How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

201 results for

Vulvar Anatomy

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

141. Uterine Prolapse (Follow-up)

be offered pessaries for symptom relief. Topical estrogen is an important adjunct in the conservative management of patients with UP. When operative repair for prolapse of the uterus is chosen, a clear surgical plan must be formulated. The pelvic surgeon should consider surgical risks, coital activity, and normal vaginal anatomy. The correct operation must be tailored to the individual patient (see Indications). Other questions that must be answered include whether the operation is performed abdominally (...) uterosacral ligament fixation, and iliococcygeus fascia suspension. As originally described by Amreich and modified by Richter and Nichols, sacrospinous ligament fixation is usually performed on the patient's right side to avoid the rectosigmoid. [ ] The vaginal apex is attached, using permanent sutures, to the sacrospinous ligament. A thorough knowledge of pelvic anatomy is critical to avoid complications. Take care to place the sutures 1-2 cm medial to the ischial spine to avoid injury to the pudendal

2014 eMedicine.com

142. Carbon Dioxide Laser Surgery for Cervical Dysplasia (Follow-up)

is positioned. Damp towels should be placed around the areas for laser therapy and around the vaginal introitus for cervical, vaginal or vulvar ablations to minimize damage from stray laser beams. Genital condylomata are ablated to the level of the skin surface and then to surgical plane 1 (see Table below). If fat is seen, the depth of ablation is too deep and destruction of skin structures or bleeding may result. Char should be removed via wiping with a damp gauze using sterile saline or acetic acid (...) of length and configuration. Dyspareunia may result and foreshortening may limit adequate future evaluation. Laser therapy of the vulva, perineum, or perirectal areas generally results in minimal scarring or loss of architecture, but excess depths of laser therapy increase the chance of alteration of anatomy due to scarring, dyspareunia, pain with defecation, or labial adhesions. Intra-abdominal laser therapy may result in a failure to eradicate adhesions or endometriosis, new adhesion formation

2014 eMedicine.com

143. Ankylosing Spondylitis (Follow-up)

is positioned. Damp towels should be placed around the areas for laser therapy and around the vaginal introitus for cervical, vaginal or vulvar ablations to minimize damage from stray laser beams. Genital condylomata are ablated to the level of the skin surface and then to surgical plane 1 (see Table below). If fat is seen, the depth of ablation is too deep and destruction of skin structures or bleeding may result. Char should be removed via wiping with a damp gauze using sterile saline or acetic acid (...) of length and configuration. Dyspareunia may result and foreshortening may limit adequate future evaluation. Laser therapy of the vulva, perineum, or perirectal areas generally results in minimal scarring or loss of architecture, but excess depths of laser therapy increase the chance of alteration of anatomy due to scarring, dyspareunia, pain with defecation, or labial adhesions. Intra-abdominal laser therapy may result in a failure to eradicate adhesions or endometriosis, new adhesion formation

2014 eMedicine.com

144. Surgical Treatment of Vaginal Cancer (Diagnosis)

approaches to the treatment of upper and lower vaginal cancer. According to the International Federation of Gynecology and Obstetrics (FIGO), a vaginal lesion involving the external os of the cervix should be considered and treated as such; a tumor involving both the vulva and the vagina should be considered vulvar cancer. About 80% of vaginal cancers are metastatic, primarily from the cervix or endometrium. Metastatic cancer from the vulva, ovaries, choriocarcinoma, rectosigmoid, and bladder are less (...) to prevent disease from HPV type 6, 11, 16, 18, 31, 33, 45, 52 and 58. Patient education For patient education information, see the and the , as well as , , , and . Relevant Anatomy The vagina is located in the true pelvis, which also contains the rest of the internal genital tract, the rectosigmoid, the bladder, the proximal urethra, and the pelvic portions of the ureters. The pelvic organs are partially covered by the peritoneum. The endopelvic fascia covers these organs and forms their supporting

2014 eMedicine.com

145. Surgical Management of Mullerian Duct Anomalies (Diagnosis)

informed consent discussion with her gynecologic care provider and her respective parent(s) or guardian(s). Primary vaginal dilation is successful for more than 90–96% of patients, Referrals to centers with expertise should be offered regardless of the surgical technique chosen. The surgeon must be experienced with the procedure because the initial procedure is more likely to succeed than follow-up procedures. Although vulvar and vaginal intraepithelial neoplasia are possible, routine cytology testing (...) of other tissues have been used as the graft source. Human amnion, not stripped from the chorion, has been used as a graft for vaginoplasties. [ ] Transposition flaps were described in 2 reports. In 1 method, a de-epithelialized vulvar transposition flap was used as the graft, and in the other, a pudendal thigh fasciocutaneous flap was described. Both authors reported good cosmetic and functional results. [ , ] Autologous buccal mucosa has also been used as a graft source. These approaches harvested

2014 eMedicine.com

146. Vulvovaginitis (Diagnosis)

Vulvovaginitis (Diagnosis) Vulvovaginitis: Practice Essentials, Background, Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjE4ODkzMS1vdmVydmlldw== processing > Vulvovaginitis Updated: Jan 19, 2018 Author (...) : Jill M Krapf, MD, FACOG; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Vulvovaginitis Overview Practice Essentials Vulvovaginitis is a general term referring to many types of vaginal infection, although this article focuses on the following disorders, which affect the vulvar region: Vulvovaginal candidiasis Atrophic vaginitis Vulvar vestibulitis Contact dermatitis Signs and symptoms Acute vulvovaginal candidiasis Vulvar pruritus and burning - Primary symptoms

2014 eMedicine.com

147. Urethral Diverticulum (Follow-up)

characterization of the lesions themselves. Knowledge of the size, location, adjacent anatomy, and other pertinent characteristics are important factors in choosing and executing a successful procedure. In 1993, Leach et al devised a classification system, in part, to aid surgeons in preoperative planning. [ ] The system was derived from their experience with evaluation and surgical treatment of 61 patients over 10 years. A secondary purpose of the classification system was to provide a standard means (...) pad is freed after the anterior branches of the internal pudendal artery are suture ligated. The suture around the freed superior end of the graft is left long. A tunnel is created connecting the vulvar and suburethral vaginal incisions using a clamp. The graft pedicle is pulled through the tunnel by grasping the long suture end at the superior pole. The fat pad then is fixed by suture to the area overlying the repaired urethra. The vagina is closed over the graft. The donor site is closed

2014 eMedicine.com

148. Labiaplasty and Labia Minora Reduction

such as exercise and increase insecurities when wearing tight clothing. Previous Next: Relevant Anatomy A diagram of vulvar anatomy is shown below. Anatomical diagram of the vulva. The typical external female genitalia include the labia majora, labia minora, clitoris, clitoral hood, mons pubis, labial commissure, urethra opening, and vaginal opening. Collectively, the external female genitalia are referred to as the vulva. Female genital plastic surgery can be performed on the labia minora, labia majora, mons (...) problem of not feeling “normal” in comparison with the perceived ideal anatomy cannot be underestimated. [ ] Previous Next: Epidemiology Frequency Labiaplasty surgeries are expected to continue increasing in frequency as the techniques and procedures become more defined. Popularity of the procedure is expected to increase as knowledge of the benefits increase. According to a 2000 study of 163 labia minora reductions, 87% of patients had labiaplasty surgery for aesthetic reasons, while 64% desired

2014 eMedicine Surgery

149. Carbon Dioxide Laser Surgery for Cervical Dysplasia (Diagnosis)

in 2012 updated consensus guidelines for the management of abnormal cervical screening tests, but continues to use the terminology CIN (cervical intraepithelial neoplasia), as delegates to the LAST project determined that the classification of LSIL and HSIL does not yet have enough evidence to allow clear risk-based management guidelines. [ ] White lesion is cervical intraepithelial neoplasm, grade I (CIN I). Cervical intraepithelial neoplasia, grades I and II (CIN I and II). Vulvar intraepithelial (...) , thus improving anatomic relationships by lysing adhesions and excising endometrial implants. When used in the pelvis for therapy of adhesions of other etiologies (eg, postoperative or postinfectious), the CO 2 laser allows precise incision of the adhesions, restoring local anatomy with a primary goal of reduced, repeat adhesion formation and decreased risk of damage to adjacent structures. Previous Next: Indications The carbon dioxide laser is customarily chosen over other ablative or excisional

2014 eMedicine.com

150. Dermatologic Diseases of the Male Genitalia: Nonmalignant (Diagnosis)

Dermatologic Diseases of the Male Genitalia: Nonmalignant (Diagnosis) Nonmalignant Dermatologic Diseases of the Male Genitalia: Introduction, Definition of Terms, and Anatomy, Trichomycosis and Folliculitis, Balanoposthitis, Balanitis, and Candidiasis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do (...) ?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDU1MDIxLW92ZXJ2aWV3 processing > Nonmalignant Dermatologic Diseases of the Male Genitalia Updated: Feb 11, 2017 Author: Douglas C Parker, MD, DDS; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections Nonmalignant Dermatologic Diseases of the Male Genitalia Introduction, Definition of Terms, and Anatomy Nonmalignant lesions account for most dermatologic disorders seen

2014 eMedicine.com

151. Benign Cervical Lesions (Diagnosis)

Benign Cervical Lesions (Diagnosis) Benign Cervical Lesions: Embryology, Anatomy, Physiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjY0OTY2LW92ZXJ2aWV3 processing > Benign Cervical Lesions Updated: Oct 08 (...) , sinovaginal bulb). Through a process of squamous metaplasia, the vagina and a variable portion of the ectocervix become covered with squamous epithelium. This process is complete by the fifth month of pregnancy. Next: Anatomy The cervix (Latin for neck) is the inferior part of the uterus protruding into the vagina. Gross anatomy The cervix measures 2.5-3 cm in diameter and 3-5 cm in length. The normal anatomic position of the cervix is angulated slightly downward and backward. Inferiorly, the cervix

2014 eMedicine.com

152. Fournier Gangrene (Diagnosis)

Fournier Gangrene (Diagnosis) Fournier Gangrene: Practice Essentials, Background, Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjAyODg5OS1vdmVydmlldw== processing > Fournier Gangrene Updated: Jan 10 (...) his married lover), placement of foreign bodies such as beans within the urethra, and excessive intercourse in diabetic and alcoholic persons. He calls upon physicians to be steadfast in obtaining confession from patients of “obscene practices.” Previous Next: Anatomy The complex anatomy of the male external genitalia influences the initiation and progression of Fournier gangrene. This infectious process involves the superficial and deep fascial planes of the genitalia. As the microorganisms

2014 eMedicine.com

153. Child Abuse and Neglect: Sexual Abuse (Treatment)

):1319-22. . Berenson AB. Normal anogenital anatomy. Child Abuse Negl . 1998 Jun. 22(6):589-96; discussion 597-603. . Berkowitz CD. Medical consequences of child sexual abuse. Child Abuse Negl . 1998 Jun. 22(6):541-50; discussion 551-4. . Briere JN, Elliott DM. Immediate and long-term impacts of child sexual abuse. Future Child . 1994 Summer-Fall. 4(2):54-69. . Burgess AW, Groth AN, Holmstrom LL, Sgroi SM. Sexual Assault of Children and Adolescents . New York, NY: Lexington Books; 1978. CDC. Sexually (...) girl presented with significant bruising that involved labia minora and labia majora, hymenal trauma with disruption of hymen, and fresh blood. Bruising on vulvar structure is nearly resolved. Hymen is healing and no blood is observed. Courtesy of Carol D. Berkowitz, MD. Genital examination of girl in frog-leg supine position after genital trauma. Examination reveals suture in place at 6-o'clock position to stop bleeding from injury. Hymenal edge is irregular and asymmetric. Courtesy of Carol D

2014 eMedicine Pediatrics

154. Child Abuse and Neglect: Sexual Abuse (Overview)

feelings and attitudes are shaped in a developmentally inappropriate and interpersonally dysfunctional manner. The child learns that sexual behavior may lead to rewards, attention, or privileges. Traumatic sexualization may also occur when the child's sexual anatomy is given distorted importance and meaning. Betrayal: The child learns that a trusted individual has caused him or her harm, misrepresented moral standards, or failed to protect him or her properly. Powerlessness: This is a process (...) during examination. Courtesy of Carol D. Berkowitz, MD. Dermatologic conditions, such as lichen sclerosis and/or dermatitis (eg, atopic, contact, seborrhea) Infections, including sexually transmitted diseases (STDs), fungal infections, and/or nonspecific vulvovaginitis Endocrinologic causes, such as estrogen withdrawal as observed in the neonate and/or precocious puberty Neoplastic tissue, such as sarcoma botryoides Structural abnormalities, such as vulvar hemangioma Vaginal discharge Normal

2014 eMedicine Pediatrics

155. Child Abuse and Neglect: Sexual Abuse (Follow-up)

, Chadwick D. Medical diagnosis of the sexually abused child. Child Abuse Negl . 1993 Jan-Feb. 17(1):91-110. . Bays J, Jenny C. Genital and anal conditions confused with child sexual abuse trauma. Am J Dis Child . 1990 Dec. 144(12):1319-22. . Berenson AB. Normal anogenital anatomy. Child Abuse Negl . 1998 Jun. 22(6):589-96; discussion 597-603. . Berkowitz CD. Medical consequences of child sexual abuse. Child Abuse Negl . 1998 Jun. 22(6):541-50; discussion 551-4. . Briere JN, Elliott DM. Immediate (...) of Carol D. Berkowitz, MD. Infant girl with significant bruising that involved labia minora and labia majora, hymenal trauma with disruption of hymen, and fresh blood. Courtesy of Carol D. Berkowitz, MD. Genital examination 10 days after infant girl presented with significant bruising that involved labia minora and labia majora, hymenal trauma with disruption of hymen, and fresh blood. Bruising on vulvar structure is nearly resolved. Hymen is healing and no blood is observed. Courtesy of Carol D

2014 eMedicine Pediatrics

156. Arterial Vascular Malformations Including Hemangiomas and Lymphangiomas (Diagnosis)

Arterial Vascular Malformations Including Hemangiomas and Lymphangiomas (Diagnosis) Arterial Vascular Malformations Including Hemangiomas and Lymphangiomas: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) : posterior fossa brain malformations, arterial cerebrovascular anomalies, cardiovascular anomalies, eye anomalies, and ventral developmental defects, specifically sternal defects, or supraumbilical raphe. In a prospective cohort study of 1096 children with hemangiomas, 25 children met the criteria for PHACE, representing 20% of infants with segmental facial hemangiomas. [ ] Next: Anatomy Vascular tumors Hemangiomas located on the trunk or face may be psychologically damaging when children approach school

2014 eMedicine Pediatrics

157. Rhabdomyosarcoma: Surgical Perspective (Overview)

Rhabdomyosarcoma: Surgical Perspective (Overview) Pediatric Rhabdomyosarcoma Surgery: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTM5MTU2LW92ZXJ2aWV3 processing > Pediatric (...) , biopsy only, or surgical staging, combined with chemotherapy and radiation therapy, when necessary. The prognosis of RMS depends on tumor location, patient age, metastasis, histology, tumor biology, and adequacy of tumor resection. Lymph node evaluation is essential in determining the extent of disease and guiding therapy. With adequate treatment, the 5-year survival rate is higher than 70-80%. Next: Anatomy Although most frequently diagnosed in the head and neck [ ] or the genitourinary system, RMS

2014 eMedicine Pediatrics

158. Fournier Gangrene (Diagnosis)

Fournier Gangrene (Diagnosis) Fournier Gangrene: Practice Essentials, Background, Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjAyODg5OS1vdmVydmlldw== processing > Fournier Gangrene Updated: Jan 10 (...) his married lover), placement of foreign bodies such as beans within the urethra, and excessive intercourse in diabetic and alcoholic persons. He calls upon physicians to be steadfast in obtaining confession from patients of “obscene practices.” Previous Next: Anatomy The complex anatomy of the male external genitalia influences the initiation and progression of Fournier gangrene. This infectious process involves the superficial and deep fascial planes of the genitalia. As the microorganisms

2014 eMedicine Emergency Medicine

159. Drainage, Bartholin Abscess (Diagnosis)

of the vulvar soft tissue are very uncommon. When localized in the Bartholin gland area, these tumors can be mistaken for benign lesions, leading to a delayed diagnosis. [ ] This rare form of carcinoma has an approximate incidence of 0.1 cases per 100,000 women. Women older than 40 years should be referred to a gynecologist for diagnosis and treatment. [ ] Progressive infection and sepsis Patients with compromised immune systems may exhibit rare complications of progressive infection and sepsis. Treat all (...) of Bartholin gland abscesses. Obstet Gynecol . 2013 Oct. 122(4):794-9. . Reif P, Ulrich D, Bjelic-Radisic V, Hausler M, Schnedl-Lamprecht E, Tamussino K. Management of Bartholin's cyst and abscess using the Word catheter: implementation, recurrence rates and costs. Eur J Obstet Gynecol Reprod Biol . 2015 Jul. 190:81-4. . Mayeaux EJ Jr, Cooper D. Vulvar procedures: biopsy, Bartholin abscess treatment, and condyloma treatment. Obstet Gynecol Clin North Am . 2013 Dec. 40 (4):759-72. . Marzano DA, Haefner HK

2014 eMedicine Emergency Medicine

160. Bartholin Gland Diseases (Diagnosis)

to the hymen. Their function is to maintain the moisture of the vaginal mucosa's vestibular surface. This article focuses on the most common Bartholin gland diseases, cysts and abscesses (see the image below). Although rare, carcinoma of the gland should be considered in women with an atypical presentation. Primary carcinoma of the Bartholin gland accounts for approximately 5% of vulvar carcinomas. [ , , , , ] Patients typically have an exquisitely tender, fluctuant labial mass with surrounding erythema (...) obstructed, leading to distention of the gland or duct with fluid. Obstruction is usually secondary to nonspecific inflammation or trauma. The cyst is usually 1-3 cm in diameter and often asymptomatic, although larger cysts may be associated with pain and dyspareunia. [ , , , ] Bartholin abscesses result from either primary gland infection or infected cyst. Patients with abscesses complain of acute, rapidly progressive vulvar pain. Studies have shown that these abscesses are usually polymicrobial

2014 eMedicine Emergency Medicine

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>