Department of Obstetrics and Gynecology, Hospital Universitario de Burgos, Burgos, Spain.
Campus Docent de Sant Joan de Déu, Barcelona, Spain.
Complement Med Res. 2021;28(6):571-577. doi: 10.1159/000514945. Epub 2021 Apr 12.
Localized vulvar pain (LVP) is a common condition among fertile women, with physical and psychosexual implications. Treatment is complex with limited benefits. Neural therapy is a regulatory therapy that uses injections of local anesthetics in low concentrations in specific points to treat different conditions.
We present the cases of 5 women, ages 33-44 years, with LVP treated with procaine 0.5% injections in painful points. Complete relief from pain occurred in 2 patients, and significant improvement in 3. Only 1 or 2 sessions were required. Initial VAS score was ≥70 and decreased to ≤30 after the intervention. The improvement was maintained over time, with a minimum follow-up period of 6 months. None of the patients were able to have sex or use tampons due to pain, but they were able to resume after the intervention.
In this case series, local injections of procaine showed a favorable outcome. Future randomized clinical trials could help elucidate the role of this intervention in LVP.
局限性外阴疼痛（LVP）是生育期女性常见的病症，对身体和性心理都有影响。治疗方法复杂，效果有限。神经疗法是一种调节疗法，使用低浓度的局部麻醉剂在特定点注射，以治疗不同的病症。
我们报告了 5 例 LVP 女性患者的病例，年龄 33-44 岁，在痛点处接受普鲁卡因 0.5%注射治疗。2 例患者完全缓解疼痛，3 例患者显著改善。仅需 1-2 次治疗。初始 VAS 评分≥70，干预后降至≤30。改善情况持续存在，随访时间至少 6 个月。由于疼痛，所有患者均无法进行性生活或使用卫生棉条，但干预后可以恢复。
在本病例系列中，局部普鲁卡因注射显示出良好的效果。未来的随机临床试验可能有助于阐明这种干预在 LVP 中的作用。
