How should vulvar leukoplakia be treated to improve?

Patient's question:

Itching in the vulvar area is unbearable, and it becomes even worse before going to sleep at night, significantly affecting rest and work. How should vulvar leukoplakia be treated to improve?

Doctor's answer:

Vulvar leukoplakia refers to localized or diffuse white patches on the skin of the female genital area, which can spread to the inner thighs, perineum, and anus but rarely affect the urethral opening or vestibule. Symptoms include itching in the genital area, dry skin, thickening and whitening, loss of elasticity, even swelling and rupture, accompanied by pain and burning sensation.
1. Medication Treatment: After washing the vulva with a Ph4 weak acid female care solution, topical hormone medications, local anesthetic anaerobic rods, and traditional Chinese medicine treatments are applied.
2. Physical Therapy: Treatments include microwave therapy, carbon dioxide laser, helium-neon laser, BOM light, high-frequency electric knife, local electrocautery, and local cryotherapy with liquid nitrogen.
3. Surgical Treatment: Simple vulvectomy and split-thickness skin grafting vulvectomy.

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