Table of Contents
1 Cover
6 Preface
9 Section 1: The Basics of Vulval Disease 1 Vulval Embryology and Developmental Abnormalities Vulval embryology Disorders of sexual development Structural developmental defects External genitalia Vulval and urinary system abnormalities Vulval and intestinal abnormalities Patient Support Groups References 2 The Normal Vulva Normal vulval anatomy Associated structures Blood supply of the vulva Lymphatic drainage of the vulva Nerve supply of the vulva Normal microscopic anatomy and histological features References 3 Vulval Physiology and Changes Through Life Barrier function Immune responsiveness Changes through life Resources Patient support groups References 4 Normal Microbiology of the Vulva The vulval microbiome The vaginal microbiome References 5 The Vulval Clinic, History, and Examination The vulval clinic The consultation Helpful websites for patient information Dermatoses Sexually transmitted infections References 6 Symptoms and Signs in Vulval Disease Symptoms in vulval disease Signs in vulval disease References 7 Investigations in Vulval Disease Biopsy Cytology Microbiological investigation Wood’s lamp examination Patch testing Prick testing Blood tests Imaging Dermoscopy Vulvoscopy References 8 Topical and Non‐Surgical Treatments Topical treatments General vulval hygiene Types of preparation Non‐surgical treatments Resources References
10 Section 2: Infection and the Vulva 9 Bacterial Vaginosis Pathophysiology Clinical features Diagnosis Differential diagnosis Complications Treatment Prognosis and follow‐up Resources