Peripheral subcutaneous vulvar stimulation in the management of severe and refractory vulvodynia.

Abstract:

BACKGROUND:Vulvodynia is a complex and multifactorial clinical condition with severe pain that occurs in the absence of visible infectious, inflammatory, neoplastic, or neurological findings. CASE:A 35-year-old woman with 3 years of dysesthetic vulvodynia tried conventional and interventional medical treatment with inadequate relief. She was offered peripheral subcutaneous vulvar field stimulation and underwent implantation of two vulvar subcutaneous electrodes. At 15 days after treatment and during 1-year follow-up, the patient scored 1 out of 15 on Friedrich scale, 1 out of 10 on the visual analog scale, and 1 out of 10 on the tampon test. The patient no longer requires oral medication. CONCLUSION:Stimulation with subcutaneous electrodes provided relief from vulvodynia to a patient in whom all previous therapeutic approaches had failed.

journal_name

Obstet Gynecol

authors

De Andres J,Sanchis-Lopez N,Asensio-Samper JM,Fabregat-Cid G,Dolz VM

doi

10.1097/aog.0b013e31827c60f8

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

495-8

issue

2 Pt 2 Suppl 1

eissn

0029-7844

issn

1873-233X

pii

00006250-201302001-00027

journal_volume

121

pub_type

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