Document Detail


Pudendal neuralgia.
MedLine Citation:
PMID:  1951579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We call attention to a group of patients with chronic vulvar burning (vulvodynia), who do not have apparent infections or easily discernible abnormal physical findings, but who on simple sensory testing have allodynia, hyperalgesia, hyperpathia, and hypoesthesia in varying permutations within the areas innervated by the pudendal nerve. We propose that pudendal neuralgia (pain along the pudendal nerve) is one of the causes of idiopathic vulvodynia. In those patients in whom a neurologic, metabolic, infectious, traumatic, or malignant cause for neuralgia is not found, medical management with tricyclic antidepressants, antiepileptic agents, or both may prove helpful. Awareness of this entity will lead to earlier diagnosis, treatment, and reassurance of patients with chronic vulvar burning.
Authors:
M L Turner; S C Marinoff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  165     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1991-11-27     Completed Date:  1991-11-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1233-6     Citation Subset:  AIM; IM    
Affiliation:
Center for Vulvovaginal Disorders, George Washington University Medical School, Washington, D.C. 20037.
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MeSH Terms
Descriptor/Qualifier:
Acyclovir / therapeutic use
Antidepressive Agents, Tricyclic / therapeutic use
Female
Herpes Simplex / complications
Humans
Neuralgia / drug therapy*,  therapy
Perineum / innervation*
Vulva / innervation*
Vulvar Diseases* / drug therapy,  etiology,  therapy
Chemical
Reg. No./Substance:
0/Antidepressive Agents, Tricyclic; 59277-89-3/Acyclovir

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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