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Resolution of Chronic Vulvar Pruritus With Replacement of a Neuromodulation Device

机译:通过更换神经调节装置解决慢性外阴瘙痒症

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Vulvar pruritus is typically associated with fungal, bacterial, and/or dermatological conditions that routinely resolve with the use of topical medications. Pruritus rarely becomes chronic in nature without a definable pathological diagnosis. However, when this occurs, management is difficult and has limited treatment options. Few cases have reported resolution of vulvar pain or discomfort with sacral neuromodulation implantation. We report a case in which a patient experienced chronic vulvar pruritus that was refractory to medical treatments and did not have a pathological diagnosis. A neurological etiology was suspected, and upon replacement of the patient's sacral neuromodulation device, complete resolution of the vulvar symptoms occurred. (C) 2015 AAGL. All rights reserved.
机译:外阴瘙痒症通常与真菌,细菌和/或皮肤病相关,这些症状通常可通过局部用药解决。如果没有明确的病理学诊断,瘙痒本质上很少变成慢性的。但是,当发生这种情况时,管理很困难并且治疗选择有限。很少有病例报道with神经调节植入能解决外阴痛或不适。我们报告一例患者经历了慢性外阴瘙痒症,这种瘙痒症对药物治疗无效,并且没有病理诊断。怀疑是神经病因,更换患者的replacement神经调节装置后,外阴症状得以完全缓解。 (C)2015 AAGL。版权所有。

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