Disorders Of Lower Genital Tract Flashcards
Absence of both upper and lower genital tract
Mayer Rokitansky Kuster Hauser
Vaginal agenesis
McIndole (neovagina)
Failure of urogenital sinus to contribute to lower vagina
Absence of introitus
Presence of vaginal dimple
Agenesis of the lower vagina
Vaginal agenesis
Vaginal pull through
Vulvar pruritus
Thickened white epithelium: unilateral circumscribed
Chronic scratching
Lichen simplex chronicus
Topical steroids
Multiple flat purple papules on inner aspect of labia minora, vagina and vestibule
Erosive vaginitis
Well defined bandlike infiltrate and liquefaction degeneration at basal layer
Lichen planus
Hydrocortisone
Palpable red glandular spots and patches in the upper 1/3
DES
Epithelium with cells resembling mullerian structures
Vaginal adenosis
Serial exams
MC mass in vulva
Occlusion of pilosebaceous unit
Solitary Epidermal inclusion cyst
Multiple Sebaceous cyst
Incision and drainage
Microcystic apocrine disease
Fox fordyce
Multiple infected pruritic abscesses due to occlusion of apocrine gland ducts in mons ph is and labia majora
Hidradenitis suppurativa
Wide local excision
Incision and drainage
S aureus
Recurrent bartholin’s duct cyst
Marsupialization
Dysontogenetic cyst
MC in anterolateral aspect of upper vagina
Caused by remnants of mesonephric ducts
Dyspareunia or difficulty inserting tampons
Gartner’s duct cyst
MC benign tumor of the vulva usually at labia majora
Fibroma
Excision
Skin colored pedunculated mass of labia majora
Lipoma
Excision
Small fleshy outgrowth at distal edge of urethral meatus
Bloody spotting
Urethral caruncle or prolapse
Topical estrogen
Dysuria
Dyspareunia
Dribbling
Mass of anterior vaginal wall
Urethral diverticulum
Thin bluish parchment like appearance with labial fusion, scarring and contracture
Lichen sclerosus
Testosterone cream
Clobetasol
