Vulvar Pain After Spondylosyndesis Procedure

Abstract

Vulvar pain can be a difficult and frustrating problem for patients and practitioners. Often, no specific etiology can be determined for these symptoms. Treatment can be long and difficult as well.Spondylosyndesis is a common surgical procedure where the vertebrae are fused to decrease motion. There are several indications for this procedure. We report 2 patients who developed vulvar pain postoperatively after a spondylosyndesis procedure. Neither patient had a history of vulvar pain before their procedure. Of note, both patients had had a previous spondylosyndesis procedure in the past.Damage to lumbar nerves during spondylosyndesis procedures may precipitate vulvar pain in some patients.

The aetiology of chronic vulval pain and entry dyspareunia: a retrospective review of 525 cases

“…There have been several case reports of chronic vulval pain following neuromuscular injury from orthopaedic and gynaecological surgery, including spondylosyndesis procedures hip arthroscopy and suburethral sling procedures for stress incontinence . These reports suggest that biomechanical derangements in the spine, hip joints and lower limbs may contribute to vulval neuromuscular pain syndromes.…”