Vulval and Male Genital Clinic
Patients can be seen at General Gynaecology, Vulval Dermatology and GUM clinics.
- Pigmented lesions
- Lichen sclerosus
- Lichen planus
- Pagets disease
- Inflammatory dermatoses eg psoriasis or eczema not responding to treatment or if diagnosis is in doubt.
- Any undiagnosed genital dermatoses.
- Intraepithelial neoplasia (VIN and PIN)
- Vulval or male genital pain syndromes
Information to include when referring to Vulval Dermatology Clinic
- List of topical treatments
Lichen sclerosus follow up
- All women ideally have initial 30 min appt and then a 3 month follow up appt to assess response to treatment.
- If well controlled and happy to be managed by GP then can be discharged.
- If difficult to control LS will be kept under review till better.
- Does not have the capacity to follow-up huge numbers of patients so wherever possible and if the patient is happy they will be discharged with the advice that their GP needs to review them annually.
- All the evidence suggests that if they are going to develop a vulval cancer, this can appear rapidly and in-between 3 monthly appts, so the annual follow up is probably more necessary to reinforce the message of self examination and check that they are not having problems, rather than to pick up changes.
- All women with LS and LP are warned about the potential for malignant change associated with these conditions and asked to report any changes to their GP for prompt referral back into the vulval clinic.