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Vulvoscopy Workshop - Sutures and Wet Mount

NPWH/ISSWSH Women's Sexual Health Course for NPs (16-03)

1.5 CE (NCC Code 3)

1. Biopsy
Susan Kellogg-Spadt, PhD, CRNP, IF, CST


  1. Identify 2-3 types of lesions that require a biopsy for accurate diagnosis
  2. Explain the technique for anesthetizing the vulvar skin before biopsy
  3. Describe the purpose of Monsel’s Solution

Session Description
This session will provide practicum instruction on the technique of performing a vulvar
biopsy using a Tischler biopsy forceps. Techniques for preparing the tissue and achieving
hemostasis will be reviewed.

2. Sutures and Wet Mount
Irwin Goldstein, MD, IF


  1. Assess when sutures are required after an in office procedure or biopsy
  2. Apply suture techniques for post-biopsy wound closure
  3. Practice suturing on simulated human tissue

Session Description
Although most in office vulvar biopsies do not require suture closure, there are times when you
will be required to suture a biopsy site. This session will teach you how to suture and allow you to
practice stitches in a simulation of human tissue. You will also learn how to perform a vestibular
anesthesia test to determine whether or not a patient has neuroproliferative vestibulodynia and
might be a candidate for vestibulectomy.

3a. Vulvoscopy and Keyes Punch
Brooke Faught, MSN, WHNP, IF
3b. Vulvoscopy and Anal Pap
Catherine Gagnon, CNP


  1. Operate a vulvoscope
  2. Practice performing a Keyes punch biopsy
  3. Describe how to perform an anal pap smear

Session Description
We will review vulvoscopy techniques with inclusion of Keyes punch biopsy and anal pap smear instruction for various vulvar dermatoses.

4. Operationalizing Sexual Dysfunction Healthcare
Sue Goldstein, BA, CCRC, IF
Susan Rawlins, RN, MS, WHNP-BC


  1. Analyze options for promoting sexual health awareness in your practice and your community.
  2. Cite the essential components of informed consent required for ethical FSD practice.
  3. Describe effective office practices and clinical documentation required in FSD practice for optimal medicolegal, clinical, and reimbursement outcomes.
  4. Determine critical findings that will warrant referrals for expert care based on identified personal clinical abilities.

Session Description
This session allows you to operationalize the skills you have obtained to care for women
with sexual dysfunction. From sample intake forms for a sexual history to sample
consents for the procedures you may be performing in your office, we want to prepare
you for what lies ahead. As important as focusing on the equipment you will need to start
your sexual dysfunction practice are the marketing tools to help disseminate the
information that you are now caring for women with sexual dysfunction: to your practice,
area colleagues and the community itself. From helping your staff to navigate this new
path to helping patients understand what they will encounter during their visit, from
encouraging referrals from other clinicians to finding appropriate referrals for your
patients as needed, this breakout will help you understand time management and resource
requirements to help your patients and your practice run smoothly while transitioning
sexual healthcare into your schema.