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Vulvar Anatomy

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181. Medial Thighplasty: Horizontal and Vertical Procedures after Massive Weight Loss Full Text available with Trip Pro

Medial Thighplasty: Horizontal and Vertical Procedures after Massive Weight Loss The 'medial thigh lift' was first described by Lewis in 1957, but did not receive the widespread acceptance because of the various postoperative complications, such as scar migration with vulvar deformities and early recurrence of ptosis. For this reason, Lockwood developed a technique of anchoring the dermis to the Colles' fascia, to make the surgical outcome more stable over time and to prevent scar migration (...) necrosis was observed.The medial thigh lift surgery is remarkably simple and free of major complications, if the basic anatomy of this region is understood, in order to preserve important structures such as the great saphenous vein and femoral vessels. The only complication is the presence of extensive and visible scars along the thigh, in the case of vertical procedure, and along the inguinal canal, with a possible distortion of the labia major, in the case of horizontal procedure.

2012 Journal of cutaneous and aesthetic surgery

182. A Rationale for Procedure Selection to Repair Female Urethral Stricture Associated with Urethrovaginal Fistulas. (Abstract)

flap urethroplasty in 24 patients, vulvar flap urethroplasty in 3, anterior vaginal flap urethroplasty in 11, end-to-end anastomosis in 4 and bladder flap urethroplasty in 2. Supplementary procedures were performed in some patients during urethroplasty, including bladder neck reshaping for incontinence in 5, intestinal-vaginal fistula repair in 3, colpoplasty for island vulvar skin flaps in 3, middle vaginal stricture vaginoplasty in 2 and enlargement of the vaginal introitus in 1.Average (...) with urethrovaginal fistulas should be based on fistula location, stricture length and vaginal anatomy. A transvaginal approach might be optimal if the vagina is wide and easily dilated. Pedicle labial flap urethroplasty was a reliable technique for complex strictures.Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

2012 Journal of Urology

183. Hunterian Lecture: Hunterian Lecture delivered at the Royal College of Surgeons of England on 13th February, 1948 Full Text available with Trip Pro

Hunterian Lecture: Hunterian Lecture delivered at the Royal College of Surgeons of England on 13th February, 1948 18889533 2008 10 16 2018 12 01 0035-8843 3 4 1948 Oct Annals of the Royal College of Surgeons of England Ann R Coll Surg Engl The anatomy of the lymphatic drainage of the vulva and its influence on the radical operation for carcinoma. 187-209 WAY S S eng Journal Article England Ann R Coll Surg Engl 7506860 0035-8843 OM Carcinoma Drainage Female Humans Vulvar Neoplasms 4815:1433k

1948 Annals of the Royal College of Surgeons of England

184. Lichen Sclerosus

of hyperpigmentation), and, in severe cases, fibrosis of anogenital skin with distortion of normal anatomy. This photo shows atrophy and hypopigmentation in the vulvar and perianal areas. This photo shows scarring, atrophy, and distorted anatomy in the perianal area. This photo shows porcelain white patches and areas of purpura in the labia minora, as well as early labial fusion. Diagnosis Clinical evaluation Sometimes biopsy Diagnosis of lichen sclerosus can usually be based on appearance, especially in advanced

2013 Merck Manual (19th Edition)

185. Pharmacokinetic and Pharmacodynamic Study of Tenofovir 1% Gel

is at low risk for breakthrough bleeding; Vaginal and cervical anatomy that, in the opinion of the investigator, lends itself to easy genital tract sample collection; Negative urine pregnancy test; and Willing to give voluntary consent, sign an informed consent form and comply with study procedures as required by the protocol. Exclusion Criteria: History of hysterectomy; Currently pregnant or within two calendar months from the last pregnancy outcome. Note: If recently pregnant must have had at least (...) for a sexually transmitted infection; Positive test for HIV; Positive test for Hepatitis B surface antigen (HBsAg); Known bleeding disorder that could lead to prolonged or continuous bleeding with biopsy; Chronic or acute vulvar or vaginal symptoms (pain, irritation, spotting, etc.); Known current drug or alcohol abuse which could impact study compliance; Grade 1 or higher laboratory abnormality, per the August 2009 update of the DAIDS Table for Grading the Severity of Adverse Events; Systemic use

2011 Clinical Trials

186. Contraception and Menstrual Cycle Effect on Pharmacokinetics, Pharmacodynamics and Safety in Tenofovir Vaginal Gel Use

infection or risks for sexually transmitted infections (STIs) In a mutually monogamous same-sex relationship for at least the last 4 months with a partner who is at least 18 years of age and has no known HIV infection or risks for STIs Vaginal and cervical anatomy that, in the opinion of the investigator, lends itself to easy genital tract sample collection Negative urine pregnancy test Willing to give voluntary consent, sign an informed consent form and comply with study procedures, as required (...) Chronic or acute vulvar or vaginal symptoms (e.g., pain, irritation, or spotting) Contraindications to the chosen contraceptive method Known current drug or alcohol abuse which could impact study compliance Grade 1 or higher laboratory abnormality, per the August 2009 update of the DAIDS Table for Grading the Severity of Adverse Events Participation in any other investigational trial (device, drug, or vaginal trial) in the last 30 days or planned participation in any other investigational trial during

2011 Clinical Trials

187. Labiaplasty Full Text available with Trip Pro

wouldn't want it if they had more information. Images of vulvae are absent from the popular media and advertising : 19 and do not appear in some anatomy textbooks, while community opposition to limits the access that young women have to information about natural variation in labias. Many women have limited knowledge of vulval anatomy, and are unable to say what a "normal" vulva looks like. : 6 At the same time, many images of women's genitals are , changing the size and shape of the labia to fit (...) ) that is infiltrated to the labia minora to achieve the tumescence (swelling) of the tissues and the constriction of the pertinent labial circulatory system, the hemostasis that limits bleeding. Procedures Edge resection technique Full ablation of the inner labia by use of the trim- (edge resection-) technique, that results in smooth appearance of vulvar area with no protuberance of labial tissue The original labiaplasty technique was simple resection of tissues at the free edge of the labia minora. One resection

2012 Wikipedia

188. Node count and groin recurrence in early vulvar cancer: A Gynecologic Oncology Group study. (Abstract)

Node count and groin recurrence in early vulvar cancer: A Gynecologic Oncology Group study. To determine if low node count from superficial groin dissection correlated with first recurrence in the groin for patients with early vulvar cancer.The Gynecologic Oncology Group (GOG) conducted a trial for patients with early stage squamous vulvar cancer, lesions <2 cm in size and <5 mm in depth. All fatty tissue below the inguinal ligament, medial to the sartorious and lateral to the adductor longus (...) was 7 (range: 4-22). There were no significant differences between patients with first recurrence in the groin and those without (p value=0.7475). There was a broad overlap of the confidence intervals.We were unable to show that groin failure after superficial lymphadenectomy was a result of low lymph node count. The small number of recurrences made firm conclusions impossible. Variations in anatomy and other factors may make node counting an unreliable measure of surgical quality.

2009 Gynecologic Oncology

190. Guidelines for the Management of Colorectal Cancer

III). In addition, inexperience combined with failure to distend the caecum can produce misleading appearances, which can be misinterpreted as malignancy and can result in unnecessary laparotomy. It is not always possible to be certain of the radiological findings in barium enemas for reasons including the state of the preparation and physical considerations such as the mobility of the patient and colonic anatomy including diverticular disease and overlapping loops, but non-committal reporting

2007 Association of Coloproctology of Great Britain and Ireland

191. Clinical practice guidelines for the psychosocial care of adults with cancer

involves lymph nodes 12 Clinical practice guidelines for the psychosocial care of adults with cancerDisfigurement Breast, head and neck, skin, colorectal, 26, 94 gynaecological especially vulvar Odour Gynaecological, colorectal, skin, head and neck 26-27 94-95 Incontinence Especially increased risk for prostate, gynaecological, 27, 95 colorectal, all advanced cancer Bowel dysfunction Especially increased risk for colorectal, prostate, 27, 95 ovarian, all advanced cancer Cognitive problems Brain

2002 Cancer Australia

192. Clinical practice guidelines for the psychosocial care of adults with cancer

involves lymph nodes 12 Clinical practice guidelines for the psychosocial care of adults with cancerDisfigurement Breast, head and neck, skin, colorectal, 26, 94 gynaecological especially vulvar Odour Gynaecological, colorectal, skin, head and neck 26-27 94-95 Incontinence Especially increased risk for prostate, gynaecological, 27, 95 colorectal, all advanced cancer Bowel dysfunction Especially increased risk for colorectal, prostate, 27, 95 ovarian, all advanced cancer Cognitive problems Brain

2003 National Breast and Ovarian Cancer Centre

193. Efficacy of (WaterWorks®)Douching Device for Elimination of Perceived Vaginal Odor Not Caused by BV or Vaginitis

tract infections (e.g., symptomatic VVC, trichomoniasis, Chlamydia trachomatis, Neisseria gonorrhoeae or herpes simplex virus) Subjects with another vaginal or vulvar condition, which would confound the interpretation of clinical response Subjects who received antifungal or antimicrobial therapy (systemic or intravaginal) within the last 14 days Subjects who will be under treatment during the study period for cervical intra-epithelial neoplasia (CIN) or cervical carcinoma Positive pregnancy test Any (...) abnormal anatomy or pathology of the subject's vagina Known HIV positive Pap smear >LSIL (untreated or not evaluated) [LSIL = Low-grade squamous intraepithelial lesion] Subject currently having a menstrual period (excluded until completion of period) Subjects with a body mass index (BMI) of 39 or greater Investigator believes that external factor(s) is producing odor Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may

2006 Clinical Trials

194. Surgical treatment of clitoral phimosis caused by lichen sclerosus. (Abstract)

(88%) or satisfied (12%) with the results of their surgery. All 4 women who had decreased clitoral sensation before surgery regained clitoral sensation and their ability to achieve orgasm.This study demonstrates that surgery for clitoral phimosis caused by lichen sclerosus can be performed to restore clitoral sensation and vulvar anatomy. There were few complications and a high degree of patient satisfaction with the procedure.

2007 American Journal of Obstetrics and Gynecology

195. Vulval Lumps and Ulcers

of their anatomy. Is there anything to see? Some women will have made close inspection with a hand mirror whilst others would not contemplate looking down there. Is there dysuria? If so, is there urinary frequency too? There may be no urinary tract infection but it is painful to pass urine through an inflamed area. If she is sexually active, does her partner have any problems? Are there any other current problems such as psoriasis, chickenpox or recent use of antibiotics? Signs Signs are as variable (...) and treatment. J Fam Health Care. 2014 Jul-Aug24(5):36-40. ; Vulvar cancers in women with vulvar lichen planus: A clinicopathological study. J Am Acad Dermatol. 2014 Jul 3. pii: S0190-9622(14)01546-1. doi: 10.1016/j.jaad.2014.05.057. ; Public Health England, 2013 ; Long-term follow-up of women with genital lichen sclerosus. Menopause Int. 2013 Feb 15. ; Royal College of Obstetricians and Gynaecologists (February 2011) ; Interventions for the treatment of Paget's disease of the vulva. Cochrane Database Syst

2008 Mentor

196. Vulval Abnormalities and their Management

of their anatomy. Is there anything to see? Some women will have made close inspection with a hand mirror whilst others would not contemplate looking down there. Is there dysuria? If so, is there urinary frequency too? There may be no urinary tract infection but it is painful to pass urine through an inflamed area. If she is sexually active, does her partner have any problems? Are there any other current problems such as psoriasis, chickenpox or recent use of antibiotics? Signs Signs are as variable (...) and treatment. J Fam Health Care. 2014 Jul-Aug24(5):36-40. ; Vulvar cancers in women with vulvar lichen planus: A clinicopathological study. J Am Acad Dermatol. 2014 Jul 3. pii: S0190-9622(14)01546-1. doi: 10.1016/j.jaad.2014.05.057. ; Public Health England, 2013 ; Long-term follow-up of women with genital lichen sclerosus. Menopause Int. 2013 Feb 15. ; Royal College of Obstetricians and Gynaecologists (February 2011) ; Interventions for the treatment of Paget's disease of the vulva. Cochrane Database Syst

2008 Mentor

197. Surgical Treatment for Chronic Pelvic Pain Full Text available with Trip Pro

Surgical Treatment for Chronic Pelvic Pain The source of chronic pelvic pain may be reproductive organ, urological, musculoskeletal-neurological, gastrointestinal, or myofascial. A psychological component almost always is a factor, whether as an antecedent event or presenting as depression as result of the pain. Surgical interventions for chronic pelvic pain include: 1) resection or vaporization of vulvar/vestibular tissue for human papillion virus (HPV) induced or chronic vulvodynia (...) pelvic anatomy, resect nerve fibers, and treat surgically accessible disease. In addition, it is important to provide patients with chronic pelvic pain sufficient psychologic support to overcome the effects of the condition, and to assist them with underlying psychologic disorders.

1998 JSLS : Journal of the Society of Laparoendoscopic Surgeons

198. The adolescent hymen. (Abstract)

knowledge of female genital development during puberty, with a special focus on vulvar and hymenal anatomy.

2002 Journal of Reproductive Medicine

199. Reconstruction of the vulvar labia minora with a wedge resection. (Abstract)

understanding of the anatomy of the labia minora, as well as of the surgical options available, one of which is the wedge resection in the vulvar region. A classical clinical case will be used here to highlight the usefulness of wedge resection, a simple surgical technique that is applicable to the labia minora of the vulva in addition to its standard anatomic sites (auricle, lip, and eyelid). (...) Reconstruction of the vulvar labia minora with a wedge resection. The variability in clinical appearance of vulvar tumors suggests that biopsy confirmation should be obtained for all lesions for which there is the least doubt in the diagnosis. Pigmented vulvar lesions are present in 10% to 12% of white women and the labia minora are the most common site for vulvar melanomas and atypical melanocytic nevi. Therefore, to perform a correct reconstruction, the surgeon must absolutely have a good

2004 Dermatologic Surgery

200. Imiquimod in the treatment of multifocal vulvar intraepithelial neoplasia 2/3. Results of a pilot study. (Abstract)

Imiquimod in the treatment of multifocal vulvar intraepithelial neoplasia 2/3. Results of a pilot study. To investigate the efficacy of topical treatment with imiquimod 5% cream, an immune response modifier, in patients with vulvar intraepithelial neoplasia (VIN) 2/3.Fifteen women (aged 35-51) with histologically proven multifocal VIN 2/3 without invasion, were entered into a prospective, observational, pilot study. Imiquimod 5% cream was applied by the patient to the vulvar lesions one (...) and preserves the anatomy and function of the vulva. Therefore, imiquimod may prove to be the treatment of choice in multifocal, high grade VIN.

2002 Journal of Reproductive Medicine

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