Patient's question:
Can vulvar leukoplakia be cured? How should it be treated? I am 37 years old and have been suffering from vulvar leukoplakia for more than 5 years. I have been treated with Western medicine multiple times and once with surgery, but there has been no significant improvement. Recently, the itching in the vulvar area before going to bed has been very severe, sometimes even preventing me from falling asleep. I have to stay up very late every day to finally fall asleep.Doctor's answer:
Vulvar leukoplakia can be cured, but traditional treatment methods are not recommended. Traditional treatment methods cannot cure vulvar leukoplakia from the root, and even after recurrence, the disease may worsen, causing severe harm, with a risk of malignancy of about 10%.1. Surgical excision: From a Western medical perspective, vulvar leukoplakia is a precancerous lesion that may develop into vulvar cancer, so surgical excision is recommended. Its disadvantages include causing trauma, significantly impacting postoperative sexual life, and a high recurrence rate of over 80%.
2. Laser and electrocautery: The efficacy is unreliable, and it can easily worsen atrophy. This condition is caused by various factors leading to obstruction of vulvar nutritional pathways and local nutrient deficiency. Electrocautery and laser exacerbate nutrient consumption, thereby worsening the atrophy of the fissure.
3. Traditional topical treatment