Ghisu Gian-Piero
1 Klinik für Gynäkologie, Universitätsspital Zürich.
Praxis (Bern 1994). 2019 Aug;108(10):685-691. doi: 10.1024/1661-8157/a003274.
Vulvodynia - Diagnostics and Management Strategies Vulvodynia is characterized by chronic, idiopathic vulvar pain lasting for at least three months. After exclusion of other, specific diseases associated with vulvar pain, which can be treated accordingly, realistic therapy goals for this chronic disease should be defined. The therapy concept is multimodal, interdisciplinary as well as individualized and includes the combination of general recommendations with physiotherapeutic and psychotherapeutic measures. Pharmacological therapy, which is indispensable, is carried out off-label and includes the topical and/or systemic use of various substances and substance combinations. Surgical measures may be regarded as a possible option, especially in women with therapy-resistant and provocable vulvodynia. Alternative therapy options such as acupuncture, hypnosis and transcutaneous electrical nerve stimulation are also worth investigating.
外阴痛——诊断与管理策略 外阴痛的特征是慢性、特发性外阴疼痛持续至少三个月。在排除了其他可相应治疗的与外阴疼痛相关的特定疾病后，应确定这种慢性病的切实可行的治疗目标。治疗理念是多模式、跨学科且个体化的，包括将一般建议与物理治疗和心理治疗措施相结合。不可或缺的药物治疗是超说明书用药，包括局部和/或全身使用各种物质及物质组合。手术措施可被视为一种可能的选择，尤其是对于治疗抵抗且可诱发的外阴痛女性。针灸、催眠和经皮电刺激神经等替代治疗选择也值得研究。
