Successful treatment of persistent vulvodynia with submucous infiltration of betamethasone and lidocaine

Dede, Murat; Yenen, Müfit Cemal; Yılmaz, Ali Haydar; Başer, İskender

doi:10.1016/j.ejogrb.2005.07.018

Cited by 21 publications

(11 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 Furthermore, NT implies different therapeutic regimens for any individual patient. Intralesional injections, as suggested by the BSSVD [5], based on data of Murat Dede and colleagues [31], may not be sufficient alone. As this case shows, a thorough history may be necessary in difficult cases to achieve a breakthrough with remote techniques.…”

Section: Discussionmentioning

confidence: 99%

Successful Therapy of Vulvodynia with Local Anesthetics: A Case Report

Weinschenk

Brocker²,

Hotz³

et al. 2013

Complement Med Res

View full text Add to dashboard Cite

SummaryBackground: Vulvodynia often occurs with unexplained vulvar pain and hyperesthesia, sexual dysfunction, and psychological disability, lacking an organic or microbiological substrate. Case Report: A 25-year-old woman with generalized, unprovoked vulvodynia for 12 years was treated repeatedly with procaine 1% for 14 sessions after she had previously had numerous unsatisfying multidisciplinary treatments. We observed a decrease in pain scores on the visual analogue scale (VAS) from initially 8-9 to presently 0-2. Injection sites were: Head's zones and trigger points of the lower abdomen, regional hypogastric ganglia, bilateral maxillary sinus, and scars of the lower jaw. No major adverse events were observed. Injections to remote sites improved symptoms more strongly than local or regional therapy. After a 3-year follow-up the patient is free of symptoms. Conclusion: Therapy with local anesthetics (TLA, neural therapy) can be a useful additional therapy in complicated cases of vulvodynia. Further studies on the underlying mechanism of injections into remote foci (interference field, stoerfeld) and the effectiveness of TLA in chronic pain syndromes should be performed.

show abstract

Section: Discussionmentioning

confidence: 99%

Successful Therapy of Vulvodynia with Local Anesthetics: A Case Report

Weinschenk

Brocker²,

Hotz³

et al. 2013

Complement Med Res

View full text Add to dashboard Cite

show abstract

“…gave subcutaneous injections of 40 mg methylprednisolone acetate and lidocaine in 10 mL of normal saline into the vestibule in 22 women with vestibulodynia with a 32% complete remission rate 44 . Similar positive results were obtained in trials looking at betamethasone and lidocaine infiltration 45,46 …”

Section: Methodsmentioning

confidence: 64%

Guidelines for the management of vulvodynia

Mandal

Nunns

Byrne

et al. 2010

British Journal of Dermatology

139

100

View full text Add to dashboard Cite

show abstract

“…However, the long‐term effects are unclear . There are reports of successful treatment of refractory vulvodynia with submucosal infiltration with betamethasone and lidocaine …”

Section: Medical Treatmentmentioning

confidence: 99%

Vulvodynia: integrating current knowledge into clinical practice

Nagandla

Nalliah

2014

The Obstetric & Gynaecologis

View full text Add to dashboard Cite

Key content Vulvodynia is a chronic gynaecological condition that results in significant distress to women and management can be challenging to the clinician. The 2003 International Society for the Study of Vulvovaginal Disease (ISSVD) defines vulvodynia as vulval discomfort that is described as burning, stinging or irritation, in the absence of relevant visible findings or specific signs of a clinically identifiable neurological condition. The condition can be localised (vestibule) or generalised and the discomfort can be spontaneous or provoked by physical contact. The diagnosis of vulvodynia is one of exclusion after inflammatory, infectious, dermatological, neoplastic, neurological and psychosexual conditions have been ruled out. A multidisciplinary approach to tackle the different components of vulvodynia is required that includes a lead clinician with clinical psychologist, physiotherapist, psychosexual medicine clinician and pain management specialist. Owing to the heterogeneity in the aetiology of the condition, multimodal therapy is recommended in most cases. Learning objectives To review the current classification and pathophysiology of vulvodynia. To review the clinical manifestation and diagnosis of a patient with generalised and localised vulvodynia. To critically appraise the currently available treatments options for vulvodynia. Ethical issues Psychosexual dysfunction related to this disorder raises the sensitive issue of open communication with the individual or couple on varying degrees of sexual and psychological counselling. Ethical issues that are realised in determining the cause of vulvodynia include sexual orientation and history of sexual abuse. How does evidence‐based medicine direct health professionals in the treatment of this condition?

show abstract

Successful treatment of persistent vulvodynia with submucous infiltration of betamethasone and lidocaine

Cited by 21 publications

References 4 publications

Successful Therapy of Vulvodynia with Local Anesthetics: A Case Report

Successful Therapy of Vulvodynia with Local Anesthetics: A Case Report

Guidelines for the management of vulvodynia

Vulvodynia: integrating current knowledge into clinical practice

Contact Info

Product

Resources

About