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Sacral neuromodulation in the treatment of vulvar vestibulitis syndrome
Laura B Ramsay1, Johnnie Wright, John R Fischer
1From the Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC.
Background:
Vulvar vestibular syndrome is a chronic pain syndrome that typically results in pain and irritation of the vulvar vestibule and has few effective options for treatment.
Case:
A 42-year-old woman presented with symptoms consistent with chronic vulvar vestibular syndrome that was refractory to multiple attempted therapies. The patient was offered sacral neuromodulation for treatment. She underwent a standard two-phase surgical implantation with good result at 2 years postimplantation.
Conclusion:
Sacral neuromodulation was shown to be a valid treatment option for this patient and resulted in excellent patient satisfaction at 2-year follow-up. Although the exact mechanism of action is unknown, sacral neuromodulation may be a viable option for the management of chronic pain syndromes of the vulva and vagina.
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