sodium-ethylxanthate and Vulvar-Diseases

Nine young women who had clitoral recession for clitoromegaly as infants have been evaluated for anatomical appearance, psychosocial adjustment, and sexual function. Highly satisfactory anatomic results were obtained, although two patients required subsequent revision. The tested psychological parameters were essentially normal. Virtually all patients were sexually active and all but one have achieved regular painless orgasm. Surgical reconstruction has been accomplished by recessing the entire disfigured clitoris, thereby conserving all erectile tissue and preserving sensation. In addition to assessment of anatomical appearance, long-term follow-up of children with ambiguous genitalia requires regular evaluation of social, psychological, and sexual parameters.

Topics: Adolescent; Adult; Child, Preschool; Clitoris; Female; Humans; Infant; Methods; Orgasm; Pain; Reoperation; Self Concept; Sex; Sexual Behavior; Treatment Outcome; Vulvar Diseases

Elderly women can develop any of the gynecologic disorders that occur prior to the menopause. They also experience some genital problems that are, for the most part, peculiar to their age. They should, therefore, receive periodic examinations, including tests for cancer, just as they did when they were younger. Many of their distressing symptoms, particularly those caused by hypoestrogenism, minor vulvar diseases, the vulvar dystrophies, stress incontinence, and relaxations of the pelvic musculofascial tissues, can be either alleviated or cured by appropriate treatment. Some of those who are still sexually active or who would like to be will be helped by counseling. With good care, given by one who appreciates their special need for understanding, gentleness, and patience, most of the genital disorders that affect elderly women can be diagnosed and treated in such a fashion that these patients, if not otherwise disabled, can lead relatively active lives.

Topics: Aged; Diagnosis, Differential; Estrogens; Female; Genital Diseases, Female; Genital Neoplasms, Female; Humans; Menopause; Middle Aged; Physical Exertion; Sex; Urinary Incontinence, Stress; Vulvar Diseases; Vulvar Neoplasms