Ulcer as a Symptom of Diabetes

Case Study: Postsexual Penile Ulcer as a Symptom of Diabetes

A retrospective study of the referral patterns to a vulval clinic: highlighting educational needs in this subspecialty

Evidence‐based (S3) Guideline on (anogenital) Lichen sclerosus

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