Puesta al día en el diagnóstico y tratamiento de la vulvodinia

Itza, F.; Zarza, Daniel; Sancha, Fernando Gómez; Salinas, Jorge; Bautrant, Eric

doi:10.1016/j.acuro.2011.11.004

Cited by 6 publications

(3 citation statements)

References 31 publications

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“…The patients all had CPP due to one or several etiologies ( Figure 1 ). These etiologies were diagnosed following criteria or recommendations: vulvodynia according to the 2006 International Society for the Study of Vulvovaginal Disease classification ( 12 ); myofascial pain syndromes (levator ani syndrome, obturator internus syndrome, piriformis syndrome) in accordance the criteria outlined by Travell and Simons ( 14 ); CBP, CNBP/CPPS and IC in accordance with the National Institute of Diabetes and Digestive and Kidney Diseases criteria ( 19 ); PNE according to the Nantes criteria ( 22 ); urgency-frequency syndrome according to the European Association of Urology guidelines on chronic pelvic pain ( 1 ); and endometriosis according to the European Association of Urology guidelines on chronic pelvic pain ( 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…Other authors have studied several nosological entities, presumably with different origins, and have found that they have MPSPF in common. These related entities include chronic bacterial prostatitis (CBP) and chronic non-bacterial prostatitis/chronic pelvic pain syndrome (CNBP/CPPS) ( 19 ), interstitial cystitis (IC) ( 20 ), levator ani syndrome ( 21 ), pudendal nerve entrapment syndrome (PNE) ( 22 ), urgency-frequency syndrome ( 10 ), endometriosis ( 23 ) and vulvodynia ( 12 ).…”

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confidence: 99%

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Turn‐Amplitude Analysis as a Diagnostic Test for Myofascial Syndrome in Patients with Chronic Pelvic Pain

Itza¹,

Zarza²,

Salinas

et al. 2015

Pain Research and Management

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Myofascial pain syndrome of the pelvic floor is a common cause of chronic pelvic pain. The etiology of this neuromuscular pain disorder is unknown and symptoms can vary widely. Research attempting to identify an appropriate diagnostic test has, to date, not been fruitful. This study aimed to investigate the utility of turns-amplitude analysis, which involves analyzing electromyography data of the levator ani and anal sphincter muscles, as a diagnostic tool.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Turn‐Amplitude Analysis as a Diagnostic Test for Myofascial Syndrome in Patients with Chronic Pelvic Pain

Itza¹,

Zarza²,

Salinas

et al. 2015

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…Reconfortou-se a jovem, explicando-lhe que existem múltiplas opções terapêuticas que podiam ser tentadas, sugerindo-lhe a manutenção dos cuidados de higiene vulvar e a aplicação de lidocaína tópica em gel antes das relações sexuais e sempre que necessário. 2,7,[9][10] Em nova consulta de acompanhamento, um mês depois, a utente referiu um alívio da sintomatologia, mantendo dor ao toque apenas durante o cataménio. Assim, manteve-se a terapêutica, agendando-se uma nova relatosdecaso consulta em dois meses.…”

Section: Descrição Do Casounclassified

Dor pélvica em medicina geral e familiar: um caso clínico de vulvodinia

Macedo

2016

RPMGF

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PELVIC PAIN IN FAMILY MEDICINE: A CASE REPORT OF VULVODYNIA Introduction: This case report describes a young woman who was diagnosed with vulvodynia at a family planning consultation. The primary care physician has all the suitable tools for proper diagnosis and therapeutic management of this prevalent and disabling condition. Case report: In September 2013, a 28 year-old nulliparous woman, without relevant medical or surgical history, attended a family planning consultation. When asked about symptoms she mentioned vulvar pain described as 'stinging needles', triggered by touch. Physical examination revealed vulvar redness and hyperesthesia when touched with a cotton swab. The diagnosis of generalized provoked vulvodynia was made, as there was a pelvic pain without a known cause. She was advised regarding vulvar hygiene, and treated sequentially with fluconazole for a presumed yeast infection, amitriptyline, and topical lidocaine. The patient was pain-free several months later. Review: Regardless of its etiology, vulvar pain can cause physical and psychological distress and interfere with interpersonal relationships. Vulvodynia is a complex and frustrating disorder for both patient and doctor, as it can be difficult to diagnose and treat. Family physicians play an important role in diagnosis, treatment, and referral of these patients. As vulvodynia has a considerable prevalence and is associated with psychosocial dysfunction, primary care providers should be informed about vulvodynia and pelvic pain so that these are issues are addressed and discussed with patients.

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Investigating the overlapping presentation of irritable bowel syndrome and vulvodynia: a scoping review of the evidence and mechanisms

Perelmuter,

Soogoor,

Maliszewski

et al. 2024

Sexual Medicine Reviews

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Introduction Vulvodynia is a complex and multifactorial medical condition characterized by pain in the vulvar area without any identifiable cause. Vulvodynia is underdiagnosed, leading to increased risk of sexual dysfunction and reduced quality of life. Irritable bowel syndrome (IBS) is a gastrointestinal disorder predominantly affecting women. Vulvodynia and IBS frequently co-occur in women, with a 2- to 4-fold increased likelihood of IBS diagnosis in those with vulvodynia. These conditions may share underlying causes, highlighting the need for research to better understand their shared pathophysiology and develop effective therapeutics. Objective The aim of this scoping review was to assess the evidence of simultaneous presentation of IBS and vulvodynia. Methods A comprehensive search was conducted in 6 databases between inception of database and August 2023: PubMed, Web of Science, Scopus, Science Direct, Google Scholar, and Cochrane Library. Studies included primary research about IBS and vulvodynia in terms of presentation overlap, diagnosis, or treatment. Data were extracted from eligible studies, summarized, and collated. Results Of the 306 unique articles identified, 33 were included in the final analysis: 20 cross-sectional studies, 4 case-control studies, 2 case reports, 4 cohort studies, 2 quasi-experimental studies, and 1 randomized trial. Common themes included a high prevalence of overlapping vulvodynia and IBS with a significant diagnostic delay in vulvodynia, mast cell involvement and visceral hypersensitization as common pathophysiology, and the need for a multimodal treatment. Conclusion Our review adds to the evidence that there is an association between vulvodynia and IBS. Despite this, research on the underlying molecular mechanisms of this association is scarce, and diagnostic delays persist for vulvodynia. Increasing awareness of the overlap of these conditions will improve screening for vulvodynia in the patient population with IBS, thereby improving the diagnostic delay, and understanding the pathophysiology will enable treatment strategies that address both conditions.

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Puesta al día en el diagnóstico y tratamiento de la vulvodinia

Cited by 6 publications

References 31 publications

Turn‐Amplitude Analysis as a Diagnostic Test for Myofascial Syndrome in Patients with Chronic Pelvic Pain

Turn‐Amplitude Analysis as a Diagnostic Test for Myofascial Syndrome in Patients with Chronic Pelvic Pain

Dor pélvica em medicina geral e familiar: um caso clínico de vulvodinia

Investigating the overlapping presentation of irritable bowel syndrome and vulvodynia: a scoping review of the evidence and mechanisms

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