What is pseudovesicular vulvitis?
Disease description:
I've recently been feeling a constant sensation of raised bumps in the genital area. I went to the hospital for an examination, and they told me it's something called pseudovesicular papules (pseudowarts), but nothing serious. I'd like to know what exactly this condition is—what are pseudovesicular papules?
Doctor's answer (1)
Dr. Zhao Xiaodong
Pseudocondyloma is a benign papillomatosis commonly seen in young women. It is characterized by the appearance of 1–2 mm small, pale red or white papules on the external genitalia. The lesions have a smooth surface, are densely arranged but do not coalesce, and are typically symmetrically distributed on the inner labia minora, presenting a velvety or granular (caviar-like) appearance. The exact cause of pseudocondyloma remains unclear, but it is generally believed to be associated with local Candida infection, non-specific irritation, and chronic inflammation or long-term stimulation by secretions. This condition is non-contagious and tends to be self-limiting; most patients are asymptomatic or experience only mild itching. Specific treatment is usually unnecessary—maintaining good vulvar hygiene and avoiding repeated irritation are sufficient. For individuals who wish to remove the lesions or in cases of persistent lesion enlargement, physical therapies such as laser ablation or cryotherapy can be used to induce necrosis and shedding of the lesions. Additionally, if there is concurrent infection or severe itching, appropriate medications may be prescribed.
