His and Her Health

OBJECTIVE: Vulvar vestibulitis syndrome is a major cause of dyspareunia. This pilot study was designed to evaluate a novel treatment approach. STUDY DESIGN: This is a prospective study of 27 women with vulvar vestibulitis. The protocol included 5 treatment sessions with caudal epidural, pudendal nerve block, and vestibular infiltration of local anesthetic agents. RESULTS: There were significant improvements in vestibular pain as determined by the vulvalgesiometer, McGill pain questionnaire, self-report, and the Female Sexual Functioning Inventory. CONCLUSION: Serial multilevel nerve blocks administered for the treatment of vulvar vestibulitis is a conceptually neurophysiologically based modality that may be effective and merits a placebo-controlled study.

I read this on pub med today.. Has anyone been effectively treated for vestibulitis with nerve blocks?

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on this last post, what is vestibular infiltration of local anesthetic agents? who does this-any doctors?

thank you

I am curious about this also and wonder if there is any risk of the epidural and pudendal nerve blocks lessening not only pain reception, but plessure reception as well? Can any doctors comment?

The local infiltration--could be topical application of things like lidocaine, but I'm not sure.

To "infiltrate" means to "go in", so I would imagine that they are referring to injections of some sort into the vestibule (locally) and that the injections will be of some sort of anaesthetic agent.

Sounds interesting! Thank you for sharing your research. I will ask my Dr about it when I see him in June again - I have not tried nerve blocks before. Please let us know if you find out anything else!!!!!!

the local infiltration sounds more like an injection which makes alot of sense to me.
Yesterday I had this discussion with my pt. She said that the vestibule and the pelvic muscles are from different embryotic tissues and it just seems like since they botox muscles to get them out of spasm, there should be some kind of injection to the skin, to just stop the pain there.