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2016 European guideline for the management of vulval conditions.
van der Meijden, W I; Boffa, M J; Ter Harmsel, W A; Kirtschig, G; Lewis, F M; Moyal-Barracco, M; Tiplica, G S; Sherrard, J.
Afiliación
  • van der Meijden WI; Department of Dermatology, Beatrixziekenhuis, Gorinchem, The Netherlands.
  • Boffa MJ; Department of Dermatology, Sir Paul Boffa Hospital, Floriana, Malta.
  • Ter Harmsel WA; Department of Gynaecology, Roosevelt kliniek, Leiden, The Netherlands.
  • Kirtschig G; University Hospital of Tübingen, Tübingen, Germany.
  • Lewis FM; St John's Institute of Dermatology, Guy's and St Thomas' Hospital, London and Frimley Health NHS Trust, London, UK.
  • Moyal-Barracco M; Department of Dermatology, Tarnier-Cochin Hospital, Paris, France.
  • Tiplica GS; Dermatology 2, Colentina Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
  • Sherrard J; Department of Sexual Health, Churchill Hospital, Oxford, UK.
J Eur Acad Dermatol Venereol ; 31(6): 925-941, 2017 Jun.
Article en En | MEDLINE | ID: mdl-28164373
Vulval conditions may present to a variety of clinicians, such as dermatologists, gynaecologists and general practitioners. Women with these conditions are best managed by a multidisciplinary approach, which includes clear referral pathways between disciplines or access to a specialist multidisciplinary vulval service. Informed consent is a prerequisite for all examinations, investigations and treatments. Consent is particularly important for intimate examinations of the anogenital area, and a chaperone should be offered in all cases. All efforts should be made to maintain a patient's dignity. Depending on symptoms and risk factors, screening for sexually transmitted infections (STI) should be considered. If the patient presents with vulval itch, particularly if also complaining of increased vaginal discharge, vulvaginal candidiasis should be excluded. Sexual dysfunction should be considered in all patients with vulval complaints, either as the cause of the symptoms or secondary to symptoms, and assessed if appropriate. This guideline covers several aspects, such as diagnosis and treatment, of the more common vulval conditions (relatively) often encountered at vulval clinics, i.e. vulval dermatitis (eczema), psoriasis, lichen simplex chronicus, lichen sclerosus, lichen planus, vulvodynia and vulval intraepithelial neoplasia (VIN).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Vulva Tipo de estudio: Diagnostic_studies / Guideline / Risk_factors_studies Límite: Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: J Eur Acad Dermatol Venereol Asunto de la revista: DERMATOLOGIA / DOENCAS SEXUALMENTE TRANSMISSIVEIS Año: 2017 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Vulva Tipo de estudio: Diagnostic_studies / Guideline / Risk_factors_studies Límite: Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: J Eur Acad Dermatol Venereol Asunto de la revista: DERMATOLOGIA / DOENCAS SEXUALMENTE TRANSMISSIVEIS Año: 2017 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido