Peripheral subcutaneous vulvar stimulation in the management of severe and refractory vulvodynia.
BACKGROUND
Vulvodynia is a complex and multifactorial clinical condition with severe pain that occurs in the absence of visible infectious, inflammatory, neoplastic, or neurological findings.


METHODS
A 35-year-old woman with 3 years of dysesthetic vulvodynia tried conventional and interventional medical treatment with inadequate relief. She was offered peripheral subcutaneous vulvar field stimulation and underwent implantation of two vulvar subcutaneous electrodes. At 15 days after treatment and during 1-year follow-up, the patient scored 1 out of 15 on Friedrich scale, 1 out of 10 on the visual analog scale, and 1 out of 10 on the tampon test. The patient no longer requires oral medication.


CONCLUSIONS
Stimulation with subcutaneous electrodes provided relief from vulvodynia to a patient in whom all previous therapeutic approaches had failed.
Department of Anesthesiology, Valencia University Medical School, Valencia, Spain. deandres_jos@gva.es
Jose
J
De Andres
Nerea
N
Sanchis-Lopez
Juan Marcos
JM
Asensio-Samper
Gustavo
G
Fabregat-Cid
Vicente Molsalve
VM
Dolz
D000328:Adult; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D019919:Prosthesis Implantation / Q000379:methods; D040521:Subcutaneous Tissue; D056650:Vulvodynia / Q000628:therapy*