Sonnendecker E W, Cohen R J, Dreyer L, Sher R C, Findlay G H
Department of Obstetrics and Gynaecology, Johannesburg Hospital, South Africa.
J Reprod Med. 1993 Jan;38(1):33-6.
Even in the definitive textbook on vulvar conditions edited by Ridley no description of neuroma of the vulva exists, although neural tumors and neurofibroma are considered. The medical literature covering the past 25 years records only one case of terminal fiber neuroma in an episiotomy scar and one neuroma of the clitoris. The latter occurred in a patient with neurofibromatosis. This report documents a symptomatic neuroma of the labia minora considered to be the result of a vulval injury. It is postulated that dyspareunia related to episiotomy may be associated with disorganized proliferation of proximal nerve stumps. Because of the rarity and lack of expertise on management of vulval neuroma, we suggest that the International Society for the Study of Vulvar Disease (ISSVD) further investigate this condition.
