Nympho-hymenal tear: a distinctive entity?

Abstract

Vulvar fissures are linear tears extending into the dermis. When in the posterior fourchette, it is known as granuloma fissuratum plicae labioalveolaris, or vulvar granuloma fissuratum, a term first described by Sutton et al. in 1932. ¹ The other pattern are small fissures occurring at other vulvar locations, and sexually active patients report entry dyspareunia. ^2-8 In majority of cases, vulvar fissures are secondary findings in a plethora of inflammatory dermatoses or infections, rarely, can occur as primary findings without any apparent causes. ⁹ There is very little published data on vulvar fissures occurring in otherwise healthy women, especially at the introitus reaching

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