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Obstet Gynecol. 2009 Aug;114(2 Pt 2):487-9. doi: 10.1097/AOG.0b013e3181af5f80.

Sacral neuromodulation in the treatment of vulvar vestibulitis syndrome.

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1
Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC 20307, USA.

Abstract

BACKGROUND:

Vulvar vestibular syndrome is a chronic pain syndrome that typically results in pain and irritation of the vulvar vestibule and has few effective options for treatment.

CASE:

A 42-year-old woman presented with symptoms consistent with chronic vulvar vestibular syndrome that was refractory to multiple attempted therapies. The patient was offered sacral neuromodulation for treatment. She underwent a standard two-phase surgical implantation with good result at 2 years postimplantation.

CONCLUSION:

Sacral neuromodulation was shown to be a valid treatment option for this patient and resulted in excellent patient satisfaction at 2-year follow-up. Although the exact mechanism of action is unknown, sacral neuromodulation may be a viable option for the management of chronic pain syndromes of the vulva and vagina.

PMID:
19622972
DOI:
10.1097/AOG.0b013e3181af5f80
[Indexed for MEDLINE]
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