4 treatments for vulvar leukoplakia

Vulvar leukoplakia is a chronic malnutrition of the vulva, mainly manifested by vulvar itching, pain, local or diffuse decolorization and whitening of the vulvar skin and mucous membranes; rough, thickened, hyperplastic or keratinized tissue, or atrophy, thinning, cracking, and reduced elasticity. The following are the treatment methods available.

1. Surgery

Although surgery is the main treatment for many diseases, it is not the first choice for the treatment of vulvar leukoplakia, because surgery can cause contracture and deformation of vulvar leukoplakia, seriously affecting the patient's physical and mental health and sexual life, and there is a possibility of recurrence after another surgery. When there is already malignant transformation or the possibility of malignant transformation, and it is atypical hyperplasia, surgical treatment is considered. The two most commonly used methods are simple vulvectomy and vulvectomy with skin grafting.

2. Local freezing

Cryotherapy needs to be performed under anesthesia to reduce the patient's pain and burning sensation. It may cause pain and burning sensation to the patient. After freezing, the local surface will be red and swollen, which will gradually subside after 1 hour. Blisters may occur on the second day, and scabs will fall off in 6 to 7 days. The effect is good in a short time after treatment, but it is also easy to relapse.

3. Bohm infrared

Generally, 12-14W irradiation power, 10cm irradiation distance, vertical irradiation angle, 15-20 minutes of irradiation treatment are used. Different auxiliary treatments can be used before and after infrared irradiation, such as local application of mometasone furoate before light irradiation, and 1% hydrocortisone after the patient's itching improves. After 1-3 courses of light irradiation, the itching is significantly reduced or disappears, and the depigmentation of the vulvar skin and mucosa can gradually return to normal.

4. Electrocautery

It mainly uses medical computer high-frequency electrocautery to cut the lesion tissue under local anesthesia, with an electrocautery power of 60 to 70W, and local electrocautery until the skin turns pink and there is no hard tissue feeling. Anti-inflammatory treatment is required after surgery, but this method is rarely used now.