• Prog Urol · Nov 2010

    Review

    [Vulvodynia and chronic pelvic and perineal pain].

    • M Moyal-Barracco and J-J Labat.
    • Service de dermatologie, hôpital Tarnier, 89, rue d'Assas, 75006 Paris, France.
    • Prog Urol. 2010 Nov 1;20(12):1019-26.

    ObjectiveTo define vulvodynia and to describe the main approaches to treatment.Material And MethodsReview of the literature concerning vulvodynia.ResultsVulvodynia is defined as chronic vulvar discomfort, usually with a burning nature, with no relevant clinical lesions and no clinically identifiable neurological lesion. Localized provoked vulvodynia essentially affects young women and is responsible for major sexual and psychological repercussions. Treatment consists of local anaesthetics, drugs used to treat neuropathic pain, physiotherapy and psychotherapy. Vestibulectomy is only very rarely indicated.ConclusionMany unknowns persist especially concerning the aetiology of vulvodynia. Evaluation of symptoms and treatment have not been clearly defined. However, symptomatic management provide satisfactory long-term results.Copyright © 2010 Elsevier Masson SAS. All rights reserved.

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