Treatment of vulvar varicosities by injection-compression sclerotherapy and a pelvic supporter

Injection of vulvar varicosities with a 1% solution of sodium tetradecyl sulfate and subsequent compression therapy with a pelvic supporter was used to treat five women with symptoms of vaginal pressure, swelling, and pain. Three patients were premenstrual, and the two others were approximately 8 weeks post-vaginal delivery. Physical examination was performed in the upright as well as the dorsal lithotomy positions, and injection was given in the supine position. All patients noticed marked improvement in symptoms after treatment. We conclude that this technique has potential as a simple, effective way to treat symptomatic vulvar varicosities.