Patient: Female, 23-year-old Final Diagnosis: Giant fibroepithelial polyps of the vulva in women with uterine myoma and primary infertility Symptoms: Irregular bleeding and mass on the vulva Medication:— Clinical Procedure: — Specialty: Obstetrics and Gynecolog Objective: Rare disease Background: Reproductive health is closely related to long-term quality of life and maternal well-being in obstetrics. The overall incidence of fibro-epithelial polyps in the general population is about 46%, but a location on the vulva is quite rare, and is very rare when the size is more than 5 cm. Case Report: A 23-year-old woman reported irregular bleeding and a mass on the vulva. After anamnesis, physical examination, biopsy, and radiology imaging, the patient was diagnosed with uterine myoma, primary infertility, and a large solid and benign mass on the vulva. The mass found on the vulva was apparently unrelated to intra-abdominal organs and urogynecology. After performing an excision accompanied by a laparoscopic myomectomy, the histopathological results showed that the mass on the vulva was a 16×11×6 cm fibroepithelial polyp weighing 700 g. After 7 months of therapy, the submucosal uterine myoma recurred. Submucosal uterine myomas were found rooted into the vaginal canal, so the surgeon performed an extirpation operation. Eight months later, the patient succeeded in having a pregnancy that ended in delivery by cesarean section. Conclusions: Giant fibroepithelial polyps are very rare. Management is by excision accompanied by a laparoscopic myomectomy. They affect reproductive health and require appropriate management and diagnosis.

Tujuan: Menganalisis pengaruh pemberian gel ekstrak air daun pepaya terhadap kepadatan kolagen jaringan vagina pasca melahirkan pada hewan coba mencit saat bunting.Bahan dan Metode: Desain penelitian randomized post test only control group,dilakukan di Departemen Embriologi Veteriner, Fakultas Kedokteran Hewan, Universitas Airlangga, pada bulan April-Juni 2015. Terdapat empat kelompok, masing-masing kelompok terdiri dari 8 mencit bunting. Kelompok kontrol (tanpa perlakuan) dan kelompok perlakuan berupa pemberian topikal ekstrak daun pepaya konsentrasi 5%, 10% dan 15%, 1x/hari pervaginam, sejak usia kebuntingan hari ke-12 sampai melahirkan. Lama perlakuan 6-8 hari. Setelah melahirkan, mencit dikorbankan dan diperiksa kepadatan kolagen dengan pewarnaan HE. Uji statistik yang dipakai uji parametrik dan nonparametrik disertai uji komparasi gandaHasil: Kepadatan kolagen berdasarkan skor didapatkan nilai median pada kelompok I = 3,5 (3-4); kelompok II = 4 (4-4); kelompok III = 3 (3-4); kelompok IV = 4 (3-4) dengan uji Kruskal-Wallis (p=0,036) menunjukkan perbedaan signifikan, dilanjutkan uji beda tiap kelompok Mann-Whitney, hasilnya tidak didapatkan perbedaan signifikan antara kelompok kontrol dengan masing-masing kelompok perlakuan. Kepadatan kolagen berdasarkan persentase didapatkan nilai rerata pada kelompok I = 90,64%±3,35; kelompok II = 96,19%±1,34; kelompok III = 87,85%±6,69 dan kelompok IV = 92,08%±4,84. Uji Anova menunjukkan perbedaan signifikan (p=0,032), dilanjutkan uji beda LSD menunjukkan perbedaan bermakna antara kelompok I dan II (p=0,045)Simpulan: pemberian topikal ekstrak daun pepaya konsentrasi 5% pervaginam saat masa kebuntingan mencit meningkatan kepadatan kolagen jaringan vagina pasca melahirkan.