Syringomas are intraepidermal eccrin sweat gland adenomas which can usually be seen in adolescent ages. Typical involvement includes the malar areas and the lower eyelids, however vulvar involvement is rare. These lesions are characterized with papules which are small, yellowish, firm seperated from each other and can be 1-5 mm in diameter, and are often associated with increased vulvar discomfort and itching. The lesions are generally multiple, bilateral and symmetrical. A 35-year-old woman presenting with a 3-year history of vulvar papules, sometimes itching and increasing in time is presented to our clinic. The patient has been diagnosed as syringoma with clinical and histopathological results. Due to the fact that the patient is symptomatic, we preferred laser vaporization as a treatment option and presented our case with the preoperative and postoperative pictures.
Talc has unfavorable effects on the female genital system. However, this effect is in the form of foreign body reaction and infection, rather than being neoplastic.
The transobturator tape operation has been the most popular method of SUI surgery worldwide owing to its low complication rate and high success rate. However, erosions and abscesses secondary to transobturator tape have been observed. Here we report a 36-year-old woman referred to our unit with fever, persistent swelling in the left groin, difficulty in walking, and a tape that came through the vagina, 4 years after the transobturator tape operation. She had a history of ischiorectal abscess and rectovaginal fistula. A recurrent obturator abscess with fistula formation and spontaneous expulsion of the mesh was diagnosed. The patient underwent antibiotic therapy, incision through the fistula tract, drainage of the abscess, and removal of the necrotic material. Patients should be informed about risks of erosion and infection and that pain and foul smelling vaginal discharge might be the first signs of severe infectious morbidities after transobturator tape operation.
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