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Updated: Aug 29, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
The management of Paget's disease of the vulva
A B MacLean1, M Makwana, Patricia E Ellis
1Department of Obstetrics and Gynaecology, Royal Free and University College Medical School, London, UK. amaclean@rfc.ucl.ac.uk
Abstract:
Paget's disease of the vulva is an uncommon lesion, and gynaecologists and dermatologists generally have limited experience in its management. The British Society for the Study of Vulval Disease has established a register of cases, and we present a review of 76 cases registered to date. The majority of patients were treated by surgical excision and reconstruction, but non-surgical therapies are an option. Recent literature is reviewed to allow comparison.
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