Approach to perineal pain and vulvodynia: about a case

Authors

DOI:

https://doi.org/10.47464/MetroCiencia/vol30/4/2022/85-93

Keywords:

Perineal pain, vulvodynia, vulvar pain, perianal pain, pelvic floor, anorectal pain

Abstract

Perineal pain concerns a wide range of diagnostic possibilities, due to the large number of anatomical structures that are present in the perineum from different origins, but with shared innervation, that’s why it’s important to keep in mind the approach of it. The objective of this article is to provide tools that help us reach an accurate diagnosis, for an adequate and opportune treatment, because these pathologies are very frequent and underdiagnosed, which leads to a torpid management that perpetuates their chronicity.

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Author Biographies

  • Stephania Salazar-Chiriboga, Hospital Metropolitano

    Médica, Posgradista de Ginecología y Obstetricia, Universidad Internacional del Ecuador – Hospital Metropolitano

  • Danilo Salazar-Molina, Hospital Metropolitano

    Médico Ginecólogo Obstetra, Hospital Metropolitano

  • José Daniel Sánchez-Peña, Universidad de las Américas – Hospital de Especialidades Carlos Andrade Marín

    Interno Rotativo de Medicina, Universidad de las Américas – Hospital de Especialidades Carlos Andrade Marín

  • Gonzalo Nicolalde-Castillo, Hospital Metropolitano

    Médico, Posgradista de Ginecología y Obstetricia, Universidad Internacional del Ecuador – Hospital Metropolitano

  • Darnely Samaniego-Balseca, Hospital Metropolitano

    Médica, Posgradista de Ginecología y Obstetricia, Universidad Internacional del Ecuador – Hospital Metropolitano

References

Marchitelli C. Enfermedades de la vulva. Un enfoque interdisciplinario [Internet]. Ediciones Journal, editor. Buenos Aires; 2018 [cited 2022 Jan 31]. 333 p. Available from: https://www.edicionesjournal.com/E-Book/9789874922328/Enfermedades+De+La+Vulva+(E-Book)

Havemann LM, Cool DR, Gagneux P, Markey MP, Yaklic JL, Maxwell RA, et al. Vulvodynia: What We Know and Where We Should Be Going. J Low Genit Tract Dis. 2017;21(2):150–6.

Butrick CW. Pelvic Floor Hypertonic Disorders: Identification and Management. Vol. 36, Obstetrics and Gynecology Clinics of North America. 2009. p. 707–22.

Dwarkasing RS, Schouten WR, Geeraedts TEA, Mitalas LE, Hop WCJ, Krestin GP. Chronic anal and perianal pain resolved with MRI. Am J Roentgenol. 2013;200(5):1034–41.

Mastragostino P, Lee AD, Battaglia PJ. Perianal abscess mimicking levator ani syndrome: A case report and approach to the differential diagnosis of anorectal pain. J Can Chiropr Assoc. 2017;61(2):145–52.

Bharucha AE, Lee TH. Anorectal and Pelvic Pain. Mayo Clin Proc [Internet]. 2016 [cited 2022 Jan 31];91(10):1471–86. Available from: http://dx.doi.org/10.1016/j.mayocp.2016.08.011

Thornton KGS, Robert M. Prevalence of Pelvic Floor Disorders in the Fibromyalgia Population: A Systematic Review. J Obstet Gynaecol Canada [Internet]. 2020 [cited 2022 Jan 31];42(1):72–9. Available from: https://doi.org/10.1016/j.jogc.2019.02.013

Stockdale CK, Lawson HW. 2013 vulvodynia guideline update. J Low Genit Tract Dis. 2014;18(2):93–100.

Shrikhande A, Ullger C, Seko K, Patil S, Natarajan J, Tailor Y, et al. A physiatrist’s understanding and application of the current literature on chronic pelvic pain: a narrative review. PAIN Reports [Internet]. 2021 Sep [cited 2022 Jan 31];6(3):e949. Available from: https://journals.lww.com/painrpts/Fulltext/2021/09000/A_physiatrist_s_understanding_and_application_of.7.aspx

Gomel V. Chronic pelvic pain: A challenge. J Minim Invasive Gynecol. 2007;14(4):521–6.

Quaghebeur J, Petros P, Wyndaele JJ, De Wachter S. Pelvic-floor function, dysfunction, and treatment. Eur J Obstet Gynecol Reprod Biol [Internet]. 2021 [cited 2022 Jan 31];265:143–9. Available from: https://doi.org/10.1016/j.ejogrb.2021.08.026

Reed BD. Vulvodynia: Diagnosis and Management. Am Acad Fam Physicians [Internet]. 2006 [cited 2022 Jan 31];73(7):1231–8. Available from: http://www.aafp.org/afpsort.xml.

Youssef AT. Use of Ultrasonography in Clarifying the Etiology of Anal Pain. J Med Ultrasound [Internet]. 2017 [cited 2022 Jan 31];25(4):208–14. Available from: http://dx.doi.org/10.1016/j.jmu.2017.03.014

Greenhalgh R, Cohen CR, Burling D, Taylor SA. Rational imaging: Investigating perianal pain of uncertain cause. Bmj. 2008;336(7640):387–9.

Bohm-Starke N. Medical and physical predictors of localized provoked vulvodynia. Acta Obstet Gynecol Scand. 2010;89(12):1504–10.

Andrews JC. Vulvodynia interventions-systematic review and evidence grading. Obstet Gynecol Surv [Internet]. 2011 [cited 2022 Jan 31];66(5):299–315. Available from: www.obgynsurvey.com

Nantarattasakul C, Tannirandorn Y. The Incidence of Vaginal Vault Granulations after Vaginal Vault Closed by Polyglactin Compared with Chromic Catgut: A Randomized Controlled Trial. Thai J Obstet Gynaecol [Internet]. 2002;14(2):151–5. Available from: https://he02.tci-thaijo.org/index.php/tjog/article/view/88816

Published

2022-12-30

Issue

Section

Casos Clínicos

How to Cite

Approach to perineal pain and vulvodynia: about a case. (2022). Metro Ciencia, 30(4), 85-93. https://doi.org/10.47464/MetroCiencia/vol30/4/2022/85-93

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