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Managing vulvar lichen sclerosus in U.K. genitourinary medicine clinics



Managing vulvar lichen sclerosus in U.K. genitourinary medicine clinics



Journal of Reproductive Medicine 43(11): 963-966



To survey genitourinary physicians in the United Kingdom on their approaches to the management of vulvar lichen sclerosus. Questionnaire survey of United Kingdom genitourinary consultants. 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. 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.

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Accession: 046619329

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PMID: 9839265


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