The Genital, Perianal and Umbilical Regions

Quality of life and sexual health in patients with genital psoriasis

“…10,11 Treatment of genital psoriatic lesions deserves special attention, as the vulnerable and thin genital skin is highly sensitive and there might be an increased penetration of topical agents in the genital area. 12 Despite the possibility of adequate treatment, (genital) psoriasis is characterized by exacerbations and remissions. A substantial number of patients with psoriasis have genital psoriatic lesions.…”

Vulvar Basal Cell Carcinoma of a 40 Years Old Black Woman: About a Case and Literature Review

“…It is sometimes asymptomatic [1]. It occurs most commonly on the labia as a plate eroded hyperpigmented [8]. In our case, patient complained of a nodule for two years followed by ulceration.…”

Penile lymphoedema: approach to investigation and management

“…It is likely that the worse the oedema becomes, the lower the chances of full recoverability. 17 Over a third of the patients (14/41) we report had CD; in 10 the diagnosis of CDs had already been made, and the investigation of penile lymphoedema led to the diagnosis of an additional 4 cases of IBD. Screening can be initiated with abdominal imaging and increasingly the use of faecal calprotectin.…”

“…Long-term antibiotics appear to ameliorate and stabilize the process, improve cosmesis and normalize sexual function. 6,17 Choice of drug is dependent on the desired empirical spectrum of activity, the previous therapies employed and the presence of any allergies. The success of this approach supports the importance of infection as a factor in the perpetuation, if not initiation, of the process.…”

“…The aim of medical treatment is to minimize sufficiently preputial and penile oedema to allow therapeutic debulking circumcision. 1,17,21 Skin grafting using full-and split-thickness skin grafts may be necessary after excision of the affected tissue. 25 Prophylactic antibiotics may need to be continued long term after surgery.…”