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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]
It is a topically applied first aid liquid with active ingredients benzalkonium chloride (an antiseptic) and lidocaine (a topical anaesthetic). As an antiseptic, Bactine can help to prevent infections, while the topical anesthetic in Bactine serves to numb the surface of a body part and temporarily relieve pain and itching on the skin. [1]
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]
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.
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]
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] ...
chronic pain conditions like vulvodynia and harm-avoidance behavior [16] negative emotional reaction toward sexual stimulation, e.g. disgust both at a deliberate level and a more implicit level [17] strict conservative moral education, which also can elicit negative emotions [18] The cause of primary vaginismus is often unknown. [19]
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space so that it reaches the cerebrospinal fluid (CSF).