Vulvanın Benign Hastalıklarının Tanı ve Tedavisi

Vulva, genital, gastrointestinal ve üriner traktın birleştiği, tüylü ve tüysüz keratinize ciltten mukozal yüzeylere geçişin olduğu özel bir cilt bölgesidir. Vulvaya ait benign hastalıklar, yaşam kalitesini oldukça düşürmekle birlikte, hayati önem arz etmemeleri ve sıklıkla kronik bir süreci takip etmeleri nedenleri ile hasta tarafından sıklıkla göz ardı edilmekte ve hekime başvurmakta geç kalınmaktadır. Biz hekimlerin de vulvar hastalıkları sorgulamakta ve tedavi etmekte geri planda kaldığımız yadsınamaz bir gerçektir. Bu makalede güncel literatür ışığında öncelikle vulvanın genel bakımına ait önerilerde bulunulacak, vulvaya ait belli başlı semptomlar olan vulvar kaşıntı ve ağrıya değinilecek ve ardından da sık görülen vulvar dermatozlar olan liken sklerozus, liken simpleks kronikus ve liken planus ile psöriazis ve vulvar atrofi durumlarında tanı ve yönetimden bahsedilecektir.

Diagnosis and Management of the Benign Diseases of Vulva

The vulva is the area comprising the external genitals. It contains several different structures, including labia majora, labia minora, clitoris and vestibule. Vulvar symptoms such as pain and itching usually progresses slowly and can occur in any of these structures. Effective treatment strategies for benign vulvar diseases are still lacking despite their prevalence and their significant effect on quality of life. In this review article, we first aimed to provide recommendations on daily vulvar care, secondly focusing on obtaining relevant, in-depth information about vulvar symptoms and lastly discuss the differential diagnosis and management of common vulvar dermatoses such as lichen sclerosus, lichen simplex chronicus, lichen planus, psoriasis and vulvar atrophy.

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