Six treatment methods for vulvar leukoplakia that may induce cancer need to be reasonably selected

The appearance of vulvar leukoplakia poses a serious threat to women and also affects the normal life and health of patients. We must immediately seek reasonable treatment at a reputable hospital and pay attention to the selection of treatment methods.

The harm of vulvar leukoplakia

1. Inducing canceration: Vulvar cancer can be said to be a huge harm caused by vulvar leukoplakia to women. Patients with vulvar leukoplakia who do not pay attention to treatment or are treated improperly may develop vulvar cancer in severe cases, with a cancer transformation rate of 2% -5%. Female friends should pay attention.

2. Organ damage: vulva leukoplakia causes local skin and mucosa to become thin, swollen and swollen, the size of labia atrophie and disappear, the Vaginal orifice becomes narrow, dry, ulcerated, erosive, hard, and inelastic.

3. Physical and mental effects: Genital leukoplakia often has symptoms of vulvar itching, which is paroxysmal, especially at night when itching is more severe, seriously affecting the patient's sleep quality and having a significant impact on daily life and work.

4. Heredity: Genital leukoplakia is inherited from the next generation, and the etiology of young female patients is often related to genetics. In clinical practice, it is important to pay attention to whether there are patients with vulvar leukoplakia in both parents' families. At the same time, it is recommended that women with vulvar leukoplakia should not raise their babies and avoid inheritance without completely treating vulvar leukoplakia.

5. Childbearing difficulties: For women who have not given birth, the vulva leukoplakia narrows the Vaginal orifice, and it is difficult to give birth. Meanwhile, some pathogenic bacteria may infect the fetus during delivery, resulting in various adverse consequences. Therefore, when pregnant women with vulvar leukoplakia give birth, doctors recommend a cesarean section.

6. Dysuria: This is one of the common hazards caused by vulva leukoplakia. The vulva leukoplakia causes skin mucous membrane, light red, rough surface, cracks, ulcers, erosion and other phenomena, or hardening causes Dysuria.

7. Seriously affect the sexual life of couples: The white spot of vulva will make the surface of the white spot thicker or smoother, the skin of the diseased part is dry and inelastic, the pubic hair of the patient is sparse or falling off, and the Vaginal orifice is narrow, affecting the quality of sexual life.

Treatment of vulvar leukoplakia

1. Hormone therapy: mainly through anti-inflammatory, inhibiting connective tissue proliferation, and enhancing skin protein breakdown, to achieve the goal of relieving itching and thinning the skin. Commonly used are glucocorticoid ointment or cream, such as Betamethasone cream, Triamcinolone acetonide ointment, hydrocortisone ointment, etc. Androgens and pregnancy hormones can also be applied locally. Hormone therapy takes a long time, has poor symptom control, and is prone to relapse after discontinuation. It requires frequent repetition of medication, resulting in poor patient dependence.

2. Traditional Chinese medicine treatment: mainly used for external application and cleaning, such as clearing heat and detoxifying, dispelling wind and dampness, promoting blood circulation and resolving stasis. There are many reports on this type of treatment, but there is still a lack of objective evaluation indicators and long-term follow-up, resulting in different reports on treatment effects.

3. Western medicine treatment: Western medicine believes that it is related to weakness of the pubic and coccygeal muscles at the bottom of the perineum. The vulva shrinks, the Vaginal orifice is not closed tightly, and the gas is easy to flow in. Performing pubococcygeal muscle exercises can help overcome this problem. This symptom occurs after postpartum delivery, but has not yet recovered after vaginal dilation. After the pubococcygeal muscles around the vagina become thinner and weaker, the vagina cannot be tightly closed, and it is easy for gas to enter or remain in the vagina. After forceful abdominal contractions, gas is expelled.

4. Minimally invasive treatment: minimally invasive treatment with the Symmetrical voice of Orlock ultrasound has no side effects and no trauma, which has changed the defects of traditional surgery, such as large injury, great pain, more bleeding and slow recovery.

5. Surgical treatment: In the past, white lesions of the vulva had a malignant transformation rate of 10% to 15%, and surgical resection was advocated. But the postoperative recurrence rate is as high as 50%, and reoperation may also lead to recurrence. After surgery, the affected vulva is prone to formation of scars, difficulty in sexual intercourse, and decreased quality of sexual life. Recent studies have found that the cancer transformation rate of this disease is actually less than 5%, so surgical treatment does not advocate expanding the scope. It is recommended that surgery be limited to patients with severe atypical hyperplasia or potential malignancy who are ineffective in drug treatment.

6. Cryotherapy: Local treatment using liquid nitrogen or liquid oxygen to destroy local lesion tissue. After treatment, blisters often appear in the affected area. The recent efficacy of this treatment is good, but the recurrence rate is relatively high, and patients may be affected by cold allergies. This is also the treatment of vulvar Vitiligo lesions.