ISSN: 1305-3876
Dil: Türkçe
Hakkında: Özel sayılar şeklinde yayınlanır.
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Vulvodynia And Genital Trauma
Dr. Esra KUŞÇUa
aKadın Hastalıkları ve Doğum AD, Başkent Üniversitesi Tıp Fakültesi, ANKARA
Vulvodynia, is defined as a chronic vulvar pain characterized by burning, stinging and irritation sentation that cannot be attributed to a spesific cause. The exact prevalence and etiologic factors of this disease are unknown. Infections, increased excretion of urinary oxalate, hormonal factors, genetic and immunological factors have been proposed as etiologic factors. A detailed history, including the localization, duration and influencing factors of the vulvar pain is essential for diagnosis of vulvodynia. Points of tenderness should be outlined using a cotton tipped swab and scored. Preventive measures, topical and oral medications, physical therapy and acupuncture and many other methods can be used in the treatment of vulvodynia. It must be kept in mind that, response to therapy is often slow and in some cases there might not be complete relief of symptoms despite the treatment.
Genital trauma is a clinical situation that every Gynecologist should diagnose and treat effectively. Most common cause of genital trauma is trauma due to delivery. Other causes are accidents, burns, sexual and non-sexual penetrating traumas. Patients with genital trauma should be carefully examined with signs being recorded in detail as they are subject to medicolegal issues. The patients presenting with major trauma should be inspected for genital trauma. Similarly, a patient with genital trauma should be examined for other systemic disturbances that can be overlooked. In the management, conservative or surgical approach can be chosen according to the clinical evaluation of the patient.Keywords: Vulvar pain, vulvodynia, genital trauma, vaginal laceration, vulvar hematoma, vaginal hematoma, sexual assaultTurkiye Klinikleri J Surg Med Sci 2006, 2(24):62-67
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