An overview of vulval lesions in a tertiary care centre of western Rajasthan

Abstract

Objectives: A wide spectrum of benign, premalignant and malignant lesions may involve the vulva. Our study is taken to overview the different types of Vulval disorder among patients presented in a tertiary care institute. Methods: It is a retrospective study of patients having different type of Vulval lesions, who were admitted in the department of Obstetrics and Gynecology, over a period of 24 months. Results: In our study 40 patients were having Vulval lesion amongst total 2248 admitted patients with genital organs lesion comprising incidence of 1.78%. Almost all the patients were diagnosed by histopathological examination. The mean age was 47.7 years. The most of the patients were from 40-60 years age group. Lichen sclerosis was the commonest finding, incidence being 15(37.5%) and pruritus vulva was the commonest presenting symptom followed by soreness and pain in the vulva. Conclusions: General care of Vulval skin is a fundamental component of treatment. The mainstay of the management of lichen sclerosis is topical ultra-potent steroids. Women with VIN require a mandatory biopsy to confirm disease.