title: Botulinum toxin a for vulvodynia: a case report.
abstract: Vulvodynia is a poorly understood chronic pain condition, and patients who are refractory to standard therapies often pose a therapeutic dilemma. Current treatment modalities include antidepressants, anticonvulsants, biofeedback, pelvic floor physical therapy, and surgery; however, the options are limited for patients who fail to respond to these treatments. We present a case of refractory vulvodynia with severe dyspareunia successfully managed with a novel therapeutic approach combining botulinum toxin A and surgery.
  
  
  CONCLUSIONS
  The authors present a case of refractory vulvodynia that was successfully managed with a novel approach that combined botulinum toxin A and surgery.
authors.affiliation: Department of Obstetrics and Gynecology, University of Colorado Health Sciences Center, Dever 80626, USA. jennifer.gunter@uchsc.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gunter
authors.forename: Alan
authors.initials: A
authors.lastname: Brewer
authors.forename: Ossama
authors.initials: O
authors.lastname: Tawfik
mesh_terms: D000328:Adult; D001905:Botulinum Toxins / Q000627:therapeutic use*; D004414:Dyspareunia / Q000628:therapy; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010146:Pain / Q000209:etiology; D059408:Pain Management; D017773:Pelvic Floor / Q000473:pathology; D014844:Vulva / Q000473:pathology; D014845:Vulvar Diseases / Q000150:complications / Q000601:surgery / Q000628:therapy*
chemical_list: D001905:Botulinum Toxins