Exclusive manual perineal rehabilitation with lidocaine 2% gel in the treatment of provoked vestibulodynia: results from a single-arm interventional study.
Int J Impot Res
; 35(2): 157-163, 2023 Mar.
Article
in En
| MEDLINE
| ID: mdl-35228685
ABSTRACT
As of now, there is no adequate therapeutic strategy for provoked vestibulodynia (PVD). Pelvic Floor Muscle Therapy (PFMT) is a widely used technique in general pelvic floor rehabilitation. The objective of this study is to examine the effects of exclusive manual perineal rehabilitation with lidocaine 2% gel on PVD. During the first session, recruited patients (n = 68; mean age 31 ± 8.6; range 18-52) received a questionnaire (Q1) on general well-being and health, pain of the genital area, sexual function, and symptoms during vaginal penetration. This questionnaire was based on a generalised questionnaire on the quality of life, the Medical Outcomes Study 36-item (SF-36), the Female Sexual Function Index (FSFI), and the Visual Analogue Scale (VAS). A second identical questionnaire with an additional set of open-ended questions concerning the assessment of the treatment was collected after treatment (Q2). A total of 45 questionnaires were completed. Statistical results showed a significant improvement of all items before and after treatment (p < 0.001) perceived general well-being and health, perceived vulvar pain, perceived sexual function, and perceived vaginal penetration. In conclusion, exclusive manual perineal rehabilitation using lidocaine 2% gel seems to be a safe and effective treatment option for vulvodynia in women.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vulvodynia
Type of study:
Guideline
Aspects:
Patient_preference
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Int J Impot Res
Journal subject:
MEDICINA REPRODUTIVA
/
UROLOGIA
Year:
2023
Document type:
Article
Affiliation country:
Bélgica