“…With a growing body of literature understanding the molecular and genetic make-up of these lesions [4,10e12], and a shift to tertiary referral and expert care of these lesions, diagnosis, management, and treatment outcomes for these patients continues to improve [1e3,5]. Two percent of all VA in our program involved genital or perineal location (85/3780), consistent with other studies (2.3e3%) [2,3]. Of these, VT such as IH was the most common diagnoses in the genitalia.…”