• J Reprod Med · Oct 2003

    Case Reports

    Spinal cord stimulation for intractable vulvar pain. A case report.

    • James L Whiteside, Mark D Walters, and Nagy Mekhail.
    • Departments of Obstetrics and Gynecology and of Pain Management, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. whitesj1@ccf.org
    • J Reprod Med. 2003 Oct 1;48(10):821-3.

    BackgroundVulvodynia is a complex pain syndrome with few effective treatments. We present a case of complex persistent vulvar pain effectively managed with spinal cord stimulation.CaseA 21-year-old woman had a long history of burning vulvar pain exacerbated by exercise and sexual intercourse. Her symptoms began after termination of pregnancy and were not improved by diet changes or medical therapy. A partial vulvar vestibulectomy with Bartholin gland excision was performed, without an improvement. After referral to a pain management specialist, the patient had temporary relief of symptoms following bilateral hypogastric plexus blocks. With these favorable but temporary results, a permanent spinal cord stimulator was implanted, with sustained symptom relief.ConclusionSpinal cord stimulation may offer a new treatment for women with intractable neuropathic vulvar pain.

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