Introduction
The vulvar vestibular area may have prominent vestibular papillae1 in about half of premenopausal women. These are small tubular or slightly filiform projections along the vulvar vestibule and are completely benign variants.
Epidemiology
These occur in about one third of premenopausal women.
Etiology
Normal variant.
Symptoms and clinical features
Asymptomatic. Rarely, women might ask about these anatomical variants, thinking they might be warts. Vestibular papillae are small tubular or slightly filiform projections along the vulvar vestibule.
They are soft and completely asymptomatic.
Diagnosis and differential diagnosis
Papillae can be confused with condylomata. Condylomata are firm and can be differentiated with palpation, colposcopy, or biopsy.
Pathology/Laboratory Findings
Biopsy may be done if there is any question..
Treatment/management
No treatment is required.