Vulval Ulcers
Outpatients | GynaecologyThis condition is treated in the Gynaecology clinic.
Pre-referral work-up
History
Patients may be referred for chronic vulva irritation, vulva abscesses, and vulva ulceration.
Vulvar Cancer; see Gynaecological-Oncology Clinic.
All referrals should comply with referral standards and include in particular:
- History of condition, including itch, discharge,
- Menopausal status
- Obstetric and gynaecological history, and sexual history
- Current and past treatments and efficacy of same
- Good description of the lesion - pigmented, bleeding, ulcerated
- Presence or absence of chronic diseases such as Crohn's
Tests
- Swab - m/c/s if indicated
- STD screen including swab of ulcer for herpes, serology for syphilis
- Biopsy of chronic lesions - if within skill set of GP
- Pap smear
- Exclude UTI
Interim/GP management
To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.
Moisturisers - bland emollients such as Zinc/Castor oil cream.
Treat Herpes Simplex with appropriate anti-virals. Hospitalisation may be needed if unable to urinate
For more information please see the HealthPathways Tasmania website.
Clinic appointments
🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Urgent (Category 1)
🚩 Ulcers in menopausal patients
🚩 Ulcers that haven't healed with short course of emollients or mild steroid cream
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
Availability
North
Launceston General Hospital (Level 5)
Phone: 1300 977 694
Fax: 03 6777 5214
North West
North West Regional Hospital
Phone: 6493 6300
Fax: 6464 1928
Mersey Community Hospital
Phone: 1800 636 455
Fax: 6441 5928
South
Wellington Clinics (Level 8)
Phone: 03 6166 0000
Fax: 03 6173 0473