Abstract
Tuberculosis of the genital tract is quite common in India. Most women with genital tuberculosis remain asymptomatic and are diagnosed for the first time during evaluation of infertility. Fallopian tubes and peritoneal surfaces are most commonly affected as seen at laparoscopy for infertility evaluation. Endometrial cavity is also frequently involved, but involvement of the cervix, vagina, and vulva is very rare. Primary vulvar tuberculosis is seen in only 2 % of cases of pelvic tuberculosis and often requires surgical intervention for cosmetic results. Vulvar tuberculosis presents in varied forms and the diagnosis remains elusive for long. We report a case of primary vulvar tuberculosis with a woody appearance at presentation that responded almost completely to medical treatment and did not require any surgical intervention.
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