Volume 53, Number 6, June 2008

  Editorial
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Lawrence D. Devoe, M.D.
 
 
 


  Proceedings of the XIXth World Congress of the International Society for the Study of Vulvovaginal Disease, held onboard the ms Zuiderdam, departing from Vancouver, British Columbia, with three ports of call in Skagway, Ketchikan and Juneau, Alaska, July 28-August 4, 2007
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Natalie A. Saunders, M.D., Barbara D. Reed, M.D., M.S.P.H., and Hope K. Haefner, M.D.
Patients presenting with complaints of a vulvovaginal yeast infection have lower McGill pain scores compared with patients presenting with vulvar pain.
 
 


390
Peter J. Lynch, M.D.
Since current treatment for vulvodynia is controversial and only partially effective, the therapeutic implications of a somatoform etiology are of considerable importance.
 
 


397
Lois J. Eva, M.D., M.R.C.O.G., Raji Ganesan, M.D., F.R.C.Path., Kiong K. Chan, F.R.C.S., F.R.C.O.G., Honest Honest, M.R.C.O.G., Sadia Malik, M.R.C.O.G., and David M. Luesley, M.A., M.D., F.R.C.O.G.
Vulval carcinoma associated with vulval intraepithelial neoplasia, differentiated type is more likely to recur than vulval carcinoma associated with vulval intraepithelial neoplasia, usual type.
 
 


402
Susan E. Hoffstetter, Ph.D., Susan Barr, M.D., Cherie LeFevre, M.D., Fah Che Leong, M.D., and Terry Leet, Ph.D.
Yeast culture should be considered the gold standard for identifying vulvovaginal candidiasis in persistent recurrent cases because wet mount analysis and patient symptoms are not reliable.
 
 


407
Martha F. Goetsch, M.D., M.P.H.
Women found superficial vestibule surgery to be very acceptable, and it should be considered as one step in a therapeutic plan for treatment of entry dyspareunia.
 
 


413
Lara J. Burrows, M.D., M.Sc., Daisy Klingman, M.D., Caroline F. Pukall, Ph.D., and Andrew T. Goldstein, M.D.
Women with primary vestibulodynia had a significant increase in umbilical sensitivity (a substantially lower pain threshold) compared with women with secondary vestibulodynia and a control group.
 
 


417
Diane Elas, R.N., M.S.N., A.R.N.P., Jo Ann Benda, M.D., and Rudolph P. Galask, M.D., M.S.
Langerhans� cell histiocytosis should be considered as a differential diagnosis in females who present with chronic pruritus, pain, ulcerations, nodules or intermittent rashes unresponsive to treatment.
 
 


420
Jennifer M. Rhode, M.D., William M. Burke, M.D., Paul S. Cederna, M.D., and Hope K. Haefner, M.D.
Our study indicates a good outcome and patient satisfaction in patients with stage III vulvar hidradenitis suppurativa treated with radical excision and interval split-thickness skin grafting.
 
 


429
Debra S. Heller, M.D., Miltiadis Pitsos, M.D., Ph.D., and Joan Skurnick, Ph.D.
There was a significant association between a positive Pap smear finding and signs, symptoms or treatment for vaginitis overall.
 
 


435
Lois J. Eva, M.D., M.R.C.O.G., Sumana Narain, M.B.B.S., C. Obi Orakwue, F.W.A.C.S., M.R.C.O.G., and David M. Luesley, M.A., M.D., F.R.C.O.G.
Vestibulectomy is an effective long-term treatment for localized provoked vulvodynia with high patient satisfaction rates.
 
 


  Original Articles
441
Andrew P. Soisson, M.D., Eddie Reed, M.D., Pamela Brown, M.P.H., Barbara Ducatman, M.D., Julie Armistead, R.N., Stephanie Kennedy, M.A., Weixen Wang, Ph.D., Paul Kramer, M.D., and Susan Rose, M.D.
Self-collected samples are as likely to detect HPV DNA as those collected by a health care practitioner.
 
 


  Case Reports
449
Amanda B. White, M.D., Clifford Y. Wai, M.D., Spyridon I. Marinis, M.D., and Joseph I. Schaffer, M.D.
Surgical correction of procidentia can improve bilateral ureteric obstruction of a partially duplicated collecting system.