Treatment of vulvar squamous cell hyperplasia

Skin diseases are very common and can cause great damage to the skin. If you suffer from a skin disease, you need to receive timely treatment. Otherwise, when the disease becomes serious, it will cause other diseases, which will also cause damage to the body. Many people are not familiar with vulvar squamous cell hyperplasia, which has a great impact on the skin. So what are the treatments for vulvar squamous cell hyperplasia? The following is a detailed introduction.

Treatment of vulvar squamous cell hyperplasia:

1. General treatment

Keep the vulva skin clean and dry. Do not scrub it with soap or other irritating drugs. Avoid scratching the affected area with your hands or instruments. Clothes should be loose and avoid wearing non-breathable synthetic underwear. Avoid spicy and allergenic foods. For those who are mentally nervous and have obvious itching symptoms leading to insomnia, sedatives, sleeping pills and anti-allergic drugs can be added.

2. Medication

Topical corticosteroids are generally recommended for controlling pruritus. Commonly used drugs in clinical practice include 0.025% fluocinolone ointment, 0.01% triamcinolone acetonide ointment or 1% to 2% oxidized cortisone ointment or cream, which are applied locally 3 to 4 times a day. Because long-term continuous use of high-efficiency corticosteroids can cause local skin atrophy, once the itching is basically controlled, the high-efficiency corticosteroid preparations should be discontinued and replaced with milder hydrocortisone ointment for continued treatment, 1 to 2 times a day for 6 weeks. Before applying the medicine topically, you can take a warm water sitz bath to temporarily relieve the itching symptoms and facilitate the absorption of the medicine. Do this 2 to 3 times a day, each time for 10 to 15 minutes. When taking a sitz bath, avoid wiping the affected area with a towel to prevent mechanical friction from aggravating the lesion. Even if the itching disappears and the patient stops scratching, it still takes a long time for the hyperplastic and thickened skin to gradually return to normal, and in a few cases it may completely return to normal. After recovery, microscopic examination showed that the original tissue pathological changes disappeared.

3. Surgery

It is only suitable for patients who have failed to respond to repeated medical treatment and are suspected of malignant transformation. Since the chance of vulvar squamous epithelial hyperplasia becoming cancerous is only about 5%, and about 50% of patients experience long-term recurrence after surgical treatment, it is currently advocated that surgical treatment is generally not used for this disease, and drug treatment should be the main treatment. Surgical treatment is only suitable for: ① Those who have already had malignant changes or have the potential for malignant changes. ② Those who have not responded to long-term drug treatment.

If the lesion is extremely localized, simple lesion resection can be considered. However, the lesions are generally extensive and simple vulvectomy is often required. Since scars are formed after excision, which often leads to postoperative sexual intercourse pain, some people advocate performing skin grafts at the same time as surgery to reduce scar contracture. Regular follow-up should be performed after surgery. The recurrence site is mostly around the incision, and recurrence is still likely after another surgery.

4. Laser treatment

Laser treatment is accurate, easy to operate, less destructive, has a low postoperative recurrence rate, and leaves fewer scars, but the long-term recurrence rate is similar to that of surgical resection. Generally, CO2 laser or helium-neon laser is used for treatment, which can destroy the skin layer up to 2mm deep, eliminate abnormal epithelial tissue and damage nerve endings in the dermis, thus blocking the vicious cycle caused by itching and scratching. Cryosurgery and electrocautery both have certain therapeutic effects, but they also have a high recurrence rate. Some people also use ultrasound treatment, usually one time, which is considered to be effective, but it still needs long-term observation.

After understanding the treatment methods of vulvar squamous cell hyperplasia, you can safely choose the above methods when treating vulvar squamous cell hyperplasia. These treatment methods are very helpful in relieving vulvar squamous cell hyperplasia. And when treating vulvar squamous cell hyperplasia, lifestyle habits should also be improved. Staying up late and irregular diet will not help treat the disease.