Vestibular Papillomatosis (VP) is a rare cutaneous condition occurring in women, causes pink small projections or bumps on the inner surface of the vulva. This condition is considered to be the female homologue to the male genital condition known as Pearly Penile Plaque.
These papillae are sometimes confused with another condition known as genital warts. However, unlike the latter, this is not a contagious disorder. VP is also unrelated to Human Papillomavirus (HPV).
Vestibular Papillomatosis Causes
The exact factors responsible for the growth of these projections are still not clearly known. There is much controversy among experts regarding the etiology of this disorder. However, it is believed that the condition is usually not caused by virus. Some case reports show that VP can be congenital in some extremely rare cases. This means that the disease can be present at the time of birth of the patient.
Vestibular Papillomatosis Symptoms
VP patients generally remain asymptomatic for all or most part of their lives. However, some patients complain of having symptoms like pain and an itching or burning sensation that interfere with their normal daily activities.
Vestibular Papillomatosis Prevention
There are no known ways to prevent this disorder due to its unknown etiology. Experts are trying to find out if it is possible to prevent the occurrence of VP.
Vestibular Papillomatosis Diagnosis
Proper diagnosis is very important to find out whether or not a patient has VP or genital warts. Sometimes, genital warts are misdiagnosed and thought to be VP. This can lead to serious problems for the patient as VP often do not require any treatment but the warts need prompt treatment to avoid serious symptoms. There is a common examination called acetic acid test which is used for differentiating between vestibular papilloma and genital warts. In this test, acetic acid (the acid present in vinegar) is used for making the diagnosis. The acid is applied to the affected are to see how the papillae react to it. The bumps are caused by genital warts if they become white after coming into contact with the acid. But if the projections remain mostly pink, they are likely to be VP.
It is important to make the diagnosis correctly; otherwise, patients might need to undergo various expensive and unnecessary diagnostic procedures.
Vestibular Papillomatosis Treatment
In most cases, the condition does not require any treatment as it does not result in any health problems. However, symptomatic VP requires early medical attention. Sometimes, the presence of the projections makes patients self-conscious and willing to seek medical treatment even in the absence of any problems.
It is the most commonly used medical treatment for removing the bumps resulting from this disorder. In this procedure, the vestibular papillae are burned off using a certain acid. The treatment is performed in the doctor’s office. The process may have to be repeated many times before the lesions go away completely. Sufferers may experience a mild discomfort during the treatment.
This medical procedure is not recommended for pregnant women. Due to this reason, a patient should inform her doctor whether she is pregnant before deciding the appropriate treatment option.
One can consider natural treatment options which can be used at home. Plant materials like podophyllin and podofilox can be used as effective topical solutions to cure VP. The first application of these medications is done by the doctor and then the patient is prescribed to continue the treatment at home.
Vestibular Papillomatosis Prognosis
The prognosis is generally very good as the treatment successfully gets rid of the papillae without any complications. The disease has a low recurrence rate.
Vestibular Papillomatosis Pictures
Following are some images that show how the condition looks like.
Vestibular Papillomatosis is a minor genital disorder affecting women. In the majority of cases, it is not treated as the bumps do not result in any symptoms. Sometimes, however, they require treatment and go away completely once treated.