Urogenital Syndrome Management

Clinical Manifestations

The British Journal of Dermatology recommends that patients with urogenital syndrome present with mucosal erythema in the urogenital tract 1
Formation of blisters and erosions on the genital mucosa is a common symptom of urogenital syndrome, according to the British Journal of Dermatology 2
Prominent pain during the acute phase is a characteristic of urogenital syndrome, as reported by the British Journal of Dermatology 3
Urinary dysfunction, including dysuria or urinary retention, is a symptom of urogenital syndrome, as noted by the British Journal of Dermatology 3

Secondary infection by bacteria or candida is a frequent complication of urogenital syndrome, according to the British Journal of Dermatology 3
Activation of the herpes simplex virus is a potential complication of urogenital syndrome, as reported by the British Journal of Dermatology 3
Estenosis and urethral narrowing are severe complications of urogenital syndrome, as noted by the British Journal of Dermatology 3
Fimosis in men and vaginal synechiae in women are potential complications of urogenital syndrome, according to the British Journal of Dermatology 3

A complete examination of the urogenital tract is recommended as part of the initial evaluation, according to the British Journal of Dermatology 1
Early evaluation by a vulvar specialist is recommended for women, as noted by the British Journal of Dermatology 1

The British Journal of Dermatology recommends daily documentation of the urogenital tract during the acute illness 1
Application of white soft paraffin to the skin and urogenital mucosa is recommended, as reported by the British Journal of Dermatology 1
Catheterization may be necessary to prevent urethral strictures in severe cases, according to the British Journal of Dermatology 1
The use of Mepitel dressings on eroded areas of the vulva and vagina can reduce pain and prevent adhesions, as noted by the British Journal of Dermatology 2
Topical corticosteroid ointment can be applied to affected urogenital surfaces, according to the British Journal of Dermatology 2
Antifungal treatment may be necessary for secondary candida infections, as reported by the British Journal of Dermatology 3
Targeted antibiotics may be prescribed for specific bacterial infections, as recommended by the MMWR Recommendations and Reports 4

The British Journal of Dermatology notes that mucosal erosions can persist for many weeks after the acute phase has resolved 3
Continuous monitoring is necessary to detect complications such as estenosis and synechiae, according to the British Journal of Dermatology 3
Long-term evaluation of sexual and urinary function is recommended, as reported by the British Journal of Dermatology 3