Vulvar vestibulitis: a reappraisal.
Vulvar vestibulitis is still an enigma. There is much confusion concerning the terminology, symptoms, etiology, and treatment of the syndrome. A medline search on Vulvar Vestibulitis was completed from 1989 to 2001. Twenty-six different treatment modalities are listed. Some studies have shown a significant increase in intraepithelial nerve endings in vulvar vestibulitis. The most successful curative treatment seems to be surgery, which would postulate that removal of the nerve fibers eradicates the discomfort and symptoms of the disease. Randomized control trials need to be undertaken to ascertain the efficacy of treatments of this debilitating disease.
Rosenman
Stephen D
SD
Department of Obstetrics and Gynecology, Section of Gynecology, Bridgeport Hospital, USA.
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016896:Treatment Outcome; D014481:United States; D014847:Vulvitis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy