Chronic vulvar fissure: approach with cross-linked hyaluronic acid.

Int Urogynecol J

DIATROS, Woman's Clinic. Gynecology and Obstetrics, Teknon Medical Center, Barcelona, Spain.

Published: July 2023

AI Article Synopsis

  • The report investigates the use of injected cross-linked hyaluronic acid (HA) to treat chronic vulvar fissures and aims to assess its effectiveness and safety.
  • A study with 15 patients treated with HA filler showed significant improvement in symptoms, measured by the Vulvovaginal Symptoms Questionnaire (VSQ), over a 9-month period.
  • Results demonstrated that the procedure was well-tolerated, with no complications reported, indicating HA filler could be a beneficial treatment for these conditions.

Article Abstract

Introduction And Hypothesis: This report aims to prospectively describe the effectiveness and safety of injected cross-linked hyaluronic acid (HA) for the treatment of chronic vulvar fissures.

Methods: A descriptive prospective case series design including 15 patients affected by chronic vulvar fissures who were treated with cross-linked HA filler between December 2020 and July 2021. The validated 21-item Vulvovaginal Symptoms Questionnaire (VSQ) was used to evaluate the results from baseline up to 9 months after the HA infiltration.

Results: A total of 15 patients suffering from chronic vulvar fissures were treated with an injection of 19 mg/mL HA filler. We found a significant improvement in VSQ scores at the end of the treatment compared to baseline. Patients reported excellent tolerance of the procedure, and no complications were recorded.

Conclusions: Cross-linked HA infiltration of the vulvar vestibule and posterior vaginal wall appeared to be a promising approach for chronic vulvar fissures.

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Source
http://dx.doi.org/10.1007/s00192-022-05401-4DOI Listing

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