[Treatment of therapy refractory squamous epithelial hyperplasia of the vulva by CO2 laser vaporization]

Mostly, older women suffer from dystrophic disease of the vulva, which develops in a chronically progressive way. The main symptoms are substantial pruritus and secondary alteration of the skin. Good results could be obtained by a combination of different conservative treatments. Relapses occurred in about 10% of the cases. In 23 patients with unsuccessfully treated disease, we tested the indication for CO2-laser therapy. The hyperplastic lesions were vaporized under colposcopic control. By this procedure, we obtained in 2/3 of the cases very good results already after the first operation. Radical interventions can be avoided almost completely by laser vaporisation of therapy-resistant squamous cell hyperplasia of the vulva.