RESUMO
OBJECTIVE: This study aimed to determine satisfaction and functioning before and after surgery among women with lichen planus, who have undergone lysis of vulvovaginal adhesions, and to compare their sexual functioning with those of women without this disorder. MATERIALS AND METHODS: The study was approved by the University of Michigan Internal Review Board. A retrospective self-administered survey was completed by 22 women (50-76 years). Eleven women who had undergone surgery to release vulvovaginal adhesions from lichen planus answered a mailed, 75-item questionnaire about health, sexual functioning (using the Female Sexual Function Index), and satisfaction with surgical outcomes 6 months to 6 years after their lysis of vulvovaginal adhesions followed by long-term vaginal dilation. They were compared with 11 age-matched normal controls. We used descriptive statistics such as mean and SDs to describe the population and χ and t tests to determine significant differences between groups. RESULTS: Surgery in women with lichen planus scarring allowed intercourse in 55% and decreased urination difficulties in 75%. Of the patients, 91% stated they were happy with the surgery and would recommend it to others. However, sexual difficulties may persist even after surgery. Approximately 50% of the patients continue to fear pain. There continues to be differences between cases and controls in sexual discomfort and sexual satisfaction. CONCLUSIONS: After surgery for lichen planus, women tend to be more likely to have intercourse, to have less urinary symptoms or infections, and to have fewer genital symptoms. However, for some, sexual difficulties persisted. It may be wise to consider sexual counseling for this population. Nevertheless, most of the patients stated that they were happy with the surgery and would recommend it to others.
Assuntos
Líquen Plano/cirurgia , Doenças da Vulva/cirurgia , Idoso , Feminino , Humanos , Michigan , Pessoa de Meia-Idade , Satisfação do Paciente , Qualidade de Vida , Saúde Reprodutiva , Estudos Retrospectivos , Inquéritos e Questionários , Resultado do TratamentoRESUMO
A nivel de la superficie terrestre las radiaciones emitidas por el sol están representadas por los rayos infrarrojos (56%); la luz visible (39%) y las radiaciones ultravioletas de onda larga (UVA), de onda corta (UVB) y UVC. La disminución de la capa de ozono, en el curso de los últimos años, incrementaría el riesgo de cáncer de la piel (basocelular, espinocelular y melanoma maligno) así como de envejecimiento cutáneo. Lo anterior explica la importancia de la fotoprotección y el auge de los filtros solares físicos y muy especialmente de los químicos, cuyas ventajas y limitaciones se exponen y discuten en este artículo.
Assuntos
Humanos , Raios Infravermelhos/efeitos adversos , Luz/efeitos adversos , Ozônio , Protetores Solares/análise , Raios Ultravioleta/efeitos adversos , Dermatopatias/prevenção & controleRESUMO
Hasta no hace mucho, la anestesia local en dermatología se hacía por infiltración a través de punciones. El advenimiento de una crema (EMLA) que asocia la lidocaína y la prilocaína al 5% y que se aplica localmente bajo un parche oclusivo permite obtener una anestesia local por vía transepidérmica.
Assuntos
Humanos , Anestésicos Locais/farmacocinética , Lidocaína/administração & dosagem , Prilocaína/administração & dosagem , Dermatopatias/terapiaRESUMO
Se presenta un caso de myasis humana por Dermatobia Hominis en un paciente masculino de 27 años, que contrajo la afección en Centro América. Es una patología rara en Chile y puede involucrar dificultad diagnóstica con forunculosis y otros cuadros circunscritos de la piel, cuando no se cuenta con datos anamnésticos claros y no se piensa en ésta parasitosis