Only 1% of hemangiomas are in the anogenital region. Their main complication is ulceration due to the macerating influence of urine and stool. Ulcerated hemangiomas are painful, may become infected or cause systemic infection, and have a tendency to heal slowly. Prevention of ulceration is the most important aim in these cases. Active therapy with laser is possible, but may induce ulceration. Due to this serious side effect, a wait-and-see policy should be considered as an alternative. Ulcerated hemangiomas have to be treated like other chronic wounds, with hydrocolloid dressings or with barrier creams to prevent contact with stool and urine. Healed ulcerated hemangiomas eventually develop flat scars with hypopigmentation.
KeywordsAnogenital Region Barrier Cream Hydrocolloid Dressing Inhibit Wound Healing Secondary Wound Healing
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