Spinal cord stimulator for the treatment of a woman with vulvovaginal burning and deep pelvic pain.
BACKGROUND
Vulvodynia is a chronic pain disorder of the vulva that occurs in the absence of visible infectious, inflammatory, neoplastic, or neurological findings. Multiple treatment modalities are used, often with insufficient results. We report the successful use of a spinal cord stimulator to treat vulvodynia symptoms in a patient who had unsuccessful prior conservative therapies.


METHODS
A postmenopausal woman presented with 15 years of treatment for vulvar and vaginal burning and deep pelvic pain. She had been taking multiple pain medications with inadequate relief. After successful test stimulation, a permanent spinal cord stimulator was implanted. At 10 months posttreatment, her pain improved by 80%, and the patient no longer requires oral medication.


CONCLUSIONS
The use of spinal cord stimulation was successful in a patient with vulvodynia and unsuccessful multiple prior therapies and whose symptoms were diffuse in nature.
Nair
Anjana R
AR
Department of Obstetrics and Gynecology, New York Downtown Hospital, New York, New York 10038, USA.
Klapper
Allan
A
Kushnerik
Vadim
V
Margulis
Ilan
I
Del Priore
Giuseppe
G
D004599:Electric Stimulation Therapy / Q000295:instrumentation*; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000150:complications / Q000628:therapy*; D013116:Spinal Cord; D014845:Vulvar Diseases / Q000150:complications / Q000628:therapy*