Surgical Management of Neuroproliferative-Associated Vestibulodynia: A Tutorial on Vestibulectomy with Vaginal Advancement Flap

Provoked vestibulodynia is an often under diagnosed and mismanaged medical condition that impacts the lives of many women. When symptoms are due to a dramatically increased density of pain fibers in the vestibular endoderm the condition is referred to as neuroproliferative-associated vestibulodynia (NAV). Unfortunately, assessment of pain fiber density can only be performed after surgery during histologic examination. First-line therapies for this condition often include topical or oral medications targeting hyperalgesia and allodynia at the vulvar vestibule.

Source: American Journal of Obstetrics and Gynecology - August 9, 2019 Category: OBGYN Authors: Catherine Wu, Andrew Goldstein, Jordan S. Klebanoff, Gaby N. Moawad Tags: Surgeon's Corner Source Type: research