Vulvar Hygiene:
- 5-10% risk of vulvar cancer in women with lichen sclerosus.
- 60% of vulvar squamous cancer is not associated with HPV. Inflammatory dermatoses (lichen sclerosus) is more assoc. with vulvar cancers.
- Bennett's "Magic Butt Cream": 1/3 nystatin, 1/3 destin, 1/3 Maalox in 30g tube.
Lichen Planus: anusol suppository placed vaginally Qweek.
- Emla cream applied at the introitus for dyspareunia.
Condyloma Acuminata Treat with Laser:
- Genital, perianal warts vaporized with power of 10-15W, and a depth of 1mm. Beam diameter of 1.5 to 3mm.
- Postop Care: Sitz bath three times daily, with silvadine applied after each bath, and at bedtime.
- Followup visits initially within first week of surgery, then every two weeks for 6 weeks, then every 6 months.
https://www.glowm.com/section_view/heading/Lasers%20in%20Gynecology/item/23#3741