Caracterización clínica de las lesiones vulvares en la consulta de ginecología del Instituto Autónomo Hospital Universitario de Los Andes

Objective: To analyze vulvar lesions in patients who attended the Instituto Autonomo Hospital Universitario de Los Andes gynecology clinic from February 2023 to January 2024. Methods: Cross-sectional analytical study, which included all patients who attended the outpatient clinic of Gynecology during the study period. Results: A total of 127 patients were evaluated, who presented 135 lesions, the mean age was 47 years (ranges between 15 to 90 years), the most frequent clinical characteristics were: plaques (37.8%), rounded (48.9%), smooth (65.2%), whitish (30.4%), in mixed areas (47.4%). As associated factors, 55.6% used sanitary pads and 56.3% used panty liners, mostly in reproductive age (54.1%). The most common diagnoses were: inflammatory lesions, the most frequent being lichen sclerosus (31.5%), which predominated in postmenopausal patients; condylomas (20.7%), more frequent in reproductive age; malignant lesions 9.6%, especially in postmenopausal patients. The clinical-pathological association was 82%. Conclusions: The most frequent vulvar lesions were inflammatory, predominantly postmenopausal, without being an exclusive pathology of that period. Condylomas were also observed in fertile women and pre-invasive pathology, highlighting the history of human papillomavirus infection. Keywords: Vulvar lesions, Vulva, Lichen sclerosus, Vulvar pathology