Vulvoscopy: anachronism or a time-tested method?

Author:

Ignatovsky A. V.1ORCID

Affiliation:

1. Saint Petersburg State University

Abstract

Objective. Due to the growing number of patients with various diseases of the vulva, there is a need to evaluate the available diagnostic tools. Vulvoscopy is one of the widely used methods, the diagnostic sensitivity and specificity of which varies significantly.Purpose of the work. Based on the analysis of publications to determine the diagnostic significance of vulvoscopy.Material and methods. The data of modern research and publications were used in the preparation of the work.Results. The authors of a number of publications warn against considering vulvoscopy as a variant of colposcopy. A high percentage of false positive results when performing tests with acetic acid may be due to a variety of reasons and is not highly specific for papillomavirus infection. The use of the test with toluidine blue is not recommended due to low sensitivity.Conclusions. A positive aspect of vulvoscopy is the ability to examine the vulva area with optical magnification, in a position convenient for examining the patient, which makes it possible to identify areas to be biopsied. The use of additional tests with acetic acid should be limited, and tests with toluidine blue and Lugol solution are not recommended due to low sensitivity.

Publisher

Alfmed LLC

Subject

Materials Chemistry,Economics and Econometrics,Media Technology,Forestry

Reference23 articles.

1. Veridiano N. P., Gomez-Leon G., & Tancer M. L. (1978). The colposcope and vulvo-vaginal neoplasia. Gynecologic Oncology, 6 (5), 487–493.

2. Reid R., Greenberg M.D., Daoud Y., Husain M., Selvaggi S., & Wilkinson E. (1988). Colposcopic findings in women with vulvar pain syndromes. A preliminary report. The Journal of Reproductive Medicine, 33 (6), 523–532.

3. Joura EA, Zeisler H., Lösch A., Sator MO, & Müllauer-Ertl S. (1998). Differentiating vulvar intraepithelial neoplasia from nonneoplastic epithelial disorders. The toluidine blue test. The Journal of Reproductive Medicine, 43 (8), 671–674.

4. van Beurden M., van der Vange N., de Craen A.J., Tjong-A-Hung S.P., ten Kate F.J., ter Schegget J., & Lammes F.B. (1997). Normal findings in vulvar examination and vulvoscopy. BJOG: An International Journal of Obstetrics & Gynaecology, 104 (3), 320–324.

5. Micheletti L., Bogliatto F., & Lynch P.J. (2008). Vulvoscopy: Review of a diagnostic approach requiring clarification. The Journal of Reproductive Medicine, 53 (3), 179–182.

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