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Dysesthetic vulvodynia. Long-term follow-up after treatment with surface electromyography-assisted pelvic floor muscle rehabilitation.

AbstractOBJECTIVE:
To determine the long-term follow-up status of dysesthetic vulvodynia patients who were asymptomatic at the termination of treatment using surface electromyography (sEMG)-assisted pelvic floor muscle rehabilitation.
STUDY DESIGN:
A chart review of the years 1994-1996 identified 62 patients with a diagnosis of dysesthetic vulvodynia on initial evaluation and who were asymptomatic at the termination of treatment. Forty-three of these patients responded to a survey requesting information on their pain, maintenance activities and treatments, daily functioning and sexual status since treatment termination.
RESULTS:
Thirty-eight of the 43 patients (88.4%) reported experiencing no vulvar pain since completion of treatment. Three patients reported a single episode of pain, and two patients reported two episodes each. All five of these patients reported the absence of any vulvar pain for a mean period of 19.8 months prior to completion of the survey. One hundred percent of the 43 dysesthetic vulvodynia patients studied reported being pain free a mean of 39.5 months after successful treatment termination. No vulvar pain-related treatments or significant restrictions on daily activities were reported. All patients reported sexual interest, pleasure and activity.
CONCLUSION:
Surface electromyography-assisted pelvic floor muscle rehabilitation is an effective and long-term cure for dysesthetic vulvodynia.
AuthorsH I Glazer
JournalThe Journal of reproductive medicine (J Reprod Med) Vol. 45 Issue 10 Pg. 798-802 (Oct 2000) ISSN: 0024-7758 [Print] United States
PMID11077626 (Publication Type: Journal Article)
Topics
  • Electromyography
  • Female
  • Follow-Up Studies
  • Humans
  • Medical Records
  • Pelvic Floor
  • Retrospective Studies
  • Vulvar Diseases (rehabilitation, therapy)

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