Abstract | RATIONALE: PATIENT CONCERNS: Four patients suffering from chronic vulvar pain for 6 months-10 years were referred by gynecologists. The gynecologists could not identify the cause of the chronic vulvar pain, and symptoms were not improving by conservative therapy with medication. Patients complained of various chronic vulvar pain or discomfort. The initial visual analog scale (VAS) scores were 8 or 9 out of 10, and Leeds assessment of neuropathic symptoms and signs pain scale score was more than 12 out of 24. The review of gynecological medical records confirmed whether they showed allodynia during the cotton swab test and hyperalgesia to pin-prick test. DIAGNOSES: INTERVENTIONS: All patients were treated with a GIB, once in 2 patients, 3 times in 1 patient, and 4 times (1 alcoholic neurolysis) in the other patient, under fluoroscopic guidance. OUTCOMES: After the procedures, the VAS score and the leeds assessment of neuropathic symptoms and signs (LANSS) pain scale score were decreased to less than 2 and 5, respectively, in all patients. Follow-up observations for 6 months-2 years revealed that 2 patients' symptoms entirely or nearly entirely improved and did not require further treatment. The pain of the remaining patients were well controlled with medications only. LESSONS:
|
Authors | Dae Gy Hong, Seong-Min Hwang, Jun-Mo Park |
Journal | Medicine
(Medicine (Baltimore))
Vol. 100
Issue 30
Pg. e26799
(Jul 30 2021)
ISSN: 1536-5964 [Electronic] United States |
PMID | 34397737
(Publication Type: Case Reports, Journal Article)
|
Copyright | Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. |
Chemical References |
|
Topics |
- Adult
- Aged
- Analgesics
(therapeutic use)
- Female
- Humans
- Middle Aged
- Nerve Block
(methods)
- Vulvodynia
(drug therapy, surgery)
|