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<p>Vulval vestibular papillomatosis (VVP) is a benign condition of the vulva often confused with warts by both gynaecologists and dermatologists. Owing to its uncommon prevalence it is mistaken for warts and treated with podophyllum or trichloroacetic acid. We present one such case where the patient had growth of the VVP due to repeated mismanagement. She underwent wide local excision followed by bilateral V–Y plasty to achieve a tension-free primary repair of the defect. She recovered uneventfully. We would like to highlight this "rare" clinical entity to avoid unnecessary investigations and discomfort to patients. The histology is also described in detail with specific mention of the specifics of the V–Y plasty reconstruction.</p>

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Exuberant Vulval Vestibular Papillomatosis (VVP): A Rare Enigma Treated with the Help of the “Workhorse” of Vulva Reconstruction—the V–Y Advancement Flap

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月28日

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  • Dimpy Begum,
  • Debabrata Barmon,
  • Upasana Baruah,
  • Gaurav Das,
  • Shiraj Ahmed,
  • Karthik Chandra Bassetty

摘要

Vulval vestibular papillomatosis (VVP) is a benign condition of the vulva often confused with warts by both gynaecologists and dermatologists. Owing to its uncommon prevalence it is mistaken for warts and treated with podophyllum or trichloroacetic acid. We present one such case where the patient had growth of the VVP due to repeated mismanagement. She underwent wide local excision followed by bilateral V–Y plasty to achieve a tension-free primary repair of the defect. She recovered uneventfully. We would like to highlight this "rare" clinical entity to avoid unnecessary investigations and discomfort to patients. The histology is also described in detail with specific mention of the specifics of the V–Y plasty reconstruction.