By Fiona M. Lewis, Fabrizio Bogliatto, Marc van Beurden
This booklet is a pragmatic consultant to the prognosis and administration of vulval issues. It bargains counsel for all people who are treating sufferers with vulval sickness at trainee and expert point, assisting to enhance administration for the sufferer and forestall delays in analysis, together with referrals to specialists.
It comprises key information regarding prognosis, research and easy administration, with a bit on signs courses the reader to the right kind bankruptcy for the therapy of that sickness. The skilled authors contain up-to-date type and terminology of vulval illness with an evidence of ways this could be invaluable in medical perform and advice as to while the sufferer may be referred directly to a specialist.
As vulval illnesses are various to these of the remainder of the surface sufferers with vulval ailment current a wide unmet want, usually with delays in prognosis because of an absence of teaching from physicians. This useful advisor presents the expert wisdom required for prognosis and remedy of those conditions.
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Additional resources for Practical guide to vulval disease: diagnosis and management
Journal of Sexual Medicine 6, 1214–1217. Irvin, W. and Taylor, P. (2004) Biopsy of lesions of the female genital tract in the ambulatory setting. Journal of Long‐Term Effects of Medical Implants 14, 185–199. , Neill, S. M. et al. (2013) The spectrum of histopathologic patterns secondary to the topical application of EMLA® on vulvar epithelium: clinic‐pathologic correlation in 3 cases. Journal of Cutaneous Pathology 40, 708–713. Lynch, P. J. and Edwards, L. (1994) Genital Dermatology, Churchill Livingstone, New York, NY, pp.
The absence of hair allows the sebaceous glands to be visible to the naked eye and present clinically as slight yellow bumps, called Fordyce spots (see Chapter 1). 1 Histopathological features of the normal vulva. The epithelium that covers the hymen, vestibule and inner surfaces of the labia minora is a nonkeratinized mucosal type. Adnexal structures are absent but sebaceous glands are common on the labia minora. Sometimes pigmentation, due to an increase in the number of melanocytes with a high quantity of melanin, occurs on the outer surfaces of the labia minora and on the clitoral hood.
The labia minora do not have hair follicles but they are covered by numerous sebaceous glands and sweat glands. The clitoris develops from an outgrowth in the embryo called the genital tubercle. It contains trabeculated erectile tissue, similar to the male penis, and is composed of the body (the shaft and the glans) and the crura. The glans is covered by the clitoral hood, formed by the fusion of the anterior portions of the labia minora. The body of the clitoris continues in each crus (singular form of ‘crura’), attached to the corresponding ischial ramus, beneath the descending pubic rami.