Document Detail


Managing vulvar lichen sclerosus in U.K. genitourinary medicine clinics.
MedLine Citation:
PMID:  9839265     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To survey genitourinary physicians in the United Kingdom on their approaches to the management of vulvar lichen sclerosus. STUDY DESIGN: Questionnaire survey of United Kingdom genitourinary consultants. RESULTS: Seventy-one percent of genitourinary physicians biopsy vulvar lichen sclerosus. For treatment, 78% of clinicians use a high-grade topical corticosteroid, such as 0.05% clobetasol propionate. Topical sex steroids are used by a minority of clinicians. Cases are followed by 80% of respondents. Having made the diagnosis of this condition, 30% of respondents refer the case to either a dermatologist or gynecologist for further management. Fifty-two percent refer only after treatment failure. CONCLUSION: Genitourinary physicians in the United Kingdom see and manage cases of vulvar lichen sclerosus in genitourinary medicine clinics. However, a majority of clinicians refer these cases at some stage. A coordinated and multispecialty approach between genitourinary physicians, dermatologists and gynecologists would provide coherent management of vulvar lichen sclerosus.
Authors:
R R Jarvis; J Yell; B P Goorney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  43     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-02-08     Completed Date:  1999-02-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  963-6     Citation Subset:  IM    
Affiliation:
Department of Genitourinary Medicine, Hope Hospital, Salford, U.K. rani.jarvis@btinternet.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Topical
Ambulatory Care / methods*
Anti-Inflammatory Agents / therapeutic use
Estrogens / therapeutic use
Female
Glucocorticoids
Great Britain
Humans
Lichen Sclerosus et Atrophicus / drug therapy*,  pathology
Physician's Practice Patterns / statistics & numerical data
Questionnaires
Referral and Consultation
Testosterone / therapeutic use
Vulvar Diseases / drug therapy*,  pathology
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Estrogens; 0/Glucocorticoids; 58-22-0/Testosterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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