PMID: 9440128Jan 24, 1998Paper

Persistent vulvar vestibulitis: the continuing challenge

Obstetrical & Gynecological Survey
J BornsteinH Abramovici

Abstract

A continuing challenge in the management of women with vulvar vestibulitis is the patient who has not responded to surgical treatment. The main reason for persistent dyspareunia is failure to excise the sensitive periurethral tissue in the primary operation. In other cases, the Bartholin's glands may be the source of the pain. A low oxalate diet, the administration of interferon, and biofeedback training of the lower pelvic muscles-treatments that are used as a first-choice approach for vulvar vestibulitis, may all work in the postoperative patient. The management of a patient with residual vestibulitis should be conservative, and only when medical measures fail, do we consider additional surgical methods such as Bartholin's gland resection or repeat perineoplasty.

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Citations

Sep 17, 2009·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·G VentoliniJ Duke
Jul 16, 2005·Journal of Sex & Marital Therapy·Michal Granot, Yoav Lavee
Jun 23, 2020·Journal of Lower Genital Tract Disease·Arik David, Jacob Bornstein
Aug 29, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Michal GranotEtan Z Zimmer
Jul 7, 2000·Journal of Women's Health & Gender-based Medicine·P M O'Hare, E F Sherertz
Aug 19, 2000·Clinical Obstetrics and Gynecology·H K Haefner
Oct 9, 2001·International Journal of STD & AIDS·J GreenA Kocsis
Oct 31, 2003·Journal of Psychosomatic Obstetrics and Gynaecology·L A BrottoD Gehring

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