How do you manage moist desquamation when treating vulvar cancer?

My experience is largely limited to the treatment of gynecologic malignancies, with the treatment of vulvar lesions the most common reason for development of moist desquamation.

The first goal, in my opinion, is to prevent development of moist desquamation as much as possible. Skin folds that are not in the PTV should be contoured and designated avoidance structures whenever possible. Patients should be encouraged to keep the treatment area clean and dry and avoid tight clothing that would cause...