• J Minim Invasive Gynecol · Jul 2015

    Review Case Reports

    Resolution of Chronic Vulvar Pruritus With Replacement of a Neuromodulation Device.

    • Audra Jolyn Hill and Marie Fidela R Paraiso.
    • Obstetrics/Gynecology and Women's Health Institute, Division of Urogynecology and Pelvic Reconstructive Surgery, Cleveland Clinic Foundation, Cleveland, Ohio. Electronic address: hilla8@ccf.org.
    • J Minim Invasive Gynecol. 2015 Jul 1; 22 (5): 889-91.

    AbstractVulvar pruritus is typically associated with fungal, bacterial, and/or dermatological conditions that routinely resolve with the use of topical medications. Pruritus rarely becomes chronic in nature without a definable pathological diagnosis. However, when this occurs, management is difficult and has limited treatment options. Few cases have reported resolution of vulvar pain or discomfort with sacral neuromodulation implantation. We report a case in which a patient experienced chronic vulvar pruritus that was refractory to medical treatments and did not have a pathological diagnosis. A neurological etiology was suspected, and upon replacement of the patient's sacral neuromodulation device, complete resolution of the vulvar symptoms occurred. Copyright © 2015 AAGL. Published by Elsevier Inc. All rights reserved.

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