PFD Week 2017-Vestibulectomy Technique for Refractory Vulvodynia

Vestibulectomy Technique for Refractory Vulvodynia

Video Transcription

Video Summary

The video discusses vulvodynia, a condition characterized by vulvar pain without clear identifiable causes. The diagnosis of vulvodynia is based on a thorough history and physical examination, including cotton swab testing to evaluate areas of tenderness on the vestibule. Various tests are performed to rule out other causes of vulvar pain. The treatment for vulvodynia follows a stepwise approach, starting with vulvar care measures and progressing to medications, biofeedback, physical therapy, and transcutaneous electrical nerve stimulation. In refractory cases, surgical management, specifically vestibulectomy, may be performed. The procedure involves excising a horseshoe-shaped portion of the vestibule and closing the surgical site with a vaginal advancement flap. The patient in the described case had a successful vestibulectomy for refractory vulvodynia.

Asset Subtitle

Tess Crouss, MD

Keywords

vulvodynia

vulvar pain

diagnosis

treatment

vestibulectomy