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A vestibulectomy is a gynecological surgical procedure that can be used to treat vulvar pain, specifically in cases of provoked vestibulodynia. Vestibulodynia (vulvar vestibulitis) is a chronic pain syndrome that is a subtype of localized vulvodynia [1] where chronic pain and irritation is present in the vulval vestibule, which is near the entrance of the vagina. [2]
Vulvodynia is a chronic pain condition that affects the vulvar area and occurs without an identifiable cause. [1] Symptoms typically include a feeling of burning or irritation. [ 2 ] It has been established by the ISSVD that for the diagnosis to be made symptoms must last at least three months.
No random controlled trials have been done with this treatment, but experimental studies with small samples have found it effective, with sustained positive results through 10 months. [ 11 ] [ 34 ] Similar in its mechanism of treatment, lidocaine has also been tried as an experimental option.
In the countries of the UK, National Health Service (NHS) prescriptions are either free or have a fixed price per item; [39] a prescription may be issued so the patient does not have to purchase the item at commercial price. Some medical software requires a prescription. [40] Legislation may define certain equipment as "prescription devices". [41]
Lidocaine is an antiarrhythmic medication of the class Ib type. [7] This means it works by blocking sodium channels thus decreasing the rate of contractions of the heart. [10] [7] When injected near nerves, the nerves cannot conduct signals to or from the brain. [8] Lidocaine was discovered in 1946 and went on sale in 1948. [11]
Provoked vestibulodynia, pain provoked by contact localized to the vulvar vestibule, is the most common subtype of vulvodynia among premenopausal women. [2] The condition has been cited as affecting about 10% to 15% of women seeking gynecological care. [3]
A topical anesthetic is a local anesthetic that is used to numb the surface of a body part. They can be used to numb any area of the skin as well as the front of the eyeball, the inside of the nose, ear or throat, the anus and the genital area. [1]
Vulvar cancer accounts for about 5% of all gynecological cancers and typically affects women in later life. Five-year survival rates in the United States are around 70%. [1] ...